51. Evaluating the effect of splitting cylindrical power on improving patient tolerance to toric lens misalignment.
- Author
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Dhallu, Sandeep K., Sheppard, Amy L., and Wolffsohn, James S.
- Subjects
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INTRAOCULAR lens complications , *PEOPLE with visual disabilities , *ASTIGMATISM (Optics) , *LENS design & construction , *VISUAL acuity , *VISUAL perception - Abstract
Purpose: Evaluating the impact of splitting toric power on patient tolerance to misorientation such as with intraocular lens rotation. Setting: University vision clinic. Methods: Healthy, non astigmats had +1.50D astigmatism induced with spectacle lenses at 90°, 135°, 180° and +3.00D at 90°. Two correcting cylindrical lenses of the opposite sign and half the power each were subsequently added to the trial frame misaligned by 0°, 5° or 10° in a random order and misorientated from the initial axis in a clockwise direction by up to 15° in 5° steps. A second group of adapted astigmats with between 1.00 and 3.00DC had their astigmatism corrected with two toric spectacle lenses of half the power separated by 0°, 5° or 10° and misorientated from the initial axis in both directions by up to 15° in 5° steps. Distance, high contrast visual acuity was measured using a computerised test chart at each lens misalignment and misorientation. Results: Misorientation of the split toric lenses caused a statistically significant drop in visual acuity (F =70.341; p <0.001). Comparatively better acuities were observed around 180°, as anticipated (F =3.775; p =0.035). Misaligning the split toric power produced no benefit in visual acuity retention with axis misorientation when subjects had astigmatism induced with a low (F =2.190, p =0.129) or high cylinder (F =0.491, p =0.617) or in the adapted astigmats (F =0.120, p =0.887). Conclusion: Misalignment of toric lens power split across the front and back lens surfaces had no beneficial effect on distance visual acuity, but also no negative effect. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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