Objective: We compared the clinical outcomes of toric intraocular lens (IOL) implantation for treating age-related cataracts associated with either total corneal astigmatism or anterior corneal astigmatism. Methods:In this retrospective clinical control study, 141 patients with age-related cataracts and corneal astigmatism
were recruited and divided into an observation group (75 patients, 90 eyes) and a control group (66 patients,81 eyes). The observation group was established based on a total corneal astigmatism of 3 mm in diameter,and the control group was established based on an anterior corneal astigmatism of 3 mm in diameter. The uncorrected distance vision acuity (UCDVA), residual astigmatism (RA), and IOL rotation three months after the surgery were recorded. The visual acuity was measured as the logarithm of the minimum angle of resolution (LogMAR). An astigmatism-biased subgroup and an astigmatism-unbiased subgroup were
established within the observation and control groups according to whether the difference of the cylindrical lens was larger than 0.5 diopter (D) or the difference of the axial view was larger than 10° between the total and anterior corneal astigmatism. The means ± standard deviations ( x- ± s ) of vision acuity, spherical
equivalent, axial length, corneal astigmatism, and RA were determined. Comparisons between groups were based on the independent samples t-tests. Results: Three months after the surgery, the UCDVA values of the control and observation groups were 0.10 ± 0.13 and 0.06 ± 0.12 (LogMAR), respectively. The mean
IOL rotations were 5.6° ± 3.6° and 5.8° ± 3.8°, respectively. There were no significant differences between the groups (UCDVA: t=1.35, P=0.18; IOL rotations: t=0.66, P=0.51). The mean RA values for the control and observation groups were 0.63 ± 0.29 D and 0.52±0.22 D, respectively (t=2.07, P=0.04). The mean UCDVA of the astigmatism-biased subgroup was significantly better, and the mean RA was significantly lower than the corresponding values in the control group (UCDVA: t=2.54, P=0.02; RA: t=3.40, P<0.001).The mean UCDVA, RA, and IOL rotations in the astigmatism-unbiased subgroup and the control group were not significantly different. Conclusions: The clinical outcomes of toric IOL implantation for treating age-related cataracts are better for patients with total corneal astigmatism than those with anterior corneal astigmatism.
吴越,郭晓红,钟益科,马蓉. 基于全角膜散光规划Toric人工晶状体植入手术的临床效果[J]. 中华眼视光学与视觉科学杂志, 2018, 20(6): 365-369.
Yue Wu,Xiaohong Guo,Yike Zhong,Rong Ma. Clinical Study of Toric Intraocular Lens Implantation Based on Total Corneal Astigmatism. Chinese Journal of Optometry Ophthalmology and Visual science, 2018, 20(6): 365-369. DOI: 10.3760/cma.j.issn.1674-845X.2018.06.009
Kessel L, Andresen J, Tendal B, et al. Toric intraocular lenses in the correction of astigmatism during cataract surgery: A systematic review and meta-analysis. Ophthalmology, 2016,123(2): 275-286. DOI: 10.1016/j.ophtha.2015.10.002.
[3]
Holland E, Lane S, Horn JD, et al. The AcrySof Toric intraocular lens in subjects with cataracts and corneal astigmatism: a randomized, subject-masked, parallel-group, 1-year study.Ophthalmology, 2010, 117(11): 2104-2111. DOI: 10.1016/j.ophtha.2010.07.033.
20
17.01.003.
[2]
Kessel L, Andresen J, Tendal B, et al. Toric intraocular lenses in the correction of astigmatism during cataract surgery: A systematic review and meta-analysis. Ophthalmology, 2016,123(2): 275-286. DOI: 10.1016/j.ophtha.2015.10.002.
[3]
Holland E, Lane S, Horn JD, et al. The AcrySof Toric intraocular lens in subjects with cataracts and corneal astigmatism: a randomized, subject-masked, parallel-group, 1-year study.Ophthalmology, 2010, 117(11): 2104-2111. DOI: 10.1016/j.ophtha.2010.07.033.
[4]
Ho JD, Tsai CY, Liou SW. Accuracy of corneal astigmatism estimation by neglecting the posterior corneal surface measurement. Am J Ophthalmol, 2009, 147(5): 788-795, 795.
e1-2. DOI: 10.1016/j.ajo.2008.12.020.
[5]
Kane JX, Van Heerden A, Atik A, et al. Accuracy of 3 new methods for intraocular lens power selection. J Cataract Refract Surg, 2017, 43(3): 333-339. DOI:10.1016/j.jcrs.2016.12.021.
