AIM:To evaluate the rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric intraocular lenses(IOL) over a 1.5-year follow-up period.Data from the 6-month follow-up study have been prev...AIM:To evaluate the rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric intraocular lenses(IOL) over a 1.5-year follow-up period.Data from the 6-month follow-up study have been previously reported.METHODS:Forty eyes of 26 cataract patients(mean age:72.8±7.9y) with pre-existing corneal astigmatism of 1.0 to 2.6 D were enrolled in the study.Mean axial length was 23.17±0.88 mm.Main outcome measures after implantation of the Torica-a A IOL(Human Optics) were IOL rotational stability,subjective refraction,astigmatism correction,uncorrected and corrected distance visual acuity(UDVA,CDVA).RESULTS:There was no significant change in the parameters evaluated between the 6-month and 1.5-year follow-ups.At last visit,mean absolute IOL rotation(objective method) was 1.81°±1.87°(range 0.00° to 7.20°) with 78.6% of eyes having IOL rotation 〈3°,92.9% of eyes 〈5° and 100% of eyes 〈8°.No patient required secondary IOL repositioning during the course of the study.Mean residual refractive cylinder was-0.60±0.40 D.There was a significant reduction in the magnitude of the J0 vector postoperatively(P〈0.0001) with a mean absolute change of 0.76±0.40 D.The mean J45 vector was close to zero preoperatively and postoperatively and didn't change significantly(P=0.28).Mean monocular UDVA and CDVA was 0.09±0.12 log MAR and-0.01±0.12 log MAR,respectively.No treatment with Nd:YAG laser was required.CONCLUSION:The Torica-a A IOL shows good and stable visual performance and rotational stability over a 1.5-year follow-up period.展开更多
文摘AIM:To evaluate the rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric intraocular lenses(IOL) over a 1.5-year follow-up period.Data from the 6-month follow-up study have been previously reported.METHODS:Forty eyes of 26 cataract patients(mean age:72.8±7.9y) with pre-existing corneal astigmatism of 1.0 to 2.6 D were enrolled in the study.Mean axial length was 23.17±0.88 mm.Main outcome measures after implantation of the Torica-a A IOL(Human Optics) were IOL rotational stability,subjective refraction,astigmatism correction,uncorrected and corrected distance visual acuity(UDVA,CDVA).RESULTS:There was no significant change in the parameters evaluated between the 6-month and 1.5-year follow-ups.At last visit,mean absolute IOL rotation(objective method) was 1.81°±1.87°(range 0.00° to 7.20°) with 78.6% of eyes having IOL rotation 〈3°,92.9% of eyes 〈5° and 100% of eyes 〈8°.No patient required secondary IOL repositioning during the course of the study.Mean residual refractive cylinder was-0.60±0.40 D.There was a significant reduction in the magnitude of the J0 vector postoperatively(P〈0.0001) with a mean absolute change of 0.76±0.40 D.The mean J45 vector was close to zero preoperatively and postoperatively and didn't change significantly(P=0.28).Mean monocular UDVA and CDVA was 0.09±0.12 log MAR and-0.01±0.12 log MAR,respectively.No treatment with Nd:YAG laser was required.CONCLUSION:The Torica-a A IOL shows good and stable visual performance and rotational stability over a 1.5-year follow-up period.