AcrySof (R) Toric (SN60T) intraocular lens implantation: Refractive predictibility and aberrometric impact of decentration

作者：Humbert G^*; Colin J; Touboul D

来源：Journal Francais d Ophtalmologie, 2013, 36(4): 352-361.

DOI：10.1016/j.jfo.2012.10.006

• Astigmatism
• Toric intraocular lens
• Cataract
• Optical aberration

Purpose. - To evaluate refractive outcomes of toric intraocular lens (IOL) implantation with a detailed analysis of decentration and its effect on aberrometry.
Methods. - This retrospective study enrolled 19 eyes implanted with SN60T AcrySof (R) Toric (Alcon - USA) IOL's. Spherocylindric correction was studied in depth by the Alpins method, and retro-illumination images were used to analyze the alignment of the IOL with its intended axis. IOL decentration as well as its aberrometric impact were evaluated with a strict, novel protocol.
Results. - Three months postoperatively, uncorrected distance visual acuity was greater or equal to 20/40 in 94.74% of cases, postoperative subjective cylinder was less or equal to 0.5 D in 68.42% of eyes, with a mean index of success of 0.24. Mean error of toric IOL alignment was 5.68 degrees (0 to 14). Mean IOL decentration was 0.78 mm (0 to 1.78) with a mean coma and trefoil of 0.18 mu (0.06 to 0.33) and 0.19 mu (0.05 to 0.51), respectively. The larger the IOL decentration, the higher the optical aberrations were.
Conclusion. - Toric intraocular lens implantation is an effective, safe and predictable method of spherocylindrical correction during cataract surgery, with a refractive accuracy similar to that of LASIK in the treatment of astigmatism in young patients. IOL decentration produces optical aberrations including coma and trefoil, which interfere with visual performance.

• 出版日期2013-4