title: Results of cataract surgery with Z-flex hydrophilic acrylic toric IOL.
abstract: OBJECTIVE
  To report the outcome of cataract surgery with implantation of the Z-flex 690TA hydrophilic acrylic toric intraocular lens (IOL).
  
  
  METHODS
  We enrolled consecutive patients who had 1.75 D or more of preexisting corneal astigmatism. Patients had cataract extraction surgery with implantation of a Z-flex 690TA toric IOL (Medicontur, Hungary). Refractive outcomes, keratometry, correction ratio (CR), and error of magnitude (EM) were evaluated.
  
  
  RESULTS
  Nineteen eyes of 13 patients were evaluated. Mean follow-up time was 4.3 ± 2.3 months. Mean preoperative keratometric astigmatism was 3.05 ± 0.74 D. Mean postoperative deviation from the anticipated spherical equivalent was +0.23 ± 0.39 D, with 100% of eyes achieving a spherical equivalent within ± 1.00 D of the target refraction. Mean deviation from the anticipated refractive cylinder was 0.46 ± 0.47 D. Mean IOL misalignment was 5.67 ± 6.45 degrees. Mean CR was 1.02 ± 0.22, and the mean EM was -0.09 ± 0.55 D.
  
  
  CONCLUSIONS
  The Z-flex 690TA hydrophilic acrylic toric IOL implantation was safe, effective, and predictable in correcting corneal astigmatism during cataract surgery.
authors.affiliation: Department of Ophthalmology, Assaf-Harofeh Medical Center, Tel Aviv University, Tel Aviv, Israel. adi.einan@gmail.com
authors.forename: Adi
authors.initials: A
authors.lastname: Einan-Lifshitz
authors.forename: Yaniv
authors.initials: Y
authors.lastname: Barkana
authors.forename: Yakov
authors.initials: Y
authors.lastname: Goldich
authors.forename: Shay
authors.initials: S
authors.lastname: Gutfreund
authors.forename: Isaac
authors.initials: I
authors.lastname: Avni
authors.forename: David
authors.initials: D
authors.lastname: Zadok
mesh_terms: D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001699:Biometry; D002386:Cataract / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011446:Prospective Studies; D012029:Refraction, Ocular / Q000502:physiology; D014065:Tonometry, Ocular; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000180:Acrylic Resins