Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (4): 174-180.doi: 10.6040/j.issn.1673-3770.0.2024.106

• Original Article • Previous Articles     Next Articles

The study on the accuracy of TORIC IOL axis examination and its influencing factors using OPD Overview mode

ZHOU Weiwei1, LIU Zhen1, ZHANG Yi1, LIU Hanjing1, ZHU Yan2, ZHU Yuguang2   

  1. 1. School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, Shandong, China2. Affiliated Hospital of Shandong Second Medical University, School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, Shandong, China
  • Online:2025-07-20 Published:2025-08-11

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Abstract: Objective To study the accuracy of Toric IOL axial position examination with the OPD Scan Ⅲ Overview mode after the implantation of Toric IOL, and analyze the factors affecting the measurement accuracy of Toric IOL axial position. Method Petrospective cohort study. From November 2021 to November 2022, a total of 100 patients(100 eyes)who underwent phacoemulsification combined with TECNIS Toric IOL(AMO)implantation in our hospital were selected. The patients were followed up with residual corneal astigmatism examination 1 day, 1 week and 1 month after the operation. The axial position of Toric IOL was measured with the OPD overview mode, the mydriatic OPD overview mode, the OPD Toric mode and the slit-lamp method. Based on the measurement results in the OPD Toric mode, the differences and consistency of the measurement results of the 4 methods were analyzed. To analyze the accuracy of TORIC IOL axis examination according to IOL axial position deviation(APD), the OPD data of patients with a large IOL APD(APD>5°)and those with an accurate IOL APD(APD≤3°)were selected for comparisons such as the photopic pupil diameter(Photopic), the mesopic pupil diameter(Mesopic), the photopic Kappa angle(PDist), the mesopic Kappa angle(MDist), the distance from the mesopic pupil center to the photopic pupil center(MPDist)and so on. Results The residual astigmatism of the patients was significantly lower than that before the surgeries at 1 day, 1 week and 1 month after the operation(P<0.05). The results showed that the absolute values of the axial deviation of Toric IOL measured with OPD Overview mode, OPD Toric mode and slit lamp method were 2.37±2.21°, 0° and 0.74±0.64°, respectively, with high accuracy and consistency. The absolute value of the axial deviation in the mydriatic OPD overview mode was 4.34±3.98°, which was significantly different from that in the other three modes. The differences of the IOL axial position measurement were statistically significant with the OPD Overview mode, the mydriatic OPD Overview mode, the OPD Toric mode and the slit-lamp mode(Z=104.97, P<0.001). There were no statistically significant differences between OPD Overview mode and OPD Toric mode, OPD Overview mode and slit lamp method, and OPD Toric method and slit lamp method(P>0.05). There was a positive correlation between the APD and PDist(Photopic Kappa angle)(r=0.135, P=0.034).There was no significant correlation between APD and the Photopic pupil diameter(Photopic), Mesopic pupil diameter(Mesopic), MDist and MPDist(P>0.05). Conclusion The OPD Overview mode was an objective and accurate IOL axial position measurement method with certain application value in ophthalmology. PDist is one of the factors affecting the APD measurement with the OPD Overview mode.

Key words: OPD, Toric IOL, Axial position, Photopic Kappa angle

CLC Number: 

