title: Subluxated cataract lens surgery using sutured segments or rings and implantation of toric intraocular lenses.
abstract: OBJECTIVE
  To evaluate the intraoperative performance and postoperative outcomes of toric intraocular lens (IOL) with suture ring implantation in adult patients with subluxated lenses.
  
  
  METHODS
  Department of Ophthalmology, Kaiser Permanente, Santa Clara, California, and the Eye Institute of Utah, Salt Lake City, Utah, USA.
  
  
  METHODS
  Retrospective case review.
  
  
  METHODS
  Eyes with subluxated cataractous lenses and preoperative corneal astigmatism having toric IOL implantation with a sutured ring or segment were studied. Preoperative and postoperative analyses included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and cylindrical power postoperatively and 3, 6, and 12 months postoperatively.
  
  
  RESULTS
  Twenty-one eyes of 15 patients were studied. The median follow-up was 14.6 months. The mean CDVA at the final follow-up (0.10 logMAR ± 0.15 [SD]) was significantly improved from the mean preoperative CDVA (0.73 ± 0.40 logMAR). Postoperative cylindrical power was significantly improved in all patients (mean reduction in astigmatism 2.37 ± 1.46 diopters). Patients who required postoperative enhancement had anterior laser capsulotomy for bilateral capsule phimosis (2 eyes), photorefractive keratectomy (1 eye), pupilloplasty (1 eye), and posterior laser capsulotomy (2 eyes).
  
  
  CONCLUSIONS
  Cataract removal and implantation of a toric IOL combined with a sutured ring or segment capsule stabilizing device was a safe and efficacious long-term solution for patients with subluxated cataract lenses and corneal astigmatism.
authors.affiliation: From the School of Medicine (Do), Stanford University, Palo Alto, and Kaiser Permanente (Holz), Santa Clara, California; the Eye Institute of Utah (Cionni), Salt Lake City, Utah, USA.
authors.forename: Anna T
authors.initials: AT
authors.lastname: Do
authors.affiliation: From the School of Medicine (Do), Stanford University, Palo Alto, and Kaiser Permanente (Holz), Santa Clara, California; the Eye Institute of Utah (Cionni), Salt Lake City, Utah, USA. Electronic address: huck.holz@kp.org.
authors.forename: Huck A
authors.initials: HA
authors.lastname: Holz
authors.affiliation: From the School of Medicine (Do), Stanford University, Palo Alto, and Kaiser Permanente (Holz), Santa Clara, California; the Eye Institute of Utah (Cionni), Salt Lake City, Utah, USA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Cionni
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057866:Anterior Capsule of the Lens / Q000601:surgery; D001251:Astigmatism / Q000601:surgery*; D002387:Cataract Extraction; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D019654:Lens Implantation, Intraocular; D007906:Lens Subluxation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D064727:Posterior Capsulotomy; D011184:Postoperative Period; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D019591:Pseudophakia / Q000503:physiopathology; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology