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Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL

Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL. Brian J. Groat, MD, Helga P. Sandoval, MD, MSCR, Mohamed A. Guenena, MD, Kerry D. Solomon, MD Magill Research Center for Vision Correction, Storm Eye Institute Medical University of South Carolina, Charleston, SC.

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Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL

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  1. Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL Brian J. Groat, MD, Helga P. Sandoval, MD, MSCR, Mohamed A. Guenena, MD, Kerry D. Solomon, MD Magill Research Center for Vision Correction, Storm Eye Institute Medical University of South Carolina, Charleston, SC Financial Disclosure Brian J. Groat & Mohamed A. Guenena: None Helga P. Sandoval: Alcon Laboratories, Inc. - D; Allergan, Inc. - D; Abbott Medical Optics - D Kerry D. Solomon: Alcon Laboratories, Inc. - A,C,D; Allergan, Inc. - A,C,D; Abbott Medical Optics - A,C,D; Advanced Vision Research -  A,C,D; Bausch & Lomb, Inc. -  A,C,D; Eyemaginations -  A,C,D; QLT, Inc. -  A,C,D

  2. AcrySof Toric IOL Design Characteristics • AcrySof Single-Piece platform • Open loop, modified-L haptics • Posterior toricity • Toric axis marks

  3. Purpose • To report visual outcomes of astigmatic patients implanted with a toric IOL • To compare their satisfaction and spectacle freedom to a standard monofocal IOL group

  4. Methods Inclusion Criteria Exclusion Criteria • Retrospective chart review • IOL groups were age, gender, preoperative manifest cylinder, manual cylinder and topographic cylinder matched for comparison • Keratorefractive surgery before or after lens extraction and IOL implantation • Any pre or postoperative pathology that could affect visual outcome • Any postoperative complication • Monovision • Other ocular surgery at the time of the cataract extraction • Uneventful routine lens extraction between Aug 06 and Aug 08 • IOL Implanted • Toric (AcrysofToric IOL, SN60T3) • Monofocal (Acrysof IQ, SN60WF) • Follow-up at least 3 weeks post-surgery

  5. Assessments • Uncorrected visual acuity • Residual astigmatism • Patient satisfaction and spectacle freedom survey • Bilateral implantation of the same IOL

  6. Results • A total of 547 medical records were reviewed • 104 eyes of 80 subjects met inclusion/exclusion criteria and were included for analysis

  7. Preoperative Data † Wilcoxon test * Fisher’s Exact test

  8. Cumulative Postoperative VA

  9. Mean Manifest Cylinder Cylinder (Diopters)

  10. Postoperative Patient Survey

  11. Postoperative Patient Survey

  12. Conclusion • UCVA in the toric IOL group was as good as the BCVA in the monofocal IOL group. • Although sample size of subjects who answer the survey is small there is a trend that shows higher satisfaction in the toric group. • Toric IOL is an alternative to patients who wants distance spectacle independence.

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