Skip to main content

Advertisement

SpringerLink
Log in

Transitional conic toric intraocular lens evaluation after femtosecond laser-assisted cataract surgery using intraoperative aberrometry

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To assess refractive and visual outcomes following phacoemulsification with femtosecond laser-assisted cataract surgery (FLACS) using intraoperative aberrometry and implantation of a toric intraocular lens (IOL) in eyes with different degrees of astigmatism.

Methods

One hundred two eyes of 70 patients who underwent implantation of the transitional toric 565 Precizon IOL (Ophtec BV) were enrolled. FLACS, capsular tension ring insertion, and intraoperative aberrometry were performed. Main outcome measures were refractive error, uncorrected- and corrected distance snellen decimal visual acuity values (UDVA and CDVA, respectively), and IOL rotation. Specifically, a vector analysis was carried out with J0 and J45 evaluation. Eyes were evaluated 1-year after surgery.

Results

Overall, 94.12% (96 eyes) and 100% (102 eyes) of the eyes showed a spherical equivalent (SE) within ± 0.50D and ± 1.00D, respectively. The mean SE and refractive cylinder were − 0.06 ± 0.29D and − 0.23 ± 0.37D, respectively. Vector analysis revealed that 100% of the eyes were within ± 0.50D for the J0 and J45 cylindrical components. The mean toric axis rotation was 1.10 ± 1.71° (from 0° to 5°), 77% (79 eyes), and 100% (102 eyes) of the eyes showed UDVA and CDVA of 20/25, respectively. The postoperative mean values of monocular UDVA and CDVA were 0.88 ± 0.17 and 0.96 ± 0.07 (about 20/20), respectively. No patient required IOL realignment during the postoperative follow-up.

Conclusions

The present study suggests that the use of the Precizon IOL after FLACS, using intraoperative aberrometry in patients with different amounts of astigmatism, provides good visual acuity, accurate refractive outcomes, and excellent rotational stability.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Ferrer-Blasco T, Montés-Micó R, Peixoto-de-Matos SC, González-Méijome JM, Cerviño A (2009) Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg 35:70–75

    Article  Google Scholar 

  2. Hoffmann PC, Hütz WW (2010) Analysis of biometry and prevalence data for corneal astigmatism in 23,239 eyes. J Cataract Refract Surg 36:1479–1485

    Article  Google Scholar 

  3. Atchison DA, Guo H, Charman WN, Fisher SW (2009) Blur limits for defocus, astigmatism and trefoil. Vis Res 49:2393–2403

    Article  Google Scholar 

  4. Kessel L, Andresen J, Tendal B, Erngaard D, Flesner P, Hjortdal J (2016) Toric intraocular lenses in the correction of astigmatism during cataract surgery: a systematic review and meta-analysis. Ophthalmology 123:275–286

    Article  Google Scholar 

  5. Visser N, Ruíz-Mesa R, Pastor F, Bauer NJ, Nuijts RM, Montés-Micó R (2011) Cataract surgery with toric intraocular lens implantation in patients with high corneal astigmatism. J Cataract Refract Surg 37:1403–1410

    Article  Google Scholar 

  6. Ruíz-Mesa R, Carrasco-Sánchez D, Díaz-Alvarez SB, Ruíz-Mateos MA, Ferrer-Blasco T, Montés-Micó R (2009) Refractive lens exchange with foldable toric intraocular lens. Am J Ophthalmol 147(990–6):996

    Google Scholar 

  7. Woodcock MG, Lehmann R, Cionni RJ, Breen M, Scott MC (2016) Intraoperative aberrometry versus standard preoperative biometry and a toric IOL calculator for bilateral toric IOL implantation with a femtosecond laser: one-month results. J Cataract Refract Surg 42:817–825

    Article  Google Scholar 

  8. Cionni RJ, Breen M, Hamilton C, Williams R (2019) Retrospective analysis of an intraoperative aberrometry database: a study investigating absolute prediction in eyes implanted with low cylinder power toric intraocular lenses. Clin Ophthalmol 13:1485–1492

