High-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes

Masayuki Ouchi1,21Ouchi Eye Clinic, Kyoto, Japan; 2Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, JapanAbstract: Clinical outcomes were compared between high-cylinder toric intraocular lens (IOL) implantation and the combined surgery of low-cylinder toric IOL implanta...

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Autor principal: Ouchi M
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:d514971a1420416c8b72462739dc14ed2021-12-02T07:38:01ZHigh-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes1177-5483https://doaj.org/article/d514971a1420416c8b72462739dc14ed2014-03-01T00:00:00Zhttp://www.dovepress.com/high-cylinder-toric-intraocular-lens-implantation-versus-combined-surg-a16284https://doaj.org/toc/1177-5483 Masayuki Ouchi1,21Ouchi Eye Clinic, Kyoto, Japan; 2Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, JapanAbstract: Clinical outcomes were compared between high-cylinder toric intraocular lens (IOL) implantation and the combined surgery of low-cylinder toric IOL implantation and limbal relaxing incision (LRI) for correcting preexisting high-amplitude corneal astigmatism. Fifty-seven eyes with preexisting corneal astigmatism of 2.5 diopter (D) or greater were divided into the following two groups: (1) eyes that underwent Alcon AcrySof® IQ Toric T6, T7, T8, or T9 IOL implantation (toric group); and (2) eyes that underwent the combined surgery of AcrySof® IQ Toric T5 IOL implantation and LRI (LRI group). Uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), manifest, refractive and corneal cylinder (MC, RC, CC), were compared postoperatively. Corneal and ocular higher-order aberrations (HOA) were also compared. At 1 day postoperative, UCVA was significantly better and MC and RC were significantly less in the toric group, however, at 1 and 6 months postoperative, there was no significant difference in those parameters. Postoperative corneal and ocular HOA were ¬significantly greater in the LRI Group. For correcting astigmatism in eyes with a high amount of preexisting astigmatism, high-cylinder toric IOL implantation achieves better clinical outcomes, especially in the early postoperative period, than the combined procedure of moderate-cylinder toric IOL implantation and LRI.Keywords: toric intraocular lens, limbal relaxing incision, high-cylinder astigmatism, cataract surgeryOuchi MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 661-667 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Ouchi M
High-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes
description Masayuki Ouchi1,21Ouchi Eye Clinic, Kyoto, Japan; 2Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, JapanAbstract: Clinical outcomes were compared between high-cylinder toric intraocular lens (IOL) implantation and the combined surgery of low-cylinder toric IOL implantation and limbal relaxing incision (LRI) for correcting preexisting high-amplitude corneal astigmatism. Fifty-seven eyes with preexisting corneal astigmatism of 2.5 diopter (D) or greater were divided into the following two groups: (1) eyes that underwent Alcon AcrySof® IQ Toric T6, T7, T8, or T9 IOL implantation (toric group); and (2) eyes that underwent the combined surgery of AcrySof® IQ Toric T5 IOL implantation and LRI (LRI group). Uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), manifest, refractive and corneal cylinder (MC, RC, CC), were compared postoperatively. Corneal and ocular higher-order aberrations (HOA) were also compared. At 1 day postoperative, UCVA was significantly better and MC and RC were significantly less in the toric group, however, at 1 and 6 months postoperative, there was no significant difference in those parameters. Postoperative corneal and ocular HOA were ¬significantly greater in the LRI Group. For correcting astigmatism in eyes with a high amount of preexisting astigmatism, high-cylinder toric IOL implantation achieves better clinical outcomes, especially in the early postoperative period, than the combined procedure of moderate-cylinder toric IOL implantation and LRI.Keywords: toric intraocular lens, limbal relaxing incision, high-cylinder astigmatism, cataract surgery
format article
author Ouchi M
author_facet Ouchi M
author_sort Ouchi M
title High-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes
title_short High-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes
title_full High-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes
title_fullStr High-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes
title_full_unstemmed High-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes
title_sort high-cylinder toric intraocular lens implantation versus combined surgery of low-cylinder intraocular lens implantation and limbal relaxing incision for high-astigmatism eyes
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/d514971a1420416c8b72462739dc14ed
work_keys_str_mv AT ouchim highcylindertoricintraocularlensimplantationversuscombinedsurgeryoflowcylinderintraocularlensimplantationandlimbalrelaxingincisionforhighastigmatismeyes
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