Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens

Purpose. To evaluate outcomes in astigmatic patients implanted with the Trulign (Bausch + Lomb) toric presbyopia-correcting intraocular lens (IOL) during cataract surgery in a clinical practice setting. Methods. Retrospective study in 40 eyes (31 patients) that underwent cataract extraction and IOL...

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Main Author: Alice T. Epitropoulos
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/7458210
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author Alice T. Epitropoulos
author_facet Alice T. Epitropoulos
author_sort Alice T. Epitropoulos
collection DOAJ
description Purpose. To evaluate outcomes in astigmatic patients implanted with the Trulign (Bausch + Lomb) toric presbyopia-correcting intraocular lens (IOL) during cataract surgery in a clinical practice setting. Methods. Retrospective study in 40 eyes (31 patients) that underwent cataract extraction and IOL implantation in a procedure using intraoperative wavefront aberrometry guidance (ORA system). Endpoints included uncorrected visual acuity (VA), reduction in refractive cylinder, accuracy to target, axis orientation, and safety. Results. At postoperative month 1, refractive cylinder was ≤0.50 D in 97.5% of eyes (≤1.00 D in 100%), uncorrected distance VA was 20/25 or better in 95%, uncorrected intermediate VA was 20/25 or better in 95%, and uncorrected near VA was 20/40 (J3 equivalent) or better in 92.5%. Manifest refraction spherical equivalent was within 1.00 D of target in 95% of eyes and within 0.50 D in 82.5%. Lens rotation was <5° and best-corrected VA was 20/25 or better in all eyes. Conclusion. The IOL effectively reduced refractive cylinder and provided excellent uncorrected distance and intermediate vision and functional near vision. Refractive predictability and rotational stability were exceptional. Implantation of this toric presbyopia-correcting IOL using ORA intraoperative aberrometry provides excellent refractive and visual outcomes in a standard of care setting.
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spelling doaj-art-eea3e32232d448a6be5cd7b6683812a22025-02-03T06:13:48ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/74582107458210Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular LensAlice T. Epitropoulos0The Eye Center of Columbus, 262 Neil Avenue, Columbus, OH 43215, USAPurpose. To evaluate outcomes in astigmatic patients implanted with the Trulign (Bausch + Lomb) toric presbyopia-correcting intraocular lens (IOL) during cataract surgery in a clinical practice setting. Methods. Retrospective study in 40 eyes (31 patients) that underwent cataract extraction and IOL implantation in a procedure using intraoperative wavefront aberrometry guidance (ORA system). Endpoints included uncorrected visual acuity (VA), reduction in refractive cylinder, accuracy to target, axis orientation, and safety. Results. At postoperative month 1, refractive cylinder was ≤0.50 D in 97.5% of eyes (≤1.00 D in 100%), uncorrected distance VA was 20/25 or better in 95%, uncorrected intermediate VA was 20/25 or better in 95%, and uncorrected near VA was 20/40 (J3 equivalent) or better in 92.5%. Manifest refraction spherical equivalent was within 1.00 D of target in 95% of eyes and within 0.50 D in 82.5%. Lens rotation was <5° and best-corrected VA was 20/25 or better in all eyes. Conclusion. The IOL effectively reduced refractive cylinder and provided excellent uncorrected distance and intermediate vision and functional near vision. Refractive predictability and rotational stability were exceptional. Implantation of this toric presbyopia-correcting IOL using ORA intraoperative aberrometry provides excellent refractive and visual outcomes in a standard of care setting.http://dx.doi.org/10.1155/2016/7458210
spellingShingle Alice T. Epitropoulos
Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens
Journal of Ophthalmology
title Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens
title_full Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens
title_fullStr Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens
title_full_unstemmed Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens
title_short Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens
title_sort visual and refractive outcomes of a toric presbyopia correcting intraocular lens
url http://dx.doi.org/10.1155/2016/7458210
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