Combined 25-gauge microincision vitrectomy and toric intraocular lens implantation with posterior capsulotomy

Hiroshi Kunikata, Naoko Aizawa, Yasuhiko Meguro, Toshiaki Abe, Toru Nakazawa

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Purpose: To evaluate the efficacy of combined 25-gauge microincision vitrectomy surgery (MIVS) and toric intraocular lens (IOL) implantation with posterior capsulotomy. Methods: Noncomparative, interventional case series performed at a single center. Twelve patients with vitreoretinal disease and cataracts, with pre-existing regular corneal astigmatism greater than 1 diopter, underwent 25-gauge MIVS and toric IOL implantation with posterior capsulotomy. Results: The toric IOL was successfully implanted in each case. At 6 months postoperatively, mean axis rotation was 5.7° ± 3.1°. At 1 month postoperatively, mean uncorrected and best corrected visual acuity improved; the improvement was maintained after 6 months. The absolute residual refractive cylinder was significantly lower postoperatively than the pre-existing regular corneal cylinder (P = .003). There were no surgical complications except temporary posterior iris synechiae in one case. ConclusionS: Combined 25-gauge MIVS and toric IOL implantation with posterior capsulotomy is a practical and safe method to treat vitreoretinal disease and cataracts with pre-existing corneal astigmatism.

Original languageEnglish
Pages (from-to)145-154
Number of pages10
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume44
Issue number2
DOIs
Publication statusPublished - 2013 Mar

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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