The efficacy of Toric IOL in comparison to LRI in correcting pre-existing astigmatism in phacoemulsification
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 8, Issue 1
Abstract
Background: With advances in cataract procedures and IOL technology, minimizing postoperative astigmatismis becoming increasingly important. Cataract surgery has become a “true refractive surgery” because of the meticulous calculation of IOL power and correction of the pre-existing astigmatism. Hence considering the need of the hour present study was designed to find the most accurate method to correct the preexisting astigmatism. Material and Method: It was a Prospective interventional study in which the patients were divided into two group. In Group 1 Implantation of Toric IOL was done after cataract surgery in 20 eyes. In Group 2 Spherical IOL implantation combined with limbal relaxing incision was done in 20 eyes. Results: The correction of pre-existing astigmatism is more effectively achieved by the use of Toric IOL. The use of a Toric IOL reduces the complexity of the surgical procedure eliminating the need for additional incision. The results of LRI are affected by multiple factors including age, preop K, peripheral pachymetry, and inter-patient variability in corneal healing. Treating lower amounts of astigmatism, results are similar in both LRI and Toric IOL groups however in eyes with greater astigmatism, the Toric IOL was more accurate and more predictable. Conclusion: Both LRIs and the Toric IOL represent effective methods for correcting low to moderate amounts of corneal astigmatism.Considering the results of this study, implantation of Toric IOL is possibly the better option.
Authors and Affiliations
Parul Singh, Ruchika Agarwal, Sanjeev Rohatgi, Malini Vohra
Keywords
Related Articles
- EP ID EP457946
- DOI 10.26611/1009811
- Views 114
- Downloads 0
Study of visual outcome after small incision cataract surgery observed in patients at tertiary care institute
Background: Cataract is the leading cause of avoidable blindness in India. Cataract surgery forms the major workload of most ophthalmic units in the country. Conventional extracapsular cataract surgery (ECCE), MSICS, and...
Study of presentation and management outcome in patient with lens induced glaucoma
Purpose: To study presentation, intraocular pressure (IOP) control, visual prognosis and outcome of management in patients with lens induced glaucoma (LIG) Methods: Total 75 patients with LIG were included in the study....
A study of the clinical manifestations of closed head injuries and their correlation with Glasgow coma scale scores
Objectives: To study the ocular manifestations of closed head injuries and their correlation with Glasgow coma scale, the demographic profile of head injuries and the neurological lesions associated with head injury. Mat...
Management of microbial keratitis
Microbial keratitis is the one of the common causes of corneal blindness. It is defined as an epithelial defect with infiltrate. It can be caused by bacteria, virus, fungus, acanthamoeba. Detecting the exact causative or...
Impactofanterior chamber intraocular lens on vision and refractive status in eyes undergoing small incision cataract surgery
Background:Withrecentadvancesinscienceandtechnologyincataract surgery,theimplantationofanintracapsularintraocularlens(IOL)remainsthe bestresultfollowingcataractsurgery.An Anterior Chamber Intra Ocular Lens(ACIOL)asthefir...