ArticleBMC ophthalmology2024
Rotational stability of monofocal and diffractive multifocal toric intraocular lens with identical design and material: a propensity score based prospective comparative study.
Article in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Rotational Stability of the Clareon PanOptix Toric (CNWTTx) Hydrophobic Multifocal IOL: Real-World Clinical Outcomes.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Comparative study on rotational stability of toric intraocular lenses in cataract patients with low astigmatism: vertical versus horizontal implantation.American journal of translational research · 2026Article
- Postoperative Rotation and Refractive Efficacy of Toric Intraocular Lenses After Phacoemulsification Cataract Surgery.Ophthalmology and therapy · 2025Article
- Comparing Rotational Stability Over Time Between Four Monofocal Toric Intraocular Lenses.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- The influence of a modified haptic on preventing toric IOL rotation in high rotation risk eyes.Advances in ophthalmology practice and researchArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeTo compare the rotational stability of a monofocal and a diffractive multifocal toric intraocular lens(IOLs) with identical design and material.
methodsThis prospective study enrolled patients who underwent plate-haptic toric IOL (AT TORBI 709 M and AT LISA 909 M) implantation. Propensity score matching (PSM) was performed to balance baseline factors. Follow-up examinations were conducted at 1 h, 1 day, 3 days, 1 week, 2 weeks, 1 month, and 3 months postoperatively. A linear mixed model of repeated measures was used to investigate the changes in IOL rotation over time. A 2-week timeframe was utilized to assess differences in IOL rotation between the two groups.
resultAfter PSM, a total of 126 eyes were selected from each group for further analysis. Postoperatively, the time course of IOL rotation change in the two groups remained consistent, with the greatest rotation occurring between 1 h and 1 day postoperatively. At the 2-week postoperative mark, the monofocal toric IOL exhibited a higher degree of rotation compared to the multifocal toric IOL (5.40 ± 7.77° vs. 3.53 ± 3.54°, P = 0.015). In lens thickness(LT) ≥ 4.5 mm and white-to-white distance(WTW) ≥ 11.6 mm subgroups, the monofocal toric IOL rotated greater than the multifocal toric IOL (P = 0.026 and P = 0.011, respectively).
conclusionThe diffractive multifocal toric IOL exhibits superior rotational stability compared to the monofocal toric IOL, especially in subgroups LT ≥ 4.5 mm and WTW ≥ 11.6 mm. Moreover, the time course of IOL rotation change is consistent for both, with the maximum rotation occurring between 1 h and 1 day postoperatively.
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