IMPORTANCE Spectacle independence is becoming increasingly important in cataract surgery. Not correcting corneal astigmatism at the time of cataract surgery will fail to achieve spectacle independency in 20% to 30% of patients. OBJECTIVE To compare bilateral aspherical toric with bilateral aspherical control intraocular lens (IOL) implantation in patients with cataract and corneal astigmatism...

BACKGROUND Patterns of refractive errors have never been reported in Maldives. This study aims to dissect astigmatism and provide a general view in context of this island country. METHODS A clinic based cross sectional study was designed with 277 patients, aged ≥3.5 years and with a primary astigmatism of ≥-1.00 diopters (D). They underwent complete eye examination and a vector analysis was d...

PURPOSE To evaluate by vector analysis the corneal astigmatic changes occurring in keratoconic corneas during a 3-year follow-up and to determine the relationship between these changes and other clinical changes. METHODS Keratoconic eyes (n = 114) of 75 patients ranging in age from 14 to 70 years were retrospectively reviewed in four different centers. In all cases, a 3-year follow-up was com...

PURPOSE This study was conducted to compare post-operative astigmatic outcomes of two groups, with-the-rule (WTR) and against-the-rule (ATR) astigmatism patients, according to the haptic axis of intraocular lenses (IOLs) inserted in cataract surgery. METHODS Seventy-two eyes with WTR astigmatism and 79 eyes with ATR astigmatism had cataract surgery through a clear corneal temporal incision. T...

Approximately 15–20% of patients with cataracts have more than 1.5 diopters (D) of pre-existing astigmatism1. Reducing this preoperative astigmatism can improve visual outcomes after cataract surgery. The astigmatism can be reduced with the phacoemulsification incisions, with corneal or limbal relaxing incisions and with excimer laser keratectomy. Another alternative for astigmatism correction ...

PURPOSE To investigate the changes in irregular and regular corneal astigmatism with age in eyes that underwent cataract surgery (surgery group) and in eyes that did not undergo surgery (nonsurgery group). METHODS We enrolled 120 eyes in each of four age groups in the surgery and nonsurgery groups: (1) 50 to 59 years of age, (2) 60 to 69 years of age, (3) 70 to 79 years of age, and (4) older ...

PURPOSE To assess the accuracy of corneal astigmatism evaluation measured by four techniques, Orbscan IIz(®), Lenstar LS900(®), Cassini(®), and Total Cassini (anterior + posterior surface), in pseudophakic eyes. PATIENTS AND METHODS A total of 30 patients (46 eyes) who had undergone cataract surgery with the implantation of a monofocal intraocular lens (AcrySof IQ) were assessed after surgery...