Retrospective Case Series on The Enduring Rotational Stability of The AcrySof IQ Toric Intraocular Lens in Cataract Patients Suffering from Myopia

Objective:To analyze the enduring rotational steadiness of AcrySof IQ Toric intraocular lens(IOL)in cataract patients suffering from myopia in a long-term study.Methods:A retrospective study was conducted on a case series involving 78 patients.A total of 120 eyes with an axial length(AL)ranging from 24-30 mm and corneal astigmatism≥1.50 D underwent implantation of AcrySof IQ Toric IOL guided by the version navigation system.The eyes were divided into two groups based on AL.Group A included 60 eyes with high myopia(AL≥26 mm),while Group B consisted of eyes with low to moderate myopia(24 mm≤AL<26 mm).Data on the preoperative AL were collected.Measurements were taken for residual astigmatism,the best corrected visual acuity(BCDVA),corneal astigmatism,and IOL rotation occurring between 24-and 48-months post-surgery.The percentage of eyes with an IOL rotation of under 5°and 10°was analyzed.Results:The mean length of follow-up times was recorded as 34.27±4.98,and the average rotation was 2.73±1.29°.Group A exhibited a slightly higher average rotation of 2.87±1.31°,compared to the rotation of 2.59±1.27°observed in Group B.At both the 24-36 month and 26-48 month post-operation marks,the degree of IOL rotation did not show a statistically significant difference between the two groups,with none of the patients experiencing a rotation exceeding 10°(P>0.05).The percentage of rotation degrees under 5°was recorded as 98.22%.After the procedure,the BCDVA was 0.1322±0.03 LogMAR.There was a substantial increase in theχvalue after the operation as compared to the pre-operativeχ^(2) value(χ^(2)=76.79).The standard deviation of preoperative corneal astigmatism was statistically significant(P<0.05)at 2.17±1.08 D.Following the surgical procedure,the remaining astigmatism was measured at 0.41±0.26 D.The data showed a notable gap in statistical significance(t=4.281,P<0.05).Conclusion:The AcrySof Toric IOL was a reliable solution for managing corneal astigmatism in cataract patients with myopia,demonstrating excellent long-term rotational stability.

Rotational stability of plate haptic toric intraocular lenses after combined 25-gauge vitrectomy and cataract surgery

AIM:To evaluate the postoperative intraocular lens(IOL)rotational stability and residual refractive astigmatism following combined 25-gauge vitrectomy and cataract surgery with implantation of a plate haptic toric IOL.METHODS:In this retrospective case series,32 eyes of 32 patients underwent a combined 25-gauge vitrectomy and phacoemulsification for vitreoretinal diseases and cataract with regular corneal astigmatism of at least 1 diopter(D).A plate haptic toric IOL(AT Torbi 709M,Carl Zeiss Meditec AG)was implanted in all eyes.The outcome measures were rotational stability and refractive astigmatism up to 6mo postoperatively as well as the best corrected visual acuity(BCVA).RESULTS:Preoperative refractive astigmatism was 2.14±1.17 D,which was significantly reduced to 0.77±0.37 D six to eight weeks postoperatively and remained stable throughout the observation period(0.67±0.44 D at three months and 0.75±0.25 D at six months;for all groups:P<0.0001 compared to baseline).BCVA improved significantly from 0.36±0.33 logMAR preoperatively to 0.10±0.15 logMAR following surgery(P=0.02).Mean IOL axis deviation from the target axis was 3.4°±2.9°after six to eight weeks and significantly decreased over time(2.4°±2.6°six months after surgery;P=0.04).In one patient IOL,re-alignment was performed.CONCLUSION:Corneal astigmatism is significantly reduced following combined 25-gauge vitrectomy and cataract surgery.The plate haptic toric IOL position and axis remain stable during the observation period of six months.

Long-term rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric IOL:a 1.5-year follow-up

AIM：To evaluate the rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric intraocular lenses（IOL） over a 1.5-year follow-up period.Data from the 6-month follow-up study have been previously reported.METHODS：Forty eyes of 26 cataract patients（mean age：72.8±7.9y） with pre-existing corneal astigmatism of 1.0 to 2.6 D were enrolled in the study.Mean axial length was 23.17±0.88 mm.Main outcome measures after implantation of the Torica-a A IOL（Human Optics） were IOL rotational stability,subjective refraction,astigmatism correction,uncorrected and corrected distance visual acuity（UDVA,CDVA）.RESULTS：There was no significant change in the parameters evaluated between the 6-month and 1.5-year follow-ups.At last visit,mean absolute IOL rotation（objective method） was 1.81°±1.87°（range 0.00° to 7.20°） with 78.6% of eyes having IOL rotation 〈3°,92.9% of eyes 〈5° and 100% of eyes 〈8°.No patient required secondary IOL repositioning during the course of the study.Mean residual refractive cylinder was-0.60±0.40 D.There was a significant reduction in the magnitude of the J0 vector postoperatively（P〈0.0001） with a mean absolute change of 0.76±0.40 D.The mean J45 vector was close to zero preoperatively and postoperatively and didn＇t change significantly（P=0.28）.Mean monocular UDVA and CDVA was 0.09±0.12 log MAR and-0.01±0.12 log MAR,respectively.No treatment with Nd：YAG laser was required.CONCLUSION：The Torica-a A IOL shows good and stable visual performance and rotational stability over a 1.5-year follow-up period.

Nonlinear Stability of Plane Rotating Shear Flow under Three-Dimensional Nondivergence Disturbances

Nonlinear stability criterion for plane rotating shear flow under three-dimensional nondivergence disturbances was obtained by using both variational principle and convexity estimate introduced by Arnold (1965) and Holm et al. (1985). The results obtained in this paper show that the effect of Coriolis force plays an important role in the nonlinear stability criterion, and the nonlinear stability property of the basic flow depends on both the distribution of basic states and the way the external disturbance acts on the states. The upper bound of the gradient of the mass density displacement from the equilibrium k2 = is determined by the basic states and one example was given to show the exact upper value of k. The remarks on Blumen's paper were also given at Section 4 of this paper.

Comparative clinical outcomes of Tecnis toric IOL implantation in femtosecond laser-assisted cataract surgery and conventional phacoemulsification surgery

AIM: To compare the short-term visual outcomes, residual refractive cylinder, and rotation stability after Tecnis toric intraocular lens(IOL) implantation during femtosecond laserassisted cataract surgery(Femto phaco) and conventional phacoemulsification surgery(Conventional phaco).METHODS: In a prospective cohort study, Conventional phaco and Femto phaco(anterior capsulotomy and lens fragmentation by a femtosecond laser) with Tecnis toric IOL implantation were performed in 40 eyes from 36 patients and 37 eyes from 33 patients, respectively. The uncorrected distance visual acuity(UDVA), corrected distance visual acuity(CDVA), and manifest refraction were assessed during 1 d, 1 wk, and 1 mo follow-ups. The orientation of the Tecnis Toric IOL was evaluated during 1 wk and 1 mo follow-ups.RESULTS: There were no significant differences in UDCA or CDVA between two groups at 1 mo postoperatively, though relatively more subjects had UDVA values of 20/25 or better in Femto phaco group than in the Conventional group(P>0.05). A lower but not significantly lower rate of having more than 5° of IOL rotation was observed in Femto phaco group at the 1-month follow-up, while a significant lower rate of residual astigmatism of ≤1 D was observed in Femto phaco group.CONCLUSION: The Femto phaco group has significantly more subjects with the residual astigmatism of ≤1 D, but there are no significant differences in rotation stability and visual outcomes as compared with the Conventional phaco group after the application of the Tecnis toric IOL in this cohort.

Experimental investigation on SPS casing treatment with bias flow

Generally, casing treatment（CT） is a passivity method to enhance the stall margin of fan/compressor. A novel casing treatment based on the small disturbance theory and vortex and wave interaction suggestion is a method combining passive control and active control, which has been proved effective at enhancing the stall margin of fan/compressor in experiment. In order to investigate the mechanism of this kind of casing treatment, an experimental investigation of a stall precursor-suppressed（SPS） casing treatment with air suction or blowing air is conducted in the present paper. The SPS casing treatment is designed to suppressing stall precursors to realize stall margin enhancement in turbomachinery. The experimental results show that the casing treatment with blowing air of small quantity can improve the stall margin by about 8% with about 1% efficiency loss. By contrast, the SPS casing treatment with micro-bias flow does not improve the stall margin much more than that without bias flow, even worse. Meanwhile, the present investigation has also attempted to reveal the mechanism of stall margin improvement with the casing treatment.It is found that the stall margin improvements vary with the modification of the unsteady shedding flow and the unsteady wall boundary impedance. The experimental results agree fairly well with the theoretical prediction using a flow stability model of rotating stall.