June 17, 2013
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Combination treatment effective for vitreoretinal disease, corneal astigmatism

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Toric IOL implantation combined with 25-gauge microincision vitrectomy treated eyes with both vitreoretinal disease and corneal astigmatism, according to a study.

The noncomparative, interventional case series included 12 patients with vitreoretinal disease, cataracts and corneal astigmatism who underwent phacoemulsificationtoric IOL implantation with posterior capsulotomy and 25-gauge microincision vitrectomy.

The toric IOL was successfully implanted in the capsular bag of each patient.

Mean toric IOL axis rotation was 5.8°, 6.4° and 5.7° at 1 week, 1 month and 6 months postoperatively, respectively.

Mean uncorrected and best corrected visual acuities improved at 1 month postoperatively and were sustained after 6 months

Mean postoperative residual refractive cylinder was lower than the pre-existing regular corneal cylinder (P = .003), the study authors said.

One patient experienced temporary posterior iris synechiae; however, no other surgical complications were noted.