gms | German Medical Science

Purpose: To evaluate the visual outcome and rotational stability of a toric panfocal intraocular lens (IOL) 3 months after femtosecond assisted cataract surgery and refractive lens exchange.

Methods: 50 eyes of 25 patients were bilaterally implanted with a toric panfocal IOL (Panoptix, Alcon, USA) during cataract surgery or refractive lens exchange to reach spectacle independence postoperatively. Main outcome measures were uncorrected and best spectacle-corrected distant, intermediate, and near visual acuity (UDVA, UIVA, UNVA, CDVA, DCIVA, DCNVA; logMAR), defocus curve, spherical equivalent (MRSE), visual quality, and rotational stability 3 months after surgery.

Results: At 3 months postoperative the patients had a binocular CDVA of -0.07±0.10 logMAR which was significant better than the preoperative CDVA 0.20±0.05logMAR (p<0.001). DCIVA and DCNVA were 0.04±0.13 and 0.07±0.19logMAR 3 months postoperative. The MRSE was -0.16D±0.88. The defocus curve shows excellent far, intermediate and near visual acuity. Mean cylindrical IOL power was -1.5D±0.25. The IOL was stable regarding rotational stability with a mean deviation of intended axis 2.51°±2.30. The amount of visual phenomenons was comparable to the non-toric Panoptix.

Conclusion: The toric panfocal IOL offers excellent vision in all distances without the need of glasses for near, intermediate or distant vision. There was no significant deviation of the IOL axis after 3 months.