Cataract Surgery with Toric Intraocular Lens for Correction of High Corneal Astigmatism

Abstract Objective To analyze the outcomes of cataract surgery with high-power toric intraocular lens (IOL) implantation in patients with high corneal astigmatism. Design Retrospective case series. Participants Twelve eyes of 9 patients. Methods Patients with idiopathic, pathologic, or postsurgical corneal astigmatism and a visually significant cataract were included in the study. Cataract extraction with implantation of a custom-made high-power toric IOL was performed on all patients. Outcomes included uncorrected and best corrected distance visual acuity (UDVA and BCDVA), manifest refraction, and mean and steepest keratometry. Analysis of astigmatic vectors was also performed. Results The mean follow-up time was 3.75 months. At the last follow-up visit, there was a significant improvement of UDVA (1 ± 0.64 vs 0.39 ± 0.21 logMAR; p p p p Conclusions Cataract surgery with implantation of a high-power toric IOL was safe and effective in correcting high values of corneal astigmatism.