  • R776.1
[1] Goto S, Maeda N. Corneal topography for intraocular lens selection in refractive cataract surgery[J]. Ophthalmology, 2021, 128(11): e142-e152. doi:10.1016/j.ophtha.2020.11.016
[2] Cicinelli MV, Buchan JC, Nicholson M, et al. Cataracts[J]. Lancet, 2023, 401(10374): 377-389. doi:10.1016/S0140-6736(22)01839-6
[3] Goggin M. Toric intraocular lenses: evidence-based use[J]. Clin Exp Ophthalmol, 2022, 50(5): 481-489. doi:10.1111/ceo.14106
[4] Hayashi K, Yoshida M, Hayashi S, et al. Long-term changes in the refractive effect of a toric intraocular lens on astigmatism correction[J]. Graefes Arch Clin Exp Ophthalmol, 2022, 260(2): 509-519. doi:10.1007/s00417-021-05406-7
[5] 刘夏薇, 朱子诚, 温跃春. 裂隙灯显微镜角度计在Toric人工晶状体植入术后早期随访IOL轴位向变化观察的应用[J]. 实用防盲技术, 2021, 16(2): 48-50. doi:10.3969/j.issn.1673-3835.2021.02.002 LIU Xiawei, ZHU Zicheng, WEN Yuechun. Application of slit lamp microscope goniometer in measuring the change of astigmatic axis position of IOL after Toric IOL implantation[J]. Journal of Practical Preventing Blind, 2021, 16(2): 48-50. doi:10.3969/j.issn.1673-3835.2021.02.002
[6] Sasaki K, Eguchi S, Miyata A, et al. Anterior capsule coverage and rotational stability of an acrylic toric intraocular lens[J]. J Cataract Refract Surg, 2021, 47(5): 618-621. doi:10.1097/j.jcrs.0000000000000489
[7] Zeilinger J, Hienert J, Ruiss M, et al. Rotational stability of a new toric intraocular lens with an advanced optical profile[J]. J Cataract Refract Surg, 2023, 49(6): 584-588. doi:10.1097/j.jcrs.0000000000001158
[8] Srinivasan S. Correction of corneal astigmatism and stability of toric intraocular lenses[J]. J Cataract Refract Surg, 2021, 47(11): 1385-1386. doi:10.1097/j.jcrs.0000000000000836
[9] Sandoval HP, Lane S, Slade S, et al. Evaluating rotational stability of an extended depth of focus toric intraocular lens using a slit lamp and image-based analysis[J]. Clin Ophthalmol, 2020, 14: 2405-2410. doi:10.2147/OPTH.S272240
[10] Zhu XJ, Meng JQ, He WW, et al. Comparison of the rotational stability between plate-haptic toric and C-loop haptic toric IOLs in myopic eyes[J]. J Cataract Refract Surg, 2020, 46(10): 1353-1359. doi:10.1097/j.jcrs.0000000000000259
[11] Zhang Z, Li H, Zhou J, et al. Clinical evaluation of toric intraocular lens implantation based on iTrace wavefront keratometric astigmatism[J]. BMC Ophthalmol, 2020, 20(1): 450. doi:10.1186/s12886-020-01726-0
[12] Yuan XY, Song H, Peng G, et al. Prevalence of corneal astigmatism in patients before cataract surgery in Northern China[J]. J Ophthalmol, 2014, 2014: 536412. doi:10.1155/2014/536412
[13] Chen WR, Zuo CG, Chen CY, et al. Prevalence of corneal astigmatism before cataract surgery in Chinese patients[J]. J Cataract Refract Surg, 2013, 39(2): 188-192. doi:10.1016/j.jcrs.2012.08.060
[14] Villegas EA, Alcón E, Artal P. Minimum amount of astigmatism that should be corrected[J]. J Cataract Refract Surg, 2014, 40(1): 13-19. doi:10.1016/j.jcrs.2013.09.010
[15] Hughes RP, Vincent SJ, Read SA, et al. Higher order aberrations, refractive error development and myopia control: a review[J]. Clin Exp Optom, 2020, 103(1): 68-85. doi:10.1111/cxo.12960
[16] Oshika T, Okamoto C, Samejima T, et al. Contrast sensitivity function and ocular higher-order wavefront aberrations in normal human eyes[J]. Ophthalmology, 2006, 113(10): 1807-1812. doi:10.1016/j.ophtha.2006.03.061
[17] 黄子彦. 不同类型人工晶状体植入术后倾斜和偏心影响视觉质量的研究现状[J]. 山东大学耳鼻喉眼学报, 2022, 36(6): 26-31, 44. doi:10.6040/j.issn.1673-3770.0.2021.544 HUANG Ziyan. Effects of tilt and decentration on visual quality after various intraocular lens implantations[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 26-31, 44. doi:10.6040/j.issn.1673-3770.0.2021.544
[18] Alpins N, Ong JKY, Stamatelatos G. Hemidivisional vector planning to reduce and regularize irregular astigmatism by laser treatment[J]. Graefes Arch Clin Exp Ophthalmol, 2022, 260(9): 3095-3106. doi:10.1007/s00417-022-05604-x
