Astigmatism Clinical Trial
Official title:
Rotational Stability After Nanoflex Collamer Toric Intraocular Lens Implantation in Astigmatic Patients Undergoing Cataract Surgery
This study aims to assess the rotational stability of the new collameric Nanoflex toric
intraocular lens (T-IOL) by STAAR inserted in astigmatic patients after cataract surgery.
The purpose of this study is also to determine whether the use of a toric intraocular lens
(T-IOL) improves visual acuity.
A good rotational stability of toric intraocular lenses (T-IOL) allows an accurate
refractive correction. However, many aspects -both pre-operative and post-operative- can
interfere causing T-IOL rotation and misalignment.
Complete preoperative ocular evaluation is performed including slit-lamp examination,
uncorrected distance visual acuity (UDVA), best-corrected visual acuity (BCVA), Javal
keratometry, corneal Scheimplug tomography (Pentacam), optical biometry (IOL Master),
Goldman applanation tonometry and fundus evaluation through dilated pupils. The spherical
IOL power is calculated considering the axial length obtained with optical biometry, the
magnitude of astigmatism derived from Javal keratometry and the steepest axis obtained with
corneal tomography. The power of the toric IOL is determined with the online Staar Toric IOL
calculator. The reference landmarks are also marked preoperatively with a sterile methylene
blue fine point pen. The marking is rechecked in the operating theatre with the electronic
toric marker ASICO.
Postoperative evaluation for IOL alignment and rotational stability is performed with
slit-lamp photography on dilated pupils. Images are captured with Haag Streit slit lamp BQ
900 and are evaluated with the image-analysis software Protractor (Staar).
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label
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