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• W4213384038 abstract "The recent article by Yao et al. has caught our attention.1 After publication of the article by Erb-Eigner et al., we conducted a correlation analysis study between the postoperative rotations of the AT TORBI 709M (CZM) intraocular lens (IOL) and preoperative biometric measurements, including white-to-white (WTW) distance.2 The results on 285 IOLs showed no correlation (Pearson's r < 0.03), which is in contradiction with the aforementioned article. The objective of this letter is not to contradict the results of the study by Yao et al. but rather to bring the results of several years of reflections on the stability of toric IOLs and the internal analyzes on our results. In addition, we analyzed a multifocal IOL (mIOL) vs a monofocal IOL with the same double C-loop design (FineVision Toric vs Ankoris, BVI). The mean postoperative rotations were 2.39 ± 2.35 degrees for the mIOL group (n = 148) and 6.64 ± 6.31 degrees for the monofocal IOL group (n = 259). Morover, the significant rotations observed were lower for the mIOL group with a maximum at 13 degrees vs 37 degrees for the monofocal IOL group. Less rotation was observed with the mIOL, likely due to its manufacturing process and the unpolished diffractive lens, as mentioned by Vandekerckhove.3 Finally, since 2020 we have been using a new unpolished hydrophilic toric IOL (Lucidis 124MT, SAV-IOL) with an overall size of 12.4 mm and a great improvement in stability (Table 1). Table 1. - Postoperative rotation at 3 months of 4 toric IOLs. Group AT TORBI 709M (CZM) Ankoris (BVI) Synthesis toric (cutting edge) Lucidis 124MT (SAV-IOL) N 285 259 30 113 Mean (degrees) 3.93 6.64 16.20 2.77 SD (degrees) 5.36 6.31 19.96 2.55 Median (degrees) 2 5 6.5 2 Min (degrees) 0 0 0 0 Max (degrees) 39 37 74 11 We understand the observations of Yao et al. and, particularly, that the current lack of technology to know the true size of the bag remains the main concern to increase the stability of the toric IOLs. Nevertheless, it seems that no biometric parameter can predict a potential rotation in the capsular bag, whereas an unpolished implant of more than 12 mm can improve stability for the patient and the surgeon." @default.
• W4213384038 created "2022-02-24" @default.
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• W4213384038 date "2022-04-01" @default.
• W4213384038 modified "2023-10-14" @default.
• W4213384038 title "Comment on: Associations between anterior segment parameters and rotational stability of a plate-haptic toric intraocular lens" @default.
• W4213384038 cites W2173612459 @default.
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• W4213384038 doi "https://doi.org/10.1097/j.jcrs.0000000000000917" @default.
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