title: Visual outcomes after implantation of a novel refractive toric multifocal intraocular lens.
abstract: OBJECTIVE
  To assess the postoperative outcomes of a novel toric multifocal in traocular lens (IOL) in patients with cataract and corneal astigmatism.
  
  
  METHODS
  This prospective nonrandomized study included patients with cataract, corneal astigmatism, and a motivation for spectacle independence. In all patients, a Rayner M-flex® T toric IOL was implanted in the capsular bag. Three months after surgery, the distance, intermediate, and near visual acuities; spherical equivalent; residual refractive astigmatism; defocus curve; and contrast sensitivity were evaluated. A patient satisfaction and visual phenomena questionnaire was administered to all patients.
  
  
  RESULTS
  Thirty-four eyes of 18 patients were included in this study. Three months after surgery, the mean corrected distance visual acuity (logMAR) was 0.00 ± 0.08 at 6 m, 0.20 ± 0.09 at 70 cm, and 0.08 ± 0.11 at 40 cm. Uncorrected distance vision acuity was 20/40 or better in 100% eyes. The preoperative mean refractive cylinder (RC) was -2.19 (SD: ± 0.53). After a 3-month follow-up, the average RC was -0.44 D (SD: ± 0.27; p<0.001). Contrast sensitivity levels were high. At the last follow-up, 87.5% patients were spectacle-independent for near, intermediate, and distance vision, and approximately 44% patients reported halos and glare.
  
  
  CONCLUSIONS
  Toric multifocal IOL implantation in patients with cataract and corneal astigmatism using the Rayner M-flex® T toric IOL was a simple, safe, and accurate option. This technology provides surgeons with a feasible option for meeting patient expectations of an enhanced lifestyle resulting from decreased spectacle dependence.
authors: Centro de Microcirurgia Ocular Atibaia, Atibaia, SP, Brazil.
authors: Talita
authors: T
authors: Shimoda
authors: Centro de Microcirurgia Ocular Atibaia, Atibaia, SP, Brazil.
authors: Gilberto
authors: G
authors: Shimoda
authors: Ophthalmology Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Wilson Takashi
authors: WT
authors: Hida
authors: Ophthalmology Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Celso Takashi
authors: CT
authors: Nakano
authors: Ophthalmology Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Antônio Francisco
authors: AF
authors: Motta
authors: Brasília Ophthalmologic Hospital, Brasília, DF, Brazil.
authors: Aline Silva
authors: AS
authors: Guimarães
authors: Brasília Ophthalmologic Hospital, Brasília, DF, Brazil.
authors: Patrick Frensel M
authors: PF
authors: Tzelikis
mesh_terms: D000368:Aged; D001251:Astigmatism / Q000150:complications / Q000601:surgery*; D002386:Cataract / Q000150:complications* / Q000503:physiopathology; D002387:Cataract Extraction / Q000379:methods*; D015350:Contrast Sensitivity / Q000502:physiology; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D017060:Patient Satisfaction; D011446:Prospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology