Cataract surgery and lens implantationStatus of toric intraocular lensesHorn, Jeffrey D Author Information Vision For Life, Nashville, Tennessee, USA Correspondence to Jeffrey D. Horn, MD, Medical Director, Vision For Life, 2011 Church Street, Suite 801, Nashville, TN 37203, USA Tel: +1 615 329 9575; e-mail: [email protected] Current Opinion in Ophthalmology: February 2007 - Volume 18 - Issue 1 - p 58-61 doi: 10.1097/ICU.0b013e328011f9bf Buy Metrics Abstract Purpose of review To provide an update on the status of toric intraocular lenses. These lenses can be used as an alternative or adjunct to corneal astigmatic incisions for correcting preexisting astigmatism in patients with cataracts. They are a particularly attractive option in those cases where limbal-relaxing incisions are not powerful or predictable enough. Other toric lenses may correct astigmatism in addition to spherical refractive errors in phakic patients. Recent findings Toric lenses have continued to gain popularity with the US Food and Drugs Administration (FDA) approval of the Acrysof Toric intraocular lenses. This lens is designed to be implanted in patients undergoing cataract removal and who have significant preexisting corneal astigmatism. In the FDA clinical trial, study patients received one of the three cylindrical powers, and control patients received a standard monofocal intraocular lenses. The study found that the Acrysof Toric intraocular lenses provided excellent visual outcomes and exhibited excellent rotational stability. With the Acrysof Toric intraocular lenses, the average lens rotation was less than 4° from the lens' initial placement at 6 months after surgery. Summary Toric intraocular lenses provide excellent vision for astigmatic cataract patients, and new designs are significantly improving visual acuity by minimizing the risk of rotation. © 2007 Lippincott Williams & Wilkins, Inc.