Article
4 Years Experience with a bitoric monofocal IOL to correct corneal astigmatism after Coaxial Microincision Cataract Surgery (CO-MICS)
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Published: | March 7, 2012 |
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Background: This is a retrospective study of 40 eyes where we implanted a bitoric, aspheric (aberration neutral) and monofocal IOL mono- and binocular to correct corneal astigmatism. Up to 4 years postoperatively examinations were done for evaluation of visual acuity, refractive error especially cylindric refraction and high order aberrations.
Method: We implanted a bitoric IOL after CO-MICS through a 1.5–1.8 mm incision in about 40 eyes. Subjective Refraction, Pentacam, Aberrometry and IOL orientation were examined and analyzed.
Results: IOL with a cylindric power between 0.5 and 8.5 diopters were implanted. The mean value of the postoperative spherical equivalent was –0.05 diopters and of the postoperative cylinder –0.35 diopters. No IOL re-orientation was necessary.
Conclusion: Due to its high predictability and rotation stability CO-MICS and the implantation of the bitoric IOL became a routine procedure in correcting corneal astigmatism in our cataract surgery routine.