Efficacy of Toric intraocular lens implantation in eyes with high myopia: A prospective, case‑controlled observational study

Guo,Tao; Gao,Peng; Fang,Li; Guo,Li; Fan,Yuchen; Liu,Changgen

doi:10.3892/etm.2018.6102

June-2018 Volume 15 Issue 6

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

June-2018 Volume 15 Issue 6

Full Size Image

Article Open Access

Efficacy of Toric intraocular lens implantation in eyes with high myopia: A prospective, case‑controlled observational study

Authors:
- Tao Guo
- Peng Gao
- Li Fang
- Li Guo
- Yuchen Fan
- Changgen Liu
View Affiliations / Copyright

Affiliations: Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, P.R. China, Department of Ophthalmology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200072, P.R. China, Department of Technical Services, Shanghai ShuJin Information Technology Co., Ltd., Shanghai 201399, P.R. China

Copyright: © Guo et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 5288-5294
|
Published online on: April 25, 2018

https://doi.org/10.3892/etm.2018.6102
Expand metrics +

Abstract

The present prospective clinical observational study aimed to evaluate the efficacy of Toric intraocular lenses (IOL) to achieve rotational stability and astigmatism correction in eyes with high myopia. A total of 27 consecutive cataract patients (39 eyes) with pre‑existing corneal astigmatism (1.5‑3.5 D) were divided into two groups according to their refractive status: One group of 18 eyes with high myopia ‑(12.5‑6.0 D) and another group consisting of 21 eyes with emmetropia or low myopia (‑3.0‑0.0 D). All eyes underwent cataract phacoemulsification surgeries by the same surgeon, with the implantation of an AcrySof® Toric IOL at the pre‑designed degree. Uncorrected visual acuity, best corrected visual acuity and phoropter examination results were recorded at the 1st day, 1st week, 1st month and 3rd month after the surgery. By analyzing digital images from slim‑lamp photography with a self‑designed software, the rotational stability was observed. The contrast sensitivity was also measured. No significant difference in the baseline and post‑operative residual astigmatism was identified between the two groups (P>0.05). In addition, no significant difference in the degree of rotation was observed between the two groups. All patients had significantly improved visual quality after the surgery (P<0.05). In conclusion, the present study observed an equal astigmatism‑correction efficiency and rotational stability in the two groups. A second auxiliary spot‑penetrating incision, removal of visco‑elastic substances and tight adherence of the IOL to the posterior capsular membrane are essential for a successful surgery.

