2026-06-29T07:32:02Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/240762025-02-17T12:56:55Zcom_20.500.14352_14col_20.500.14352_15

Evaluation of Rotation and Visual Outcomes After Implantation of Monofocal and Multifocal Toric Intraocular Lenses Garzón Jiménez, Nuria Poyales, Francisco Ortíz de Zárate, Begoña Ruiz-García, José Luis Quiroga Mellado, Juan Antonio 617.7-089.243-089 Lens Implantation Astigmatism Cataract Surgery Clinical outcomes Silicone Eyes Shrinkage Phacoemulsification Visual Acuity Prosthesis Desing Pseudophakia Cirugía Oftalmología Lentes de contacto Óptica oftálmica 3213 Cirugía 3201.09 Oftalmología 3311.11 Instrumentos ópticos Este documento es un postprint. PURPOSE: To evaluate rotational stability and its influ-ence on postoperative visual acuity of different monofocal and multifocal toric intraocular lenses (IOLs). METHODS: A prospective interventional study was designed. Ninety-one patients with a mean age of 71.65 ± 11.82 years were implanted with toric IOLs after phacoemulsification. Three monofocal toric IOLs (the Lentis LT [Oculentis, Berlin, Germany], enVista [Bausch & Lomb, Rochester, NY], and AcrySof IQ [Alcon Laboratories, Inc., Fort Worth, TX]) and one multifocal toric IOL (AcrySof IQ ReSTOR; Alcon Laboratories, Inc.) were implanted. Preoperative and postoperative images were taken to calculate the misalignment due to the marking method. To evaluate rotation in the different follow-up visits, another photograph was taken 1 hour and 1, 7 and 30 days postoperatively. Refraction, uncorrected distance visual acuity (UDVA), and corrected distance visual acuity were measured 30 days postoperatively. RESULTS: Postoperative UDVA was 0.1 logMAR or better in 64.6% of eyes implanted with monofocal IOLs and 46.4% of eyes implanted with multifocal IOLs. The enVista toric IOL showed the best UDVA compared to the other monofocal IOLs, with 81% of eyes with 0.1 logMAR or better. The mean misalignment in the total group studied was 0.07° ± 0.60°; 69.6% of monofocal IOLs and 67.9% of multifocal IOLs showed less than 5° of rotation. A correlation was found between postoperative UDVA and rotation in the monofocal and multifocal IOLs implanted (r = 0.439 [P < .011] and = 0.787 [P = .001], respectively). CONCLUSIONS: At 1 month postoperatively, UDVA was slightly more affected by IOL rotation in multifocal than monofocal toric IOLs. The marking method was also effective. Depto. de Optometría y Visión Fac. de Óptica y Optometría TRUE pub 2023-06-18T06:45:46Z 2023-06-18T06:45:46Z 2015-03-12 journal article https://hdl.handle.net/20.500.14352/24076 1081-597X 10.3928/1081597X-20150122-03 eng open access application/pdf Slack Incorporated