Acrylic toric intraocular lens implantation: a single center experience concerning clinical outcomes and postoperative rotation

PURPOSE To present clinical results of toric intraocular lens (IOL) implantation for preexisting astigmatism correction and determine the time of any postoperative rotation. PATIENTS AND METHODS Twenty-nine eyes of 19 patients underwent uncomplicated phacoemulsification and were implanted with an Acrysof ((c)) toric IOL. Uncorrected visual acuity, residual astigmatism, and postoperative rotation of the IOL were estimated one and six months after the operation. RESULTS Uncorrected visual acuity was >/=0.5 in 26 of 29 eyes (89.7%) and >/=0.8 in 19 of 29 patients (65.5%). The mean toric IOL axis rotation was 2.2 +/- 1.5 degrees (range 0.6-7.8 degrees ) one month postoperation and 2.7 +/- 1.5 degrees (range 0.9-8.4 degrees ) six months postoperation. CONCLUSION Implantation of one-piece hydrophobic acrylic toric IOLs appears to have acceptable stability, which encourages visual outcome and emerges as an attractive alternative for correction of refractive astigmatism.