title: Comparison of clinical and patient-reported outcomes with bilateral AcrySof toric or spherical control intraocular lenses.
abstract: 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.
authors.affiliation: Associated Eye Care, Stillwater, MN 55082, USA. sslane@associatedeyecare.com
authors.forename: Stephen S
authors.initials: SS
authors.lastname: Lane
authors.forename: Paul
authors.initials: P
authors.lastname: Ernest
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Miller
authors.forename: Kendra S
authors.initials: KS
authors.lastname: Hileman
authors.forename: Blake
authors.initials: B
authors.lastname: Harris
authors.forename: Curtis R
authors.initials: CR
authors.lastname: Waycaster
mesh_terms: 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*
chemical_list: D000180:Acrylic Resins; D001672:Biocompatible Materials