Monday, February 6, 2012

Toric Lens Implant Complications & Safety

Question: I have astigmatism greater than 2 diopters so could benefit from toric lens implants. BUT I would rather choose the IOL that has a higher success rate and the least complication rate. So, would choosing to have a regular lens implant rather than a toric lens implant be a safer bet?


Answer: We need to separate safety and complications from the actual visual performance when we consider astigmatism correcting lens implants as compared to monofocal lens implants. The safety and complications of astigmatism correcting lens implants is essentially identical to that of monofocal lens implants. In general, they are the fabricated from the same materials and in the same basic styles as one an other and thus the safety and complication rates reflect the experience and the skill of the Cataract Surgeon more so than the actual Lens Implant type. The MOST IMPORTANT DECISION THAT YOU WILL MAKE IS THE CHOICE OF CATARACT SURGEON AND NOT THE TYPE OF IMPLANT. Astigmatism correcting toric lens implants do require a greater degree of precision in the preoperative measurements and calculations in order to obtain the best visual results. In addition they may also require a greater of surgical skill from the Cataract Surgeon in order to obtain the perfect placement and rotation of the Lens Implant for best vision. That said, in our experience with U.S. Cataract Surgeons who are also Refractive Surgeons, the level of success and patient satisfaction is quite high with astigmatism correcting toric lens implants in terms of safety, efficacy and predictability.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on aboutcataractsurgery.com is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery of Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of aboutcataractsurgery.com is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

5 comments:

  1. I have the toric inplantand my astigmatism has been corrected satisfactorly. BUT I see so much glare not only at night but whenever I look to a bright window or a lamp or even outdoors in bright light. It is very upsetting & I wish I had never gotten this lense to correct by astigmatism & cataracts! I was told I could see starbursts when driving at night but I never expected this!!

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    1. Dear Anonymous, please submit your question through our patient education website at http://www.aboutcataractsurgery.com and we will be able to answer. Regards.

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    2. I am with you on this! The glare is so severe that I am unable to drive at night - and I was told these lenses would improve my night vision. I also have huge floaters and diminishing sight in both eyes from some other complication. I have to see a retinologist! On the plus side, I have been told that the YAG laser may solve the glare problem - you may want to look into that.

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  2. Just after my post-op follow up today for my second eye I find that the regular lens they implanted in my right eye is 20-20 for distance. However, my left eye which was implanted with a Torec lens 2 1/2 months ago, has made my astigmatism worse in my left eye!

    My opthomoligist called my eye surgeon and explained that the cataract surgery with the Torec lens implantation didn't correct my astigmatism, it actually made it worse!

    What should I expect next? I already have a hearing loss in both ears and now due to corrective surgery my eyesight is worse in one eye than it was before the surgery. Vision is critical to me, especially with my hearing loss.

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    1. Kindly submit your question to: http://www.aboutcataractsurgery.com/cataract-surgeons-questions.html and we will be able to answer.

      Regards,
      Katie Carlisle

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