[4]
Ho JD, Tsai CY, Liou SW. Accuracy of corneal astigmatism estimation by neglecting the posterior corneal surface measurement. Am J Ophthalmol, 2009, 147(5): 788-795, 795.
e1-2. DOI: 10.1016/j.ajo.2008.12.020.
[5]
Kane JX, Van Heerden A, Atik A, et al. Accuracy of 3 new methods for intraocular lens power selection. J Cataract Refract Surg, 2017, 43(3): 333-339. DOI:10.1016/j.jcrs.2016.12.021.
[6]
Hill DC, Sudhakar S, Hill CS, et al. Intraoperative aberrometry versus preoperative biometry for intraocular lens power selection in axial myopia. J Cataract Refract Surg, 2017, 43(4):
50
5-510. DOI: 10.1016/j.jcrs.2017.01.014.
[7]
Solomon JD, Ladas J. Toric outcomes: Computer-assisted registration versus intraoperative aberrometry. J Cataract RefractSurg, 2017, 43(4): 498-504. DOI: 10.1016/j.jcrs.2017.01.012.
[8]
Ammous I, Bouayed E, Mabrouk S, et al. Phacoemulsification versus manual small incision cataract surgery: Anatomic and functional results. J Fr Ophtalmol, 2017, 40(6): 460-466. DOI:10.1016/j.jfo.2017.02.005.
[6]
Hill DC, Sudhakar S, Hill CS, et al. Intraoperative aberrometry versus preoperative biometry for intraocular lens power selection in axial myopia. J Cataract Refract Surg, 2017, 43(4):
50
5-510. DOI: 10.1016/j.jcrs.2017.01.014.
[7]
Solomon JD, Ladas J. Toric outcomes: Computer-assisted registration versus intraoperative aberrometry. J Cataract RefractSurg, 2017, 43(4): 498-504. DOI: 10.1016/j.jcrs.2017.01.012.
[8]
Ammous I, Bouayed E, Mabrouk S, et al. Phacoemulsification versus manual small incision cataract surgery: Anatomic and functional results. J Fr Ophtalmol, 2017, 40(6): 460-466. DOI:10.1016/j.jfo.2017.02.005.
[9]
Waltz KL, Featherstone K, Tsai L, et al. Clinical outcomes of TECNIS toric intraocular lens implantation after cataract removal in patients with corneal astigmatism. Ophthalmology,
Waltz KL, Featherstone K, Tsai L, et al. Clinical outcomes of TECNIS toric intraocular lens implantation after cataract removal in patients with corneal astigmatism. Ophthalmology,
Dunne MC, Royston JM, Barnes DA. Posterior corneal surface toricity and total corneal astigmatism. Optom Vis Sci, 1991,68(9): 708-710.
[11]
Cheng LS, Tsai CY, Tsai RJ, et al. Estimation accuracy of surgically induced astigmatism on the cornea when neglecting the posterior corneal surface measurement. Acta Ophthalmol,2011, 89(5): 417-422. DOI: 10.1111/j.1755-3768.2009.01732.x.
[10]
Dunne MC, Royston JM, Barnes DA. Posterior corneal surface toricity and total corneal astigmatism. Optom Vis Sci, 1991,68(9): 708-710.
[11]
Cheng LS, Tsai CY, Tsai RJ, et al. Estimation accuracy of surgically induced astigmatism on the cornea when neglecting the posterior corneal surface measurement. Acta Ophthalmol,2011, 89(5): 417-422. DOI: 10.1111/j.1755-3768.2009.01732.x.
[12]
Alpins N, James KY, Stamatelatos G. Total corneal astigmatism and posterior corneal surface. J Refract Surg, 2015, 31(6): 423-424.
[12]
Alpins N, James KY, Stamatelatos G. Total corneal astigmatism and posterior corneal surface. J Refract Surg, 2015, 31(6): 423-424.
Agarwal A, Jacob S. Current and effective advantages of femto phacoemulsification. Curr Opin Ophthalmol, 2017, 28(1): 49-57. DOI: 10.1097/ICU.0000000000000333.
Agarwal A, Jacob S. Current and effective advantages of femto phacoemulsification. Curr Opin Ophthalmol, 2017, 28(1): 49-57. DOI: 10.1097/ICU.0000000000000333.
[16]
Shen Z, Lin Y, Zhu Y, et al. Clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses: a systematic review and meta-analysis. Sci
Rep, 2017, 7: 45337. DOI: 10.1038/srep45337.
[16]
Shen Z, Lin Y, Zhu Y, et al. Clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses: a systematic review and meta-analysis. Sci