Post on 31-Dec-2015
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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 InstituteMedical University of South Carolina, Charleston, SC
Financial DisclosureFinancial DisclosureBrian J. Groat & Mohamed A. Guenena: NoneBrian J. Groat & Mohamed A. Guenena: NoneHelga P. Sandoval: Alcon Laboratories, Inc. - D; Allergan, Inc. - D; Abbott Medical Optics - DHelga P. Sandoval: Alcon Laboratories, Inc. - D; Allergan, Inc. - D; Abbott Medical Optics - DKerry D. Solomon: Alcon Laboratories, Inc. - A,C,D; Allergan, Inc. - A,C,D; Abbott Medical Optics - A,C,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 Advanced Vision Research - A,C,D; Bausch & Lomb, Inc. - A,C,D; Eyemaginations - A,C,D; QLT, Inc. - A,C,D
– AcrySof Single-Piece platform– Open loop, modified-L haptics– Posterior toricity – Toric axis marks
AcrySof Toric AcrySof Toric
IOL ModelIOL Model
Cylinder Power @Cylinder Power @
IOL PlaneIOL Plane Corneal PlaneCorneal Plane
SN60T3SN60T3 1.501.50 1.031.03
SN60T4SN60T4 2.252.25 1.551.55
SN60T5SN60T5 3.003.00 2.062.06
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
Inclusion 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
Exclusion Criteria 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
• Retrospective chart review
• IOL groups were age, gender, preoperative manifest cylinder, manual cylinder and topographic cylinder matched for comparison
Uncorrected visual acuity
Residual astigmatism
Patient satisfaction and spectacle freedom survey› Bilateral implantation of the same IOL
A total of 547 medical records were reviewed
104 eyes of 80 subjects met inclusion/exclusion criteria and were included for analysis
ToricToricn = 62 eyesn = 62 eyes
MonofocalMonofocaln = 42 eyesn = 42 eyes P P value† value†
Age (years)Age (years) 73.8 ± 8.473.8 ± 8.4 71.9 ±9.771.9 ±9.7 .302.302
GenderGender 64.5% F64.5% F 50.0% F50.0% F .140*.140*
Sph (D)Sph (D) -2.0 ± 3.2-2.0 ± 3.2 -1.0 ± 3.3-1.0 ± 3.3 .057.057
Cyl (D)Cyl (D) 1.2 ± 0.81.2 ± 0.8 1.3 ± 0.91.3 ± 0.9 .930.930
SE (D)SE (D) -1.4 ± 3.3-1.4 ± 3.3 -0.4 ± 3.2-0.4 ± 3.2 .069.069
Manual Cyl (D)Manual Cyl (D) 1.1 ± 0.31.1 ± 0.3 1.3 ± 0.71.3 ± 0.7 .548.548
Topo Astigm (D)Topo Astigm (D) 1.2 ± 0.41.2 ± 0.4 1.5 ± 0.71.5 ± 0.7 .276.276
† † Wilcoxon testWilcoxon test* Fisher’s Exact test* Fisher’s Exact test