title: Microincision cataract surgery with toric intraocular lens implantation for correcting moderate and high astigmatism: pilot study.
abstract: OBJECTIVE
  To evaluate the results of microincision cataract surgery (MICS) with toric intraocular lens (IOL) implantation to correct moderate to high astigmatism in patients with cataract.
  
  
  METHODS
  Vissum-Instituto Oftalmológico de Alicante, Alicante, Spain.
  
  
  METHODS
  This prospective nonrandomized study comprised patients with visually significant cataract and moderate to high astigmatism (>2.00 diopters [D]). After MICS, an Acri.Comfort 646 TLC toric IOL was implanted in the capsular bag. The uncorrected (UDVA) and corrected (CDVA) distance visual acuities, residual refractive sphere, residual refractive and keratometric cylinders, and IOL axis alignment were measured after 3 months. Vector analysis of astigmatism was by the Alpins method.
  
  
  RESULTS
  The study included 21 eyes (12 patients). The UDVA was 20/40 or better in 16 eyes (76.1%), and the CDVA was 20/30 or better in 18 eyes (85.7%). The mean refractive cylinder decreased significantly after surgery, from -4.46 D +/- 2.23 (SD) to -0.45 +/- 0.63 D (P<.05). Astigmatism analysis by vectors showed a mean surgically induced astigmatism vector of 0.99 x 1 degrees and a mean difference vector of 0.23 x 8 degrees. The mean index of success was 0.11 +/- 0.15. Ninety-one percent of astigmatism was corrected. The mean IOL axis rotation was -1.75 +/- 2.93 degrees; the rotation was 10 degrees or less in all eyes. No complications occurred.
  
  
  CONCLUSIONS
  Implantation of a toric IOL after MICS was a safe, precise, and effective procedure to correct moderate to high astigmatism in cataract patients.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Vissum Corporation-Instituto Oftalmológico de Alicante, Miguel Hernández University, Alicante, Spain. jlalio@vissum.com
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Alió
authors.forename: Ma Cecilia C
authors.initials: MC
authors.lastname: Agdeppa
authors.forename: Vanessa C
authors.initials: VC
authors.lastname: Pongo
authors.forename: Bassam
authors.initials: B
authors.lastname: El Kady
mesh_terms: D000328:Adult; D000368:Aged; D001251:Astigmatism / Q000503:physiopathology / Q000601:surgery*; D002386:Cataract / Q000150:complications; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D010865:Pilot Projects; D011183:Postoperative Complications; D011446:Prospective Studies; D019591:Pseudophakia / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology