Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Dec 10;14(2):197-208.
doi: 10.4103/tjo.tjo_43_21. eCollection 2024 Apr-Jun.

Toric intraocular lens: A literature review

Mithun Thulasidas  1 , Aishwarya Kadam  2
Affiliations
Review

Toric intraocular lens: A literature review

Mithun Thulasidas et al. Taiwan J Ophthalmol. .

Abstract

Toric intraocular lenses (IOLs) are universally recommended in cataract cases with preoperative corneal astigmatism ≥1.5 D. An optimal surgical outcome depends on careful patient selection, complete preoperative evaluation, accurate IOL power calculation, precise marking of the axis, meticulous intraoperative approach, and methodical postoperative care. Understanding the importance of posterior corneal astigmatism, surgically induced astigmatism, and effective lens position in IOL power calculation and newer techniques to measure them directly have resulted in better postoperative refractive outcomes. We present a brief overview of toric IOLs along with the preoperative evaluation, IOL power calculation, different marking methods, intraoperative approach, and postoperative outcomes. Functional and anatomical outcomes, including uncorrected visual acuity, residual refractive astigmatism, and postoperative IOL misalignment, which have been reported for both toric IOLs and multifocal toric IOLs, are reviewed.

Keywords: Astigmatism; intraocular lens misalignment; multifocal toric intraocular lens; toric intraocular lens.

PubMed Disclaimer

Conflict of interest statement

The author declares that there are no conflicts of interest in this paper.

References

    1. Hayashi K, Hayashi H, Nakao F, Hayashi F. Influence of astigmatism on multifocal and monofocal intraocular lenses. Am J Ophthalmol. 2000;130:477–82. - PubMed
    1. Shimizu K, Misawa A, Suzuki Y. Toric intraocular lenses: Correcting astigmatism while controlling axis shift. J Cataract Refract Surg. 1994;20:523–6. - PubMed
    1. Seth SA, Bansal RK, Ichhpujani P, Seth NG. Comparative evaluation of two toric intraocular lenses for correcting astigmatism in patients undergoing phacoemulsification. Indian J Ophthalmol. 2018;66:1423–8. - PMC - PubMed
    1. Ram J, Singh R, Gupta R, Bhutani G, Gupta PC, Sukhija J. Toric intraocular lens implantation in children with developmental cataract and preexisting corneal astigmatism. Acta Ophthalmol. 2017;95:e95–100. - PubMed
    1. Miyake T, Kamiya K, Amano R, Iida Y, Tsunehiro S, Shimizu K. Long-term clinical outcomes of toric intraocular lens implantation in cataract cases with preexisting astigmatism. J Cataract Refract Surg. 2014;40:1654–60. - PubMed

LinkOut - more resources