The results of phacoemulsification and toric intraocular lens implantation in patients with high astigmatism and cataract.

Purpose: To report the results ofphacoemulsificarion and toric intraocular lens (lOl) implantation in patients with cataraer and high astigmatism. Material and Method; Medical records of 21 eyes of 17 patients (6 men, 11 women) with 1,5 diopter (D) or more corneal astigmatism who underwent phacoemulsificarion and foldable hydrophobic acrylic toric inrraocular lens implantation at Bajkent University, Deparrment of Ophthalmology between 2008 and 2011 were reviewed. Preoperative and postoperative I-month data were recorded and compated for best corrected log Mar visual acuity (BCVA). and corneal and refractive cylinder powers. Torle 10l axis shift was also evaluated at postoperative 3 monrhs. Results: The average age of the patients was 63.0±6.9 years. The mean follow. up duration was 17.9±4.8 monrhs (range, 12-28). The mean preoperative BCVA and refractive cylinder were 0.47 ±0.3 (range, 0.3-2.0, log-Mar) and 3.11 ± 1.32 D, respectively. Postoperative BCVA increased to a mean ofO.14',0.27 (range, 0.1-1.0, log-Mar). while refractive cylinder power decreased to a mean of 1.00±0.98 ar rhe end of follow· up. Discussion: Toric 10l implantation is an effective surgical alternative in patients with high astigmatism and cataract. It is possible to correct preexisring astigmatism and to achieve visual recovery with toric rOl implamation with a good preoperative planning and proper surgical technique. [ABSTRACT FROM AUTHOR]