Comparison of clinical and patient-reported outcomes with bilateral AcrySof toric or spherical control intraocular lenses.
OBJECTIVE
To compare clinical and patient-reported outcomes with bilateral implantation of AcrySof toric or spherical control (Alcon Laboratories Inc) intraocular lenses (IOLs).


METHODS
Patients with cataract and corneal astigmatism who previously received either an AcrySof toric IOL or an AcrySof spherical control IOL were offered implantation of the same IOL in the fellow eye. Six-month assessments included visual acuity, refractive cylinder, spectacle use, and patient satisfaction.


RESULTS
The study included 62 patients (toric, n=40; control, n=22). All corneal incisions were temporal, with final mean incision sizes of 3.0 mm for the toric IOL and 3.1 mm for the spherical control IOL. A significantly greater proportion of patients with toric IOLs achieved spectacle independence for distance vision and did not require prescription glasses for near or distance vision (P=.0190). Patients with toric IOLs had significantly less residual refractive cylinder (P<.0001) and better binocular distance uncorrected visual acuity (UCVA) (P=.0014) than those with spherical control IOLs.


CONCLUSIONS
Patients with bilateral AcrySof toric IOLs achieved superior spectacle freedom, residual refractive cylinder, and distance UCVA compared to patients with bilateral spherical control IOLs.
Lane
Stephen S
SS
Associated Eye Care, Stillwater, MN 55082, USA. sslane@associatedeyecare.com
Ernest
Paul
P
Miller
Kevin M
KM
Hileman
Kendra S
KS
Harris
Blake
B
Waycaster
Curtis R
CR
D000180:Acrylic Resins; D000368:Aged; D001672:Biocompatible Materials; D005260:Female; D007839:Functional Laterality; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D017060:Patient Satisfaction; D018918:Phacoemulsification; D012029:Refraction, Ocular / Q000502:physiology; D016896:Treatment Outcome; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology*
D000180:Acrylic Resins; D001672:Biocompatible Materials