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J Cataract Refract Surg. 2012 Jul;38(7):1156-65. doi: 10.1016/j.jcrs.2012.02.032. Epub 2012 May 18.

Higher-order aberrations and visual function in pseudophakic eyes with a toric intraocular lens.

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1
Hayashi Eye Hospital, Fukuoka, Japan.

Abstract

PURPOSE:

To compare higher-order aberrations (HOAs) and visual function in eyes with a toric intraocular lens (IOL) and eyes with a nontoric IOL.

SETTING:

Hayashi Eye Hospital, Fukuoka, Japan.

DESIGN:

Case-control study.

METHODS:

Eyes that had phacoemulsification were enrolled in 1 of the following 3 groups: (1) preoperative corneal astigmatism of 1.00 diopter (D) with a toric IOL (toric group), (2) astigmatism of 1.00 D or more with a nontoric IOL (high-astigmatism group), and (3) astigmatism less than 1.00 D with a nontoric IOL (low-astigmatism group). Ocular and corneal HOAs were measured using a wavefront analyzer. Photopic and mesopic visual acuities at high- to low-contrast visual targets were measured using a contrast sensitivity tester.

RESULTS:

The mean ocular and corneal total HOAs and 3rd-order aberrations in the toric and high-astigmatism groups tended to be greater than in the low-astigmatism group; HOAs and 3rd-order aberrations at 3 months and HOAs at 6 months were significantly different (P ≤.0403). The mean corrected visual acuity did not differ significantly between groups. However, photopic low-contrast visual acuity (LCVA) and mesopic high- to low-contrast visual acuity was significantly worse in the toric and high-astigmatism groups than in the low-astigmatism group (P ≤.0210).

CONCLUSION:

Postoperatively, ocular and corneal HOAs were greater in eyes with a toric IOL and in eyes with high preexisting corneal astigmatism than in eyes with low preexisting astigmatism, which impaired photopic LCVA and mesopic visual acuity.

FINANCIAL DISCLOSURE:

No author has a financial or proprietary interest in any material or method mentioned.

PMID:
22608030
DOI:
10.1016/j.jcrs.2012.02.032
[Indexed for MEDLINE]
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