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Graefe's Archive for Clinical and Experimental Ophthalmology

Published in:

06-09-2023 | Cataract | Cataract

Comparison of clinical outcome after implantation of two toric intraocular lenses with different haptic type: a prospective randomized controlled trial

Authors: Jiajun Sun, Huiran Bai, Wei Cui, Xiaoming Wu

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 3/2024

Abstract

Objective

To study the effect of astigmatism correction, rotational stability, and related factors of two different haptic type toric intraocular lenses.

Methods

A prospective, randomized, controlled trial. Cataract patients with preoperative corneal astigmatism of > 1 D were randomly implanted with C-loop haptic toric IOL (AcrySof-toric IOL) (group A) or plate-haptic toric IOL (AT TORBI 709 M IOL) (group B). The residual astigmatism, intraocular lens rotation, and visual quality were determined and compared between the two groups at 3 months after surgery.

Results

Seventy-nine eyes were included in this study, including 40 eyes in the group A and 39 eyes in the group B. No significant difference in preoperative visual acuity, intraocular pressure, and ophthalmic biological parameters was found between the two groups. There was no significant difference in residual astigmatism between the two groups at 3 months after surgery (P > 0.05). The rotation degree in the group A was 3.85 ± 2.92°, the rotation degree in the group B was 2.33 ± 2.31°, and a significant difference in intraocular lens rotation was identified between the two groups (P < 0.05). Upon exploring the rotation-related factors of the two different haptic type toric intraocular lenses, the rotation after implanting C-loop haptic toric IOL was positively correlated with axial length (Pearson r = 0.522, P = 0.01) and corneal white-to-white distance (Pearson correlation analysis r = 0.356, P = 0.024).

Conclusions

The two different haptic type toric intraocular lenses effectively corrected regular corneal astigmatism and provided a good rotational stability after surgery. But the stability of plate-haptic toric IOL was better than that of C-loop haptic toric IOL. The rotational stability of C-loop haptic toric IOL was often related to axial length and corneal white-to-white distance.

Bascaran L, Mendicute J, Macias-Murelaga B, Arbelaitz N, Martinez-Soroa I (2013) Efficacy and stability of AT TORBI 709 M toric IOL. J Refract Surg (Thorofare, N.J. : 1995) 29(3):194–199. https://doi.org/10.3928/1081597X-20130129-02CrossRef

Collier Wakefield O, Annoh R, Nanavaty MA (2016) Relationship between age, corneal astigmatism, and ocular dimensions with reference to astigmatism in eyes undergoing routine cataract surgery. Eye (London, England) 30(4):562–569. https://doi.org/10.1038/eye.2015.274CrossRefPubMed

Novis C (2000) Astigmatism and toric intraocular lenses. Curr Opin Ophthalmol 11(1):47–50. https://doi.org/10.1097/00055735-200002000-00007CrossRefPubMed

Wolffsohn JS, Buckhurst PJ (2010) Objective analysis of toric intraocular lens rotation and centration. J Cataract Refract Surg 36(5):778–782. https://doi.org/10.1016/j.jcrs.2009.12.027CrossRefPubMed

Chang DF (2008) Comparative rotational stability of single-piece open-loop acrylic and plate-haptic silicone toric intraocular lenses. J Cataract Refract Surg 34(11):1842–1847. https://doi.org/10.1016/j.jcrs.2008.07.012CrossRefPubMed

Felipe A, Artigas JM, Díez-Ajenjo A, García-Domene C, Alcocer P (2011) Residual astigmatism produced by toric intraocular lens rotation. J Cataract Refract Surg 37(10):1895–1901. https://doi.org/10.1016/j.jcrs.2011.04.036CrossRefPubMed

American National Standards Institute I. American national standards for ophthalmics-toric intraocular lenses. New York,NY,ANSI Z80.30 2010

Zhu X, Meng J, He W, Rong X, Lu Y (2020) Comparison of the rotational stability between plate-haptic toric and C-loop haptic toric IOLs in myopic eyes. J Cataract Refract Surg 46(10):1353–1359. https://doi.org/10.1097/j.jcrs.0000000000000259CrossRefPubMed

Kim YJ, Wee WR, Kim MK (2019) Efficacy of 4-Haptic bitoric intraocular lens implantation in Asian patients with cataract and astigmatism. Korean J Ophthalmol: KJO 33(1):36–45. https://doi.org/10.3341/kjo.2018.0041CrossRefPubMedPubMedCentral

10.

