Initial Clinical Outcomes With Image-Guided System for Surgical Planning and Digital Alignment of Patients With Toric IOL

Solomon, Kerry

Initial Clinical Outcomes With Image-Guided System for Surgical Planning and Digital Alignment of Patients With Toric IOL

Monday, April 20, 2015: 8:21 AM

Room 1A (San Diego Convention Center)

Kerry D. Solomon, MD

Stephen G. Slade, MD

Robert J. Cionni, MD

Stephen S. Lane, MD

Philippe C. Crozafon, MD

Purpose
To evaluate the residual refractive cylinder, accuracy to target and refractive outcomes when using a new image guided system for surgical planning and digital alignment during implantation of a single piece hydrophobic, acrylic Toric intraocular lens (IOL) at 3 months postop.

Methods
Open label, prospective, non randomized, multi center study of 110 eyes (110 patients) using a new image guided system (Verion) for standard surgical planning. All patients underwent femtosecond laser (LenSx) assisted cataract surgery with digital alignment (Verion Digital Marker M) and all eyes were implanted with a single piece hydrophobic Toric IOL (AcrySof Toric IOL). Residual refractive cylinder, manifest refractive spherical equivalent (MRSE) accuracy to target, uncorrected visual acuity (UCVA) were recorded at 3 months postoperatively.

Results
Residual refractive cylinder of 75% and 86% of patients had ≤0.50D and ≤0.75D respectively. 44% of patients had no residual refractive cylinder at 3 months postoperative. 80% had MRSE accuracy to target of ≤0.50D and 92% were within ≤0.75D accuracy.

Conclusion
The result of this study indicates low residual refractive cylinder, good accuracy to target and refractive outcomes when using the image guided system for surgical planning on patients with Toric IOL.