    Article  Google Scholar 

  9. Miyake T, Kamiya K, Amano R, Iida Y, Tsunehiro S, Shimizu K et al (2014) Long-term clinical outcomes of toric intraocular lens implantation in cataract cases with preexisting astigmatism. J Cataract Refract Surg 40:1654–1660

    Article  Google Scholar 

  10. Ohmi S (1993) Decentration associated with asymmetric capsular shrinkage and intraocular lens size. J Cataract Refract Surg 19:640–643

    Article  CAS  Google Scholar 

  11. Strenn K, Menapace R, Vass C (1997) Capsular bag shrinkage after implantation of an open-loop silicone lens and a poly (methyl methacrylate) capsule tension ring. J Cataract Refract Surg 23:1543–1547

    Article  CAS  Google Scholar 

  12. Kim MH, Chung TY, Chung ES (2010) Long-term efficacy and rotational stability of AcrySof toric intraocular lens implantation in cataract surgery. Korean J Ophthalmol 24:207–212

    Article  Google Scholar 

  13. Ruhswurm I, Scholz U, Zehetmayer M et al (2000) Astigmatism correction with a foldable toric intraocular lens in cataract patients. J Cataract Refract Surg 26:1022–1027

    Article  CAS  Google Scholar 

  14. Espaillat A, Pérez O, Potvin R (2016) Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses. Clin Ophthalmol 10:555–563

    PubMed  PubMed Central  Google Scholar 

  15. Miháltz K, Knorz MC, Alió JL et al (2011) Internal aberrations and optical quality after femtosecond laser anterior capsulotomy in cataract surgery. J Refract Surg 27:711–716

    Article  Google Scholar 

  16. Kanellopoulos AJ, Asimellis G (2016) Standard manual capsulorhexis/ultrasound phacoemulsification compared to femtosecond laser-assisted capsulorhexis and lens fragmentation in clear cornea small incision cataract surgery. Eye Vis (Lond) 29(3):20

    Article  Google Scholar 

  17. Kim MJ, Yoo YS, Joo CK, Yoon G (2015) Evaluation of optical performance of 4 aspheric toric intraocular lenses using an optical bench system: Influence of pupil size, decentration, and rotation. J Cataract Refract Surg 41:2274–2282

    Article  Google Scholar 

  18. Vale C, Menezes C, Firmino-Machado J, Rodrigues P, Lume M, Tenedório P, Menéres P, Brochado Mdo C (2016) Astigmatism management in cataract surgery with Precizon(®) toric intraocular lens: a prospective study. Clin Ophthalmol 10:151–159

    Article  Google Scholar 

  19. Ferreira TB, Berendschot TT, Ribeiro FJ (2016) Clinical outcomes after cataract surgery with a new transitional toric intraocular lens. J Refract Surg 32:452–459

    Article  Google Scholar 

  20. Thomas BC, Khoramnia R, Auffarth GU, Holzer MP (2018) Clinical outcomes after implantation of a toric intraocular lens with a transitional conic toric surface. Br J Ophthalmol 102:313–316

    Article  Google Scholar 

  21. Bandeira F, Morral M, Elies D, Eguiza S, Souki S, Manero F, Güell JL (2018) Transitional conic toric intraocular lens for the management of corneal astigmatism in cataract surgery. Clin Ophthalmol 12:1071–1079

    Article  Google Scholar 

  22. Jung NY, Lim DH, Hwang SS, Hyun J, Chung TY (2018) Comparison of clinical outcomes of toric intraocular lens, Precizon vs Tecnis: a single center randomized controlled trial. BMC Ophthalmol 18:292

    Article  Google Scholar 

  23. Visser N, Bauer NJ, Nuijts RM (2013) Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. J Cataract Refract Surg 39:624–637

    Article  Google Scholar 

  24. Goggin M, Zamora-Alejo K, Esterman A, van Zyl L (2015) Adjustment of anterior corneal astigmatism values to incorporate the likely effect of posterior corneal curvature for toric intraocular lens calculation. J Refract Surg 31:98–102