Yao Y, Meng J, He W, Zhang K, Wei L, Cheng K, Lu Y, Zhu X (2021) Associations between anterior segment parameters and rotational stability of a plate-haptic toric intraocular lens. J Cataract Refract Surg 47(11):1436–1440. https://doi.org/10.1097/j.jcrs.0000000000000653CrossRefPubMed

11.

Vandekerckhove K (2018) Rotational stability of monofocal and trifocal intraocular toric lenses with identical design and material but different surface treatment. J Refract Surg (Thorofare, N.J. : 1995) 34(2):84–91. https://doi.org/10.3928/1081597X-20171211-01CrossRef

12.

Maedel S, Hirnschall N, Chen YA, Findl O (2014) Rotational performance and corneal astigmatism correction during cataract surgery: aspheric toric intraocular lens versus aspheric nontoric intraocular lens with opposite clear corneal incision. J Cataract Refract Surg 40(8):1355–1362. https://doi.org/10.1016/j.jcrs.2013.11.039CrossRefPubMed

13.

Linnola RJ, Werner L, Pandey SK, Escobar-Gomez M, Znoiko SL, Apple DJ (2000) Adhesion of fibronectin, vitronectin, laminin, and collagen type IV to intraocular lens materials in pseudophakic human autopsy eyes. Part 1: histological sections. J Cataract Refract Surg 26(12):1792–1806. https://doi.org/10.1016/s0886-3350(00)00748-3CrossRefPubMed

14.

Mingo-Botín D, Muñoz-Negrete FJ, Won Kim HR, Morcillo-Laiz R, Rebolleda G, Oblanca N (2010) Comparison of toric intraocular lenses and peripheral corneal relaxing incisions to treat astigmatism during cataract surgery. J Cataract Refract Surg 36(10):1700–1708. https://doi.org/10.1016/j.jcrs.2010.04.043CrossRefPubMed

15.

Chang DF (2003) Early rotational stability of the longer Staar toric intraocular lens: fifty consecutive cases. J Cataract Refract Surg 29(5):935–940. https://doi.org/10.1016/s0886-3350(02)01843-6CrossRefPubMed

16.

Hashemi H, Khabazkhoob M, Emamian MH, Shariati M, Yekta A, Fotouhi A (2015) White-to-white corneal diameter distribution in an adult population. J Curr Ophthalmol 27(1–2):21–24. https://doi.org/10.1016/j.joco.2015.09.001CrossRefPubMedPubMedCentral

17.

Wei L, He W, Meng J, Qian D, Lu Y, Zhu X (2021) evaluation of the white-to-white distance in 39,986 Chinese cataractous eyes. Invest Ophthalmol Vis Sci 62(1):7. https://doi.org/10.1167/iovs.62.1.7CrossRefPubMedPubMedCentral

18.

Patel CK, Ormonde S, Rosen PH, Bron AJ (1999) Postoperative intraocular lens rotation: a randomized comparison of plate and loop haptic implants. Ophthalmology 106(11):2190–2196. https://doi.org/10.1016/S0161-6420(99)90504-3CrossRefPubMed

19.

Prinz A, Neumayer T, Buehl W, Vock L, Menapace R, Findl O, Georgopoulos M (2011) Rotational stability and posterior capsule opacification of a plate-haptic and an open-loop-haptic intraocular lens. J Cataract Refract Surg 37(2):251–257. https://doi.org/10.1016/j.jcrs.2010.08.049CrossRefPubMed

Title: Comparison of clinical outcome after implantation of two toric intraocular lenses with different haptic type: a prospective randomized controlled trial
Authors: Jiajun Sun
Huiran Bai
Wei Cui
Xiaoming Wu
Publication date: 06-09-2023
Publisher: Springer Berlin Heidelberg
Keyword: Cataract
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 3/2024
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-023-06232-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of clinical outcome after implantation of two toric intraocular lenses with different haptic type: a prospective randomized controlled trial

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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