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Table 1 Clinical data of patients along with the IOL design performed with 3 different devices

From: Correction of irregular and induced regular corneal astigmatism with toric IOL after posterior segment surgery: a case series

 

Patient 1.

Patient 2.

Preoperative clinical data

Vitreoretinal procedure; date of intervention; age at the operation

scleral buckling on the right eye (encircling buckle and a radial sponge); September 2011; 67 years old

23-gauge vitrectomy on the left eye; December 2013; 54 years old

Cause of refractive errors

scleral buckling implants (Figs. 1 and 2)

Keratoconus

UCDVA

20/200

20/500

CDVA

20/50 with −6.0 + 4.5 x 20 degrees

20/50 with −10.5 + 4.0 x 15 degrees

Preoperative measurements and IOL design

Topcon KR8100 keratorefractometer

K1: 42.75D / 125°

K2: 46.25D / 35°

Calculated IOL type: AcrySof Toric T7

K1: 48.25D / 40°

K2: 50.75D / 130°

Calculated IOL type: AcrySof Toric T6

Pentacam HR

K1: 42.1D / 129°

K2:45.3D /39° (Fig. 1)

Calculated IOL type: AcrySof Toric T7

K1: 48.0 D / 45°

K2: 50.2 D / 135°

Calculated IOL type: AcrySof Toric T6

Zeiss IOL Master

K1: 43.05D / 127°

K2: 45.98 D / 37°

Calculated IOL type: AcrySof Toric T6

K1: 47.87 D / 46°

K2: 50.60 D / 136°

Calculated IOL type: AcrySof Toric T6

Axial length (mm)

Zeiss IOL Master

24.47 mm

23.92 mm

Implanted toric IOL

+17.5D AcrySof Toric SN6AT7

+15.0 D AcrySof Toric SN6AT6

Axis of IOL positioning

35°

44°

Time of phacoemulsification

February 2014

June 2014

Postoperative measurements at 1 month

Topcon KR8100 keratorefractometer

K1: 42.25 D 125°

K2: 46.25 D 35°

K1: 47.5 D 30°

K2: 50.75 D 120°

Pentacam HR

K1: 41.6 D 136°

K2: 45.5 D 46°

K1: 47.4 D 37°

K2: 50.0 D 127°

UCDVA

20/25

20/30

CDVA

20/20 with −1.0 x 120 degrees

20/20 with −0.5 −0.75 x 95 degrees

Postoperative measurements at 12 months

Topcon KR8100 keratorefractometer

K1: 42.25 D

K2: 46.25 D

S: -0.5D / C: +1.0D/ SE: 0.0D

K1: 48.0 D

K2: 50.75 D

S: -2.0 / C: +0.75D/ SE: -1.75 D

Pentacam HR

K1: 41.6 D

K2: 45.4 D

K1: 47.7 D

K2: 50.5 D

UCDVA

20/25

20/20

CDVA

20/20 with - 0.5 x 115 degrees

20/20

  1. Abbreviations: IOL intraocular lens, K1/K2 keratometry values for the steep and flat axis, AL axial length, UCDVA uncorrected distance visual acuity, CDVA corrected distance visual acuity, AcrySof Toric SN6AT7, 4.5 D at IOL plane; AcrySof Toric SN6AT6, 3.75 D at IOL plane; S spherical (Diopter), C cylindric (Diopter), SE spherical equivalent (Diopter)