Objective To evaluate toric intraocular lens （IOL） implantation as a treatment for regular corneal astigmatism during phacoemulsification. Methods This was a retrospective analysis of a series of cases. Twenty-one eyes of 20 patients with both cataract and corneal astigmatism were implanted with toric IOLs after phacoemulsification. Outcome measures were uncorrected distance visual acuity （UDVA）， postoperative refractive cylinder， toric IOL axis rotational stability and complications. A paired t-test was used for data analysis. Results The patients were followed up for 12 to 24 months （average 15.5±2.3） postoperatively， mean UDVA （logMAR） was 0.20±0.08 （1 week）， 0.19±0.06 （1 month）， 0.17±0.07 （12 months）， which represented a significant increase. The UDVA was better than 0.1 in 5 eyes （24%） and 0.3 in 18 eyes （86%）. Twelve months after surgery， the mean IOL misalignment was 4.31°±1.57°. IOL misalignment was less than 5°in 18 eyes （86%） at last observation. Conclusion Implantation of a toric IOL during cataract surgery is effective， predictable and safe for correcting corneal astigmatism.
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