Toric Monofocal Intraocular Lenses for the Correction of Astigmatism during Cataract Surgery: A Report by the American Academy of Ophthalmology.

Autor:	Al-Mohtaseb Z; Whitsett Vision Group, Baylor College of Medicine, Houston, Texas., Steigleman WA; University of Florida College of Medicine, Gainesville, Florida., Pantanelli SM; Penn State College of Medicine, Hershey, Pennsylvania., Lin CC; Stanford Eye Institute, Palo Alto, California., Hatch KM; Cornea and Refractive Surgery Service, Massachusetts Eye and Ear, Boston, Massachusetts., Rose-Nussbaumer JR; Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, California., Santhiago MR; University of Sao Paulo, Sao Paulo, Brazil., Olsen TW; Department of Ophthalmology, Mayo Clinic, Rochester, Minneapolis., Kim SJ; Department of Ophthalmology, Vanderbilt University School of Medicine, Nashville, Tennessee., Schallhorn JM; Francis I. Proctor Foundation and Department of Ophthalmology, University of California, San Francisco, California.
Jazyk:	angličtina
Zdroj:	Ophthalmology [Ophthalmology] 2024 Mar; Vol. 131 (3), pp. 383-392. Date of Electronic Publication: 2023 Dec 25.
DOI:	10.1016/j.ophtha.2023.10.010
Abstrakt:	Purpose: To review the published literature evaluating the visual and refractive outcomes and rotational stability of eyes implanted with toric monofocal intraocular lenses (IOLs) for the correction of keratometric astigmatism during cataract surgery and to compare those outcomes with outcomes of eyes implanted with nontoric monofocal IOLs and other astigmatism management methods performed during cataract surgery. This assessment was restricted to the toric IOLs available in the United States. Methods: A literature search of English-language publications in the PubMed database was last conducted in July 2022. The search identified 906 potentially relevant citations, and after review of the abstracts, 63 were selected for full-text review. Twenty-one studies ultimately were determined to be relevant to the assessment criteria and were selected for inclusion. The panel methodologist assigned each a level of evidence rating; 12 studies were rated level I and 9 studies were rated level II. Results: Eyes implanted with toric IOLs showed excellent postoperative uncorrected distance visual acuity (UCDVA), reduction of postoperative refractive astigmatism, and good rotational stability. Uncorrected distance visual acuity was better and postoperative cylinder was lower with toric IOLs, regardless of manufacturer, when compared with nontoric monofocal IOLs. Correcting pre-existing astigmatism with toric IOLs was more effective and predictable than using corneal relaxing incisions (CRIs), especially in the presence of higher magnitudes of astigmatism. Conclusions: Toric monofocal IOLs are effective in neutralizing pre-existing corneal astigmatism at the time of cataract surgery and result in better UCDVA and significant reductions in postoperative refractive astigmatism compared with nontoric monofocal IOLs. Toric IOLs result in better astigmatic correction than CRIs, particularly at high magnitudes of astigmatism. Financial Disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article. (Copyright © 2023 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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