title: Combined 23-gauge microincisonal vitrectomy surgery and phacoemulsification with AcrySof toric intraocular lens implantation: a comparative study.
abstract: OBJECTIVE
  To compare AcrySof toric intraocular lens (IOL) and non-toric IOL in patients who had combined 23-gauge microincisional vitrectomy surgery (MIVS) and phacoemulsification for vitreoretinal diseases and cataract with pre-existing corneal astigmatism.
  
  
  METHODS
  This is a prospective comparative study comprised of 30 patients (30 eyes) who had combined 23-gauge MIVS and phacoemulsification for vitreoretinal diseases and cataract with pre-existing regular corneal astigmatism greater than 1 diopters (D). In all, 15 eyes had AcrySof toric IOL (Alcon Laboratories) and 15 eyes had non-toric IOL (Akreos AO MI60; Bausch & Lomb) implantation. Main outcome measures were uncorrected visual acuity (UCVA), refractive cylinder, surgically induced astigmatism (SIA), and IOL misalignment during 6 months.
  
  
  RESULTS
  The mean UCVA of the toric IOL group was better than the non-toric IOL group at postoperative months 1, 3, and 6 (P<0.001, respectively). The mean absolute residual refractive cylinder of the toric IOL group at postoperative week 1, and months 1, 3, and 6 was less than the non-toric IOL group (P=0.008, <0.001, <0.001, and <0.001, respectively). There was no difference in the mean SIA between the two groups (P>0.05, respectively). The mean toric IOL axis rotation was 3.52 ± 2.75°, which was within 5° in 66.7% of the toric IOL group and within 10° in 100%.
  
  
  CONCLUSIONS
  Combined 23-gauge MIVS and phacoemulsification with AcrySof toric IOL implantation is an effective method of correcting vitreoretinal diseases and cataract and pre-existing corneal astigmatism, and the toric IOL showed good rotational stability, even in vitrectomized eyes for 6 months.
authors.affiliation: Department of Ophthalmology, School of Medicine, Kyungpook National University, Chung-gu, Daegu, South Korea.
authors.forename: D H
authors.initials: DH
authors.lastname: Park
authors.forename: J P
authors.initials: JP
authors.lastname: Shin
authors.forename: S Y
authors.initials: SY
authors.lastname: Kim
mesh_terms: D000180:Acrylic Resins; D000368:Aged; D001251:Astigmatism / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002386:Cataract / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods; D008297:Male; D018918:Phacoemulsification / Q000379:methods; D011446:Prospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods
chemical_list: D000180:Acrylic Resins