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Rotational stability and refractive outcomes of a new hydrophobic acrylic toric intraocular lens.
Schartmüller, Daniel; Lisy, Marcus; Mahnert, Nikolaus; Schranz, Markus; Danzinger, Victor; Schwarzenbacher, Luca; Pieh, Stefan; Abela-Formanek, Claudette; Leydolt, Christina; Menapace, Rupert.
Afiliación
  • Schartmüller D; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. daniel.schartmueller@meduniwien.ac.at.
  • Lisy M; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Mahnert N; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Schranz M; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Danzinger V; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Schwarzenbacher L; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Pieh S; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Abela-Formanek C; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Leydolt C; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
  • Menapace R; Department of Ophthalmology and Optometry of the Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Eye Vis (Lond) ; 11(1): 25, 2024 Jul 02.
Article en En | MEDLINE | ID: mdl-38951940
ABSTRACT

PURPOSE:

To assess rotational stability and refractive outcomes of a new toric hydrophobic acrylic intraocular lens (IOL).

DESIGN:

Single-center, prospective, interventional clinical trial.

METHODS:

A total of 130 eyes of 82 patients with age-related cataract and total corneal astigmatism of greater than 1.0 diopters (D) received a hydrophobic acrylic toric IOL Clareon CNW0T3-9. Baseline measurement for rotational stability evaluation was performed at the end of surgery (EOS), with the patient still supine on the operating table, using non-movable vessels as reference landmarks. Postoperative retroillumination pictures were taken at 1 h, 1 week, 1 month and 4-6 months postoperatively. Subjective manifest refraction was assessed at the 6 months follow-up visit.

RESULTS:

Final results were obtained in 126 eyes of 80 patients. Mean absolute rotation from EOS to 6 months was 1.33 ± 2.00 [0.01, 19.80] degrees. Rotational stability values from EOS to 1 h, 1 h to 1 week, 1 week to 1 month and 1 month to 6 months were 0.86 ± 0.82 [0.00, 3.90], 1.06 ± 1.94 [0.00, 19.45], 0.47 ± 0.42 [0.00, 2.03] and 0.38 ± 0.40 [0.00, 2.56] degrees. Mean preoperative corneal astigmatism was 1.78 ± 0.83 [1.00, 4.76] D which changed to a mean postoperative refractive astigmatism of 0.33 ± 0.27 [0.00, 1.25] D at 6 months.

CONCLUSION:

The Clareon toric IOL presented very good rotational stability with a mean absolute rotation below 1.4° from EOS to 6 months. Only two IOLs rotated more than 5° with none of them requiring repositioning surgery. Refractive outcomes were satisfying with a mean residual refractive astigmatism below 0.50 D. TRIAL REGISTRATION Registered at Clinicaltrials.gov NCT03803852 ; on May 17, 2022.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eye Vis (Lond) Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eye Vis (Lond) Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Reino Unido