View Figures

View References

1	Talley-Rostov A: Patient-centered care and refractive cataract surgery. Curr Opin Ophthalmol. 19:5–9. 2008. View Article : Google Scholar : PubMed/NCBI
2	Yang LH and Tang X: The research progress in treating astigmatism at the time of cataract surgery. Zhonghua Yan Ke Za Zhi. 47:573–576. 2011.(In Chinese). PubMed/NCBI
3	Amesbury EC and Miller KM: Correction of astigmatism at the time of cataract surgery. Curr Opin Ophthalmol. 20:19–24. 2009. View Article : Google Scholar : PubMed/NCBI
4	Buckhurst PJ, Wolffsohn JS, Davies LN and Naroo SA: Surgical correction of astigmatism during cataract surgery. Clin Exp Optomet. 93:409–418. 2010. View Article : Google Scholar
5	Dick HB and Buchner SE: Toric phakic intraocular lenses. Ophthalmologe. 104:1032–1040. 2007.(In German). View Article : Google Scholar : PubMed/NCBI
6	Edrington TB: A literature review: The impact of rotational stabilization methods on toric soft contact lens performance. Cont Lens Anterior Eye. 34:104–110. 2011. View Article : Google Scholar : PubMed/NCBI
7	Sun XY, Vicary D, Montgomery P and Griffiths M: Toric intraocular lenses for correcting astigmatism in 130 eyes. Ophthalmology. 107:1776–1782. 2000. View Article : Google Scholar : PubMed/NCBI
8	Horn JD: Status of toric intraocular lenses. Curr Opin Ophthalmol. 18:58–61. 2007. View Article : Google Scholar : PubMed/NCBI
9	Viestenz A, Walter S, Viestenz A, Behrens-Baumann W and Langenbucher A: Toric intraocular lenses and correction of astigmatism. Ophthalmologe. 104:620–627. 2007.(In German). View Article : Google Scholar : PubMed/NCBI
10	Kurz S, Krummenauer F, Hacker P, Pfeiffer N and Dick HB: Capsular bag shrinkage after implantation of a capsular bending or capsular tension ring. J Cataract Refract Surg. 31:1915–1920. 2005. View Article : Google Scholar : PubMed/NCBI
11	Chang DF: Early rotational stability of the longer Staar toric intraocular lens: Fifty consecutive cases. J Cataract Refract Surg. 29:935–940. 2003. View Article : Google Scholar : PubMed/NCBI
12	Shah GD, Praveen MR, Vasavada AR, Vasavada VA, Rampal G and Shastry LR: Rotational stability of a toric intraocular lens: Influence of axial length and alignment in the capsular bag. J Cataract Refract Surg. 38:54–59. 2012. View Article : Google Scholar : PubMed/NCBI
13	Saw SM, Gazzard G, Shih-Yen EC and Chua WH: Myopia and associated pathological complications. Ophthalmic Physiol Opt. 25:381–391. 2005. View Article : Google Scholar : PubMed/NCBI
14	Liu YC, Xia WT, Zhou XT, Liu RJ, Bian SZ, Ying CL and Zhu GY: Eyeball structure changes in high myopic patients and their significance for forensic assessment. Fa Yi Xue Za Zhi. 24:356–360. 2008.(In Chinese). PubMed/NCBI
15	Seward H, Packard R and Allen D: Management of cataract surgery in a high myope. Br J Ophthalmol. 85:1372–1378. 2001. View Article : Google Scholar : PubMed/NCBI
16	Hayashi K, Kondo H, Yoshida M, Manabe S and Hirata A: Higher-order aberrations and visual function in pseudophakic eyes with a toric intraocular lens. J Cataract Refract Surg. 38:1156–1165. 2012. View Article : Google Scholar : PubMed/NCBI
17	Kamiya K, Shimizu K, Aizawa D, Igarashi A, Komatsu M and Nakamura A: One-year follow-up of posterior chamber toric phakic intraocular lens implantation for moderate to high myopic astigmatism. Ophthalmology. 117:2287–2294. 2010. View Article : Google Scholar : PubMed/NCBI
18	Alió JL, Piñero DP, Tomás J and Plaza AB: Vector analysis of astigmatic changes after cataract surgery with implantation of a new toric multifocal intraocular lens. J Cataract Refract Surg. 37:1217–1229. 2011. View Article : Google Scholar : PubMed/NCBI
19	Visser N, Nuijts RM, de Vries NE and Bauer NJ: Visual outcomes and patient satisfaction after cataract surgery with toric multifocal intraocular lens implantation. J Cataract Refract Surg. 37:2034–2042. 2011. View Article : Google Scholar : PubMed/NCBI
20	Zhu X, He W, Zhang K and Lu Y: Factors influencing 1-year rotational stability of AcrySof Toric intraocular lenses. Br J Ophthalmol. 100:263–268. 2016. View Article : Google Scholar : PubMed/NCBI
21	Becker KA, Auffarth GU and Völcker HE: Measurement method for the determination of rotation and decentration of intraocular lenses. Ophthalmologe. 101:600–603. 2004.(In German). PubMed/NCBI
22	Warlo I, Krummenauer F and Dick HB: Rotational stability in intraocular lenses with C-loop haptics versus Z haptics in cataract surgery. A prospective randomised comparison. Ophthalmologe. 102:987–992. 2005.(In German). View Article : Google Scholar : PubMed/NCBI
23	Viestenz A and Langenbucher A: Rotational stability of the eye in standard photography. Klin Monbl Augenheilkd. 221:262–265. 2004.(In German). View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Efficacy of Toric intraocular lens implantation in eyes with high myopia: A prospective, case‑controlled observational study

This article is mentioned in:

Abstract

Figure 1

Figure 2

Figure 3

Figure 4

Related Articles