1. Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL
Brian J. Groat, MD, Helga P. Sandoval, MD, MSCR, Mohamed A. Guenena, MD, Kerry D. Solomon, MD
Magill Research Center for Vision Correction, Storm Eye Institute
Medical University of South Carolina, Charleston, SC
Financial Disclosure
Brian J. Groat & Mohamed A. Guenena: None
Helga P. Sandoval: Alcon Laboratories, Inc. - D; Allergan, Inc. - D; Abbott Medical Optics - D
Kerry D. Solomon: Alcon Laboratories, Inc. - A,C,D; Allergan, Inc. - A,C,D; Abbott Medical Optics - A,C,D; Advanced Vision Research -  A,C,D; Bausch & Lomb, Inc. -  A,C,D; Eyemaginations -  A,C,D; QLT, Inc. -  A,C,D

2. AcrySof Toric IOL Design Characteristics
AcrySof Single-Piece platform
Open loop, modified-L haptics
Posterior toricity
Toric axis marks
AcrySof Toric IOL Model
Cylinder
IOL Plane
Corneal Plane
SN60T3
1.50
1.03
SN60T4
2.25
1.55
SN60T5
3.00
2.06

3. Purpose
To report visual outcomes of astigmatic patients implanted with a toric IOL
To compare their satisfaction and spectacle freedom to a standard monofocal IOL group

4. Methods Inclusion Criteria Exclusion Criteria
Retrospective chart review
IOL groups were age, gender, preoperative manifest cylinder, manual cylinder and topographic cylinder matched for comparison
Inclusion Criteria
Exclusion Criteria
Uneventful routine lens extraction between Aug 06 and Aug 08
IOL Implanted
Toric (Acrysof Toric IOL, SN60T3)
Monofocal (Acrysof IQ, SN60WF)
Follow-up at least 3 weeks post-surgery
Keratorefractive surgery before or after lens extraction and IOL implantation
Any pre or postoperative pathology that could affect visual outcome
Any postoperative complication
Monovision
Other ocular surgery at the time of the cataract extraction

5. Assessments Uncorrected visual acuity Residual astigmatism
Patient satisfaction and spectacle freedom survey
Bilateral implantation of the same IOL

6. Results A total of 547 medical records were reviewed
104 eyes of 80 subjects met inclusion/exclusion criteria and were included for analysis

7. Preoperative Data Toric n = 62 eyes Monofocal n = 42 eyes P value†
Age (years)
73.8 ± 8.4
71.9 ±9.7
.302
Gender
64.5% F
50.0% F
.140*
Sph (D)
-2.0 ± 3.2
-1.0 ± 3.3
.057
Cyl (D)
1.2 ± 0.8
1.3 ± 0.9
.930
SE (D)
-1.4 ± 3.3
-0.4 ± 3.2
.069
Manual Cyl (D)
1.1 ± 0.3
1.3 ± 0.7
.548
Topo Astigm (D)
1.2 ± 0.4
1.5 ± 0.7
.276
† Wilcoxon test
* Fisher’s Exact test

8. Cumulative Postoperative VA

9. Mean Manifest Cylinder
Cylinder (Diopters)

10. Postoperative Patient Survey

11. Postoperative Patient Survey

12. Conclusion
UCVA in the toric IOL group was as good as the BCVA in the monofocal IOL group.
Although sample size of subjects who answer the survey is small there is a trend that shows higher satisfaction in the toric group.
Toric IOL is an alternative to patients who wants distance spectacle independence.