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Extensive misalignment of plate-haptic rotationally asymmetric multifocal toric intraocular lens

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

Plate-haptic rotationally asymmetric multifocal toric intraocular lenses (IOL) (Lentis Comfort Toric) occasionally rotate extensively after surgery. We conducted the current study to investigate the incidence of extensive misalignment of this IOL and its association with clinical parameters.

Study design

Retrospective case series.

Subjects and methods

Data were collected from patients who had undergone phacoemulsification and implantation of a plate-haptic multifocal toric IOL.

Results

Among 332 eyes, extensive misalignment of toric IOLs ≥ 45º occurred in 3.3% (11 eyes). The amount of misalignment in eyes with extensive misalignment was 81.6 ± 22.9º, while in those without extensive misalignment, it was 3.0 ± 2.7º. The eyes with extensive misalignment showed significantly greater axial length (p < 0.001), larger corneal diameter (p = 0.034), and flatter corneas (p = 0.044) than those without extensive misalignment. Repositioning surgery to correct toric IOL misorientation was conducted in 9 eyes between 7 and 28 days after cataract surgery. In 2 eyes, repositioning surgery was carried out twice.

Conclusions

In majority of cases plate-haptic multifocal toric IOLs showed satisfactory rotational stability, but extensive misalignment ≥ 45º occurred in 3.3% of cases.

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Authors and Affiliations

  1. Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan

    Tetsuro Oshika & Iori Izumi

  2. Division of Ophthalmology, Ryugaski Saiseikai Hospital, Ryugasaki, Ibaraki, Japan

    Shinichiro Nakano

  3. Inamura Eye Clinic, Yokoham, Kanagawa, Japan

    Mikio Inamura & Nakako Ikai

  4. Sapporo Kato Eye Clinic, Sapporo, Hokkaido, Japan

    Yuji Kato

  5. Shimokawabe Eye Clinic, Saga, Japan

    Kazuhito Shimokawabe

Authors
  1. Tetsuro Oshika
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  2. Shinichiro Nakano
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  3. Mikio Inamura
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  4. Nakako Ikai
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  5. Yuji Kato
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  6. Iori Izumi
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  7. Kazuhito Shimokawabe
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Corresponding author

Correspondence to Tetsuro Oshika.

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Conflict of interest

T. Oshika, Grant to the author’s institution (Santen), Consulting fees, Honoraria for lecture fee, Participation on Advisory Board (Santen); S. Nakano, None; M. Inamura, None; N. Ikai, None; Y. Kato, None; I. Izumi, None; K. Shimokawabe, None.

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Corresponding Author: Tetsuro Oshika

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Oshika, T., Nakano, S., Inamura, M. et al. Extensive misalignment of plate-haptic rotationally asymmetric multifocal toric intraocular lens. Jpn J Ophthalmol 67, 560–564 (2023). https://doi.org/10.1007/s10384-023-01001-x

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  • DOI: https://doi.org/10.1007/s10384-023-01001-x

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