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Visual outcomes after implantation of a novel refractive toric multifocal intraocular lens.
Shimoda, Talita; Shimoda, Gilberto; Hida, Wilson Takashi; Nakano, Celso Takashi; Motta, Antônio Francisco; Guimarães, Aline Silva; Tzelikis, Patrick Frensel M.
Afiliação
  • Shimoda T; Centro de Microcirurgia Ocular Atibaia, Atibaia, SP, Brazil.
  • Shimoda G; Centro de Microcirurgia Ocular Atibaia, Atibaia, SP, Brazil.
  • Hida WT; Ophthalmology Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
  • Nakano CT; Ophthalmology Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
  • Motta AF; Ophthalmology Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
  • Guimarães AS; Brasília Ophthalmologic Hospital, Brasília, DF, Brazil.
  • Tzelikis PF; Brasília Ophthalmologic Hospital, Brasília, DF, Brazil.
Arq Bras Oftalmol ; 77(2): 71-5, 2014 Apr.
Article em En | MEDLINE | ID: mdl-25076467
PURPOSE: To assess the postoperative outcomes of a novel toric multifocal in traocular lens (IOL) in patients with cataract and corneal astigmatism. METHODS: This prospective nonrandomized study included patients with cataract, corneal astigmatism, and a motivation for spectacle independence. In all patients, a Rayner M-flex® T toric IOL was implanted in the capsular bag. Three months after surgery, the distance, intermediate, and near visual acuities; spherical equivalent; residual refractive astigmatism; defocus curve; and contrast sensitivity were evaluated. A patient satisfaction and visual phenomena questionnaire was administered to all patients. RESULTS: Thirty-four eyes of 18 patients were included in this study. Three months after surgery, the mean corrected distance visual acuity (logMAR) was 0.00 ± 0.08 at 6 m, 0.20 ± 0.09 at 70 cm, and 0.08 ± 0.11 at 40 cm. Uncorrected distance vision acuity was 20/40 or better in 100% eyes. The preoperative mean refractive cylinder (RC) was -2.19 (SD: ± 0.53). After a 3-month follow-up, the average RC was -0.44 D (SD: ± 0.27; p<0.001). Contrast sensitivity levels were high. At the last follow-up, 87.5% patients were spectacle-independent for near, intermediate, and distance vision, and approximately 44% patients reported halos and glare. CONCLUSION: Toric multifocal IOL implantation in patients with cataract and corneal astigmatism using the Rayner M-flex® T toric IOL was a simple, safe, and accurate option. This technology provides surgeons with a feasible option for meeting patient expectations of an enhanced lifestyle resulting from decreased spectacle dependence.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Astigmatismo / Catarata / Extração de Catarata / Implante de Lente Intraocular / Lentes Intraoculares Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Arq Bras Oftalmol Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Astigmatismo / Catarata / Extração de Catarata / Implante de Lente Intraocular / Lentes Intraoculares Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Arq Bras Oftalmol Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil