Trifocal toric intraocular lenses in eyes with low amount of corneal astigmatism

AIM:To evaluate the refractive and visual outcomes following cataract surgery and implantation of a trifocal toric intraocular lens(IOL)in eyes with low degrees of corneal astigmatism.METHODS:Twenty-six eyes of 22 patients who underwent implantation a trifocal toric IOL(FineVision PODFT,PhysIOL s.a.,Liege,Belgium)were enrolled.Phacoemulsification with femtosecond laser,capsular tension ring insertion and intraoperative aberrometry were performed in all cases.All IOLs used showed a cylinder power of 1.00 D.Main outcome measures were refractive error and corrected-distance visual acuity(CDVA)and uncorrected-distance visual acuity(UDVA)values.Eyes were evaluated at 4 mo post-surgery.RESULTS:Totally 50%of eyes showed a spherical equivalent(SE)within±0.13 D and all of them within±0.50 D.The mean SE and refractive cylinder were-0.02±0.23 and-0.16±0.22 D,respectively.Vector analysis revealed that 100%of eyes were within±0.50 D for the SE and cylindrical components(J0 and J45).Refractive changes were not correlated with keratometric changes(P>0.05)showing that the reduction in astigmatism comes from the trifocal toric IOL.Of 81%and 96%of eyes showed UDVA and CDVA of 20/20,respectively.The postoperative mean values of monocular distance Snellen decimal UDVA and CDVA were 0.97±0.05 and 0.99±0.02(about 20/20),respectively.CONCLUSION:Our study suggests that the use of this trifocal toric IOL in patients with low amount of astigmatism provides accurate refractive outcomes and enables them to achieve excellent visual acuity.

Angle-to-angle and spur-to-spur distance analysis with high-resolution optical coherence tomography

Background:To measure angle-to-angle(ATA)and spur-to-spur(STS)distances along six meridians using highresolution swept-source optical coherence tomography(SS-OCT)and to compare those values with horizontal white-to-white(WTW)distance.Methods:Sixty-eight eyes from 68 patients were quantitatively assessed with the Anterion SS-OCT(Heidelberg Engineering,Heidelberg,Germany).ATA and STS distances were measured with the SS-OCT B-scan in six cross-sectional images corresponding to the vertical(6-12 o'clock),1-7 o'clock,2-8 o'clock,horizontal(3-9 o'clock),4-10 o'clock and 5-11 o'clock meridians.WTW was measured horizontally with the device's infrared camera.A Pearson correlation analysis was carried out to compare ATA and STS distances with WTW.Results:The largest values were found for the vertical meridian and the shortest for the 2-8 o'clock meridian,both for ATA and STS distances.No statistically significant differences were found between WTW,ATA and STS along the horizontal meridian(P>0.1).However,ATA and STS showed statistically significant differences elsewhere,except for the horizontal and the 2-8 o'clock meridians(P>0.05).Moreover,we found that ATA and STS varied significantly depending on the meridian being assessed,except for ATA at 4-10 versus 3-9 o'clock and for STS at 4-10 versus 3-9 o'clock and at 3-9 versus 2-8 o'clock(P>0.1).R2 values ranged from 0.49 to 0.75 for ATA and STS at the different meridians,showing the best correlation at 3-9 o'clock meridian(0.64 and 0.75,respectively)and the worst at 6-12 o'clock meridian(R2=0.49 for both ATA and STS).Conclusions:ATA and STS distances vary radially,thus showing that the anterior chamber is vertically oval.Therefore,it is advisable to measure these two distances along the meridian to be used.