PURPOSE: To compare the outcomes of multifocal toric intraocular lens (IOL) implantation and standard nontoric multifocal IOL implantation combined with peripheral corneal relaxing incisions (PCRIs) in @entity1 with moderate preexisting corneal @entity940 . SETTING: Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom. DESIGN: Prospective randomized controlled trial. METHODS: @entity1 with visually significant @entity231 in both eyes who desired spectacle independence and had corneal @entity940 (1.00 to 2.50 diopters [D]) had multifocal @entity2790 and a nontoric multifocal IOL combined with PCRIs (Donnenfeld nomogram) in the contralateral eye. Outcome measures were visual acuity, astigmatic @entