Abstract
Objective: To share our experience in correcting corneal astigmatism in patients undergoing cataract surgery.
Methods: Our study includes 48 eyes, 37 eyes with a corneal astigmatism of up to 2.50 dpt and 11 eyes with a higher (>2.50dpt) astigmatism. The first group was treated with arcuate keratotomies (AK) performed by B&L VICTUS Femtosecond Laser Platform. The AKs were placed on the steepest corneal meridian in a resulting depth of 85% based on the real-time OCT pachymetry. Patients from group 2 were treated with intraocular toric IOLs.
Postsurgical follow-up period was 18 months and includes uncorrected visual acuity, manifest refraction, count and density of endothelial corneal cells prior to and after surgery, pachymetry, corneal topography (Placidobased and Scheimpflug image -derived topography).
Results:
- The mean astigmatismus reduction in the first group was from 1.71 D ± 0.63 (SD) to 0.28 ± 0.39 D (P<.001)
- The mean astigmatismus reduction in the second group was from -3.75 D ± 1.10 (SD) to -0.38 ± 0.51 D (P<.001)
Conclusion: Contemporary methods for correction of corneal astigmatism allows high uncorrected visual acuity in patients undergoing cataract surgery.
Keywords
astigmatis; toric IOLs; arcuate keratotomies
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