    Article  Google Scholar 

  25. Park DY, Lim DH, Hwang S, Hyun J, Chung TY (2017) Comparison of astigmatism prediction error taken with the Pentacam measurements, Baylor nomogram, and Barrett formula for toric intraocular lens implantation. BMC Ophthalmol 17:156

    Article  Google Scholar 

  26. Novis C (2000) Astigmatism and toric intraocular lenses. Curr Opin Ophthalmol 11:47–50

    Article  CAS  Google Scholar 

  27. Buckhurst JP, Wolffshon JS, Davies LN, Naroo SA (2010) Surgical correction of astigmatism during cataract surgery. Clin Exp Optom 93:409–418

    Article  Google Scholar 

  28. Patel CK, Ormonde S, Rosen PH, Bron AJ (1999) Postoperative intraocular rotation; a randomized comparison of plate and loop haptics implants. Ophthalmology 106:2190–2195

    Article  CAS  Google Scholar 

  29. Prinz A, Neumayer T, Buehl W et al (2011) Rotational stability and posterior capsule opacification of a plate-loop and an open-loop-haptic intraocular lens. J Cataract Refract Surg 37:251–257

    Article  Google Scholar 

  30. Shah GD, Praveen MR, Vasavada AR, Vasavada VA, Rampal G, Shastry LR (2012) Rotational stability of a toric intraocular lens: influence of axial length and alignment in the capsular bag. J Cataract Refract Surg 38:54–59

    Article  Google Scholar 

  31. Pérez-Vives C, Ferrer-Blasco T, Madrid-Costa D, García-Lázaro S, Montés-Micó R (2014) Optical quality of aspheric toric intraocular lenses at different degrees of decentering. Graefes Arch Clin Exp Ophthalmol 252:969–975

    Article  Google Scholar 

  32. Kranitz K, Miháltz K, Sándor GL et al (2012) Intraocular lens tilt and decentration measured by Scheimpflug camera following manual or femtosecond laser-created continuous circular capsulotomy. J Refract Surg 28:259–263

    Article  Google Scholar 

  33. Chee SP, Yang Y, Ti SE (2015) Clinical outcomes in the first two years of femtosecond laser-assisted cataract surgery. Am J Ophthalmol 159:714–719

    Article  Google Scholar 

  34. Hatch KM, Woodcock EC, Talamo JH (2015) Intraocular lens power selection and positioning with and without intraoperative aberrometry. J Refract Surg 31:237–242

    Article  Google Scholar 

  35. Solomon JD, Ladas J (2017) Toric outcomes: computer-assisted registration versus intraoperative aberrometry. J Cataract Refract Surg 43:498–504

    Article  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

  1. Oftalvist, C/Ruzafa 19, 46004, Valencia, Spain

    Francisco Pastor-Pascual, Rafael Pastor-Pascual, Robert Montés-Micó, Ramón Ruiz-Mesa & Pedro Tañá-Rivero

  2. University of Valencia, Valencia, Spain

    Robert Montés-Micó

Authors
  1. Francisco Pastor-Pascual
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rafael Pastor-Pascual
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robert Montés-Micó
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ramón Ruiz-Mesa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Pedro Tañá-Rivero
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

FPP conception of work, data analysis and interpretation, writing of manuscript. RPP data acquisition, data analysis and interpretation. RRM; data analysis and interpretation, writing of manuscript, RRM data analysis and interpretation, PTR data analysis and interpretation. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Francisco Pastor-Pascual.

Ethics declarations

Conflict of interest

The authors declare that there is no conflict of interest.

Consent to publish

Patients signed informed consent.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pastor-Pascual, F., Pastor-Pascual, R., Montés-Micó, R. et al. Transitional conic toric intraocular lens evaluation after femtosecond laser-assisted cataract surgery using intraoperative aberrometry. Int Ophthalmol 42, 177–189 (2022). https://doi.org/10.1007/s10792-021-02012-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-021-02012-8

Keywords

Search

Navigation