[19] Wendelstein JA, Hoffmann PC, Mariacher S, et al. Precision and refractive predictability of a new nomogram for femtosecond laser-assisted corneal arcuate incisions[J]. Acta Ophthalmol, 2021, 99(8): e1297-e1306. doi:10.1111/aos.14837
[20] Kawahara A. Predicting residual astigmatism in cataract surgery[J]. Vision(Basel), 2022, 6(4): 70. doi:10.3390/vision6040070
[21] Kawahara A. Prediction of postoperative refractive astigmatism before toric intraocular lens implantation[J]. BMC Ophthalmol, 2021, 21(1): 202. doi:10.1186/s12886-021-01959-7
[22] Kramer BA, Hardten DR, Berdahl JP. Rotation characteristics of three toric monofocal intraocular lenses[J]. Clin Ophthalmol, 2020, 14: 4379-4384. doi:10.2147/OPTH.S285818
[23] Carey PJ, Leccisotti A, McGilligan VE, et al. Assessment of toric intraocular lens alignment by a refractive power/corneal analyzer system and slitlamp observation[J]. J Cataract Refract Surg, 2010, 36(2): 222-229. doi:10.1016/j.jcrs.2009.08.033
[24] 栗勇涛, 张红, 田芳, 等. iTrace像差仪在Toric人工晶状体植入术后轴位测量中的应用[J]. 眼科新进展, 2017, 37(2): 161-163. doi:10.13389/j.cnki.rao.2017.0042 LI Yongtao, ZHANG Hong, TIAN Fang, et al. Application of iTrace aberration in measuring lens alignment after Toric intraocular lens implantation[J]. Recent Advances in Ophthalmology, 2017, 37(2): 161-163. doi:10.13389/j.cnki.rao.2017.0042
[25] 赵抒羽, 何锦贤, 吴燕纯, 等. OPD-ScanⅢ型像差分析仪评估高度近视合并白内障患者植入三焦点IOL术后视觉质量[J]. 国际眼科杂志, 2022, 22(2): 318-321. doi:10.3980/j.issn.1672-5123.2022.2.28 ZHAO Shuyu, HE Jinxian, WU Yanchun, et al. Clinical application of OPD - Scan Ⅲ aberration analyzer in evaluating the implantation of trifocal intraocular lens in patients with high myopia complicated with cataract[J]. International Eye Science, 2022, 22(2): 318-321. doi:10.3980/j.issn.1672-5123.2022.2.28
[26] Wan KH, Liao XL, Yu M, et al. Wavefront aberrometry repeatability and agreement—a comparison between pentacam AXL wave, iTrace and OPD-scan III[J]. Ophthalmic Physiol Opt, 2022, 42(6): 1326-1337. doi:10.1111/opo.13047
[27] Saad A, Frings A, Druchkiv V, et al. Pre- and postoperative angle kappa in MIOL patients after touch-up LASIK[J]. PLoS One, 2023, 18(4): e0283578. doi:10.1371/journal.pone.0283578
[28] 胡东瑞, 曾庆森, 金赣英, 等. 利用OPD scanⅢ与传统裂隙灯法评估Toric IOL轴位的对比研究[J]. 国际眼科杂志, 2020, 20(9): 1514-1518. doi:10.3980/j.issn.1672-5123.2020.9.09 HU Dongrui, ZENG Qingsen, JIN Ganying, et al. Comparative study on the evaluation of Toric intraocular lens axial position using OPD scan Ⅲ and traditional slit lamp method[J]. International Eye Science, 2020, 20(9): 1514-1518. doi:10.3980/j.issn.1672-5123.2020.9.09
[29] Cervantes-Coste G, Tapia A, Corredor-Ortega C, et al. The influence of angle alpha, angle kappa, and optical aberrations on visual outcomes after the implantation of a high-addition trifocal IOL[J]. J Clin Med, 2022, 11(3): 896. doi:10.3390/jcm11030896
[30] Sheppard AL, Wolffsohn JS, Bhatt U, et al. Clinical outcomes after implantation of a new hydrophobic acrylic toric IOL during routine cataract surgery[J]. J Cataract Refract Surg, 2013, 39(1): 41-47. doi:10.1016/j.jcrs.2012.08.055
[31] Wallerstein A, Ridgway C, Gatinel D, et al. Angle kappa influence on multifocal IOL outcomes[J]. J Refract Surg, 2023, 39(12): 840-849. doi:10.3928/1081597X-20231101-01
[32] Bonaque-González S, Jaskulski MT, Carmona-Ballester D, et al. Influence of angle Kappa on the optimal intraocular orientation of asymmetric multifocal intraocular lenses[J]. J Optom, 2021, 14(1): 78-85. doi:10.1016/j.optom.2020.07.004
[33] 胡颖峰, 贾玉叶, 王艳, 等. Kappa与Alpha角在白内障手术前后的变化分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 83-89. doi:10.6040/j.issn.1673-3770.0.2021.365 HU Yingfeng, JIA Yuye, WANG Yan, et al. Changes of kappa angle and alpha angle before and after cataract surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 83-89. doi:10.6040/j.issn.1673-3770.0.2021.365
[34] Tchah H, Nam K, Yoo A. Predictive factors for photic phenomena after refractive, rotationally asymmetric, multifocal intraocular lens implantation[J]. Int J Ophthalmol, 2017, 10(2): 241-245. doi:10.18240/ijo.2017.02.10
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