Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses

Arnaldo Espaillat,1 Obniel Pérez,1 Richard Potvin2 1Espaillat-Cabral Eye Institute, Santo Domingo, Dominican Republic; 2Science in Vision, Akron, NY, USA Purpose: To compare the 1-month and 1-year results of toric intraocular lens (IOL) implantation with standard (manual) phacoemulsific...

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Autores principales:	Espaillat A, Pérez O, Potvin R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	FLACS LenSx cataracts refraction astigmatism visual acuity toric IOL femtosecond laser Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/71906509f0a843b98b9e4347dfdee2fe
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spelling	oai:doaj.org-article:71906509f0a843b98b9e4347dfdee2fe2021-12-02T07:28:50ZClinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses1177-5483https://doaj.org/article/71906509f0a843b98b9e4347dfdee2fe2016-03-01T00:00:00Zhttps://www.dovepress.com/clinical-outcomes-using-standard-phacoemulsification-and-femtosecond-l-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Arnaldo Espaillat,1 Obniel Pérez,1 Richard Potvin2 1Espaillat-Cabral Eye Institute, Santo Domingo, Dominican Republic; 2Science in Vision, Akron, NY, USA Purpose: To compare the 1-month and 1-year results of toric intraocular lens (IOL) implantation with standard (manual) phacoemulsification vs femtosecond laser-assisted surgery.Patients and methods: Refractive data, visual acuity data, and ocular aberration measured with a wavefront aberrometer were collected for two groups of patients from one site. The first group had standard phacoemulsification, while the second group had femtosecond laser-assisted surgery, and both groups were implanted with toric IOLs, either monofocal or multifocal. Differences in visual acuity, refractive outcomes, and higher order aberrations – total, corneal, and internal – were evaluated at 1 month and 1 year postoperatively.Results: Toric IOLs were implanted in 62 eyes using standard phacoemulsification and 53 eyes using femtosecond laser-assisted surgery. Uncorrected visual acuity and best-spectacle-corrected visual acuity at 1 month and 1 year were not statistically significantly different between the groups (P>0.05) nor was the mean cylinder or mean spherical equivalent refraction (P>0.12). Total ocular higher order aberrations were significantly different between the groups (P<0.05), but absolute differences appeared to be the same. Internal vertical coma was significantly lower in the femto group at 1 year (P=0.03). Differences in aberrations did not correlate with corrected or uncorrected visual acuity.Conclusion: Patients who underwent uncomplicated lens surgery with toric IOLs in both the groups had comparable refractive outcomes in terms of visual acuity and residual refraction at 1 year. The femto group had significantly lower internal vertical coma at 1 year. Keywords: FLACS, LenSx, cataracts, refraction, astigmatism, visual acuity, toric IOL, femtosecond laserEspaillat APérez OPotvin RDove Medical PressarticleFLACSLenSxcataractsrefractionastigmatismvisual acuitytoric IOLfemtosecond laserOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 555-563 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	FLACS LenSx cataracts refraction astigmatism visual acuity toric IOL femtosecond laser Ophthalmology RE1-994
spellingShingle	FLACS LenSx cataracts refraction astigmatism visual acuity toric IOL femtosecond laser Ophthalmology RE1-994 Espaillat A Pérez O Potvin R Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses
description	Arnaldo Espaillat,1 Obniel Pérez,1 Richard Potvin2 1Espaillat-Cabral Eye Institute, Santo Domingo, Dominican Republic; 2Science in Vision, Akron, NY, USA Purpose: To compare the 1-month and 1-year results of toric intraocular lens (IOL) implantation with standard (manual) phacoemulsification vs femtosecond laser-assisted surgery.Patients and methods: Refractive data, visual acuity data, and ocular aberration measured with a wavefront aberrometer were collected for two groups of patients from one site. The first group had standard phacoemulsification, while the second group had femtosecond laser-assisted surgery, and both groups were implanted with toric IOLs, either monofocal or multifocal. Differences in visual acuity, refractive outcomes, and higher order aberrations – total, corneal, and internal – were evaluated at 1 month and 1 year postoperatively.Results: Toric IOLs were implanted in 62 eyes using standard phacoemulsification and 53 eyes using femtosecond laser-assisted surgery. Uncorrected visual acuity and best-spectacle-corrected visual acuity at 1 month and 1 year were not statistically significantly different between the groups (P>0.05) nor was the mean cylinder or mean spherical equivalent refraction (P>0.12). Total ocular higher order aberrations were significantly different between the groups (P<0.05), but absolute differences appeared to be the same. Internal vertical coma was significantly lower in the femto group at 1 year (P=0.03). Differences in aberrations did not correlate with corrected or uncorrected visual acuity.Conclusion: Patients who underwent uncomplicated lens surgery with toric IOLs in both the groups had comparable refractive outcomes in terms of visual acuity and residual refraction at 1 year. The femto group had significantly lower internal vertical coma at 1 year. Keywords: FLACS, LenSx, cataracts, refraction, astigmatism, visual acuity, toric IOL, femtosecond laser
format	article
author	Espaillat A Pérez O Potvin R
author_facet	Espaillat A Pérez O Potvin R
author_sort	Espaillat A
title	Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses
title_short	Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses
title_full	Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses
title_fullStr	Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses
title_full_unstemmed	Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses
title_sort	clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/71906509f0a843b98b9e4347dfdee2fe
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Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses

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