Abstract
Background: To compare the visual efficacy and patient’s satisfaction between two toric IOLs (TIOL), enhanced for intermediate vision and monofocal.
Methods: A retrospective chart review. A total of 100 eyes from 68 astigmatic patients who underwent cataract surgery with implantation of a TECNIS Eyhance Toric II IOL (Johnson & Johnson Vision, Irvine, CA, USA) (Group 1, 50 eyes) or TECNIS TIOL (Group 2, 50 eyes). The uncorrected distant (UDVA), intermediate (UIVA), and near (UNVA) visual acuities, residual refractive astigmatism, defocus curve, and IOL axis rotation were evaluated at 1 week, 1 month, 2 months, and 3 months postoperatively.
Results: The postoperative UDVA and UNVA refractive astigmatisms of the two groups were better than the preoperative data, respectively (P<0.05). But there was no statistical difference between the two groups (P > 0.05). The postoperative UIVA of group 1 (0.18 ± 0.15 logMAR) was significantly better than that of group 2 (0.30 ± 0.25) (P<0.05). And the mean postoperative IOL rotation of group 1 (2.51 ± 0.79 o) is lower than that of group 2 (3.02 ± 0.84 o) (P<0.05). Overall satisfaction of group 1 (1.27 ± 0.47) was better than that of group 2 (2.02 ± 0.53) (P<0.05).
Conclusions: TECNIS Eyhance Toric II IOL demonstrated a low magnitude of postoperative IOL rotation and excellent uncorrected intermediate vision compared with TECNIS TIOL. The patient's near vision and overall satisfaction with the TECNIS Eyhance Toric II IOL were also higher than those with the TECNIS TIOL.