Toric intraocular lenses for astigmatism correction after keratoplasty in phakic and pseudophakic eyes

Autor:	Kelvin H, Wan, John S M, Chang, Vishal, Jhanji
Rok vydání:	2022
Předmět:	Corneal Transplantation Lenses Intraocular Phakic Intraocular Lenses Ophthalmology Lens Implantation Intraocular Quality of Life Astigmatism Humans Surgery Refraction Ocular Sensory Systems Anisometropia
Zdroj:	Journal of Cataract and Refractive Surgery. 48:1078-1087
ISSN:	1873-4502 0886-3350
DOI:	10.1097/j.jcrs.0000000000000907
Popis:	Residual astigmatism and anisometropia significantly affect patients' vision and quality of life even in clear grafts after corneal transplant. This study reviewed and summarized the role of toric intraocular lenses (IOLs) in phakic and pseudophakic eyes after penetrating keratoplasty (PKP) and deep anterior lamellar keratoplasty in correcting residual astigmatism. 342 eyes from 20 studies with iris-clipped toric IOL, ciliary sulcus toric implantable collamer lens, piggyback sulcus toric IOL, or posterior chamber toric IOL implantations for phakic, pseudophakic, or eyes undergoing cataract surgery after keratoplasty were included. Visual, refractive, and predictability outcomes were encouraging. Secondary realignment rate and complications were low. Endothelial cell loss secondary to phakic toric IOLs might be a concern over the long-term, particularly in iris-clipped IOLs in PKP eyes. Toric IOLs represent a viable option in the treatment of residual astigmatism in postkeratoplasty eyes, resulting in improved visual acuity and reduced anisometropia.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f2adad8929d5ca57e9079eab59b36c9f https://doi.org/10.1097/j.jcrs.0000000000000907 Zobrazit plný text záznamu