ArticleOphthalmology and therapy2025
Postoperative Rotation and Refractive Efficacy of Toric Intraocular Lenses After Phacoemulsification Cataract Surgery.
Article in Ophthalmology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Visual Outcomes and Patient-Reported Dysphotopsia After PanOptix and PanOptix Toric Implantation Stratified by Preoperative Chord Mu: A Prospective Observational Cohort Study.Ophthalmology and therapy · 2026Article
- Postoperative Intraocular Lens Position and Refractive Stability in Cataract Surgery: Influence of Target Refraction and IOL Design.Medicina (Kaunas, Lithuania) · 2026Observational
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9 authors.
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Abstract
introductionWe evaluated the rotational stability and factors associated with it in patients implanted with Eyecryl™ roric IOL after phacoemulsification surgery. We also assessed the factors associated with refractive efficacy in these patients.
methodsThe present study is a secondary analysis to study the rotation in 121 eyes from 94 patients. We included the following data: demographics; preoperative refraction and corrected distance visual acuity (CDVA), type of astigmatism, axial length, anterior chamber depth, and aqueous depth; power of the implanted IOL, axis of the implanted IOL, and predicted residual error; magnitude and direction of postoperative rotation of the IOL; postoperative vision and refraction (day 30 ± 3 days).
resultsAbout 86% of the eyes had postoperative astigmatism of ≤ 0.25 D and 9% had 0.26 to 0.50 D on day 30. The median (IQR) rotation of the IOL on day 30 (± 3 days) was 1 (1, 3) degree and the mean (SD) rotation was 2.31 (2.97) degrees. Eyes with high rotation had significantly higher median (IQR) preoperative sphere (more positive side) (1.50 D [0, 1.75] vs 0 D [- 1.0, 0.75]; p = 0.013) and lower mean (SD) axial length (22.6 [0.9] vs 23.2 [0.9]; p = 0.02). The mean (SD) postoperative refractive efficacy was 85.1 (13.6) %; it was significantly lower in those who had with-the-rule astigmatism compared with against-the-rule astigmatism (69.6% vs 86.7%; p = 0.046). The proportion of eyes with difference in lines between postoperative UDVA and CDVA was significantly higher in those with low postoperative efficacy (70.0% vs 21.8%; p < 0.001).
conclusionThe Eyecryl™ toric intraocular lens had low rotation at 1-month post-surgery. Higher rotation was associated with a higher preoperative sphere (more positive side) and shorter eyes. Postoperative efficacy was higher in eyes with against-the-rule astigmatism. Eyes with < 75% efficacy and/or ≥ 5° rotation showed over-correction on vector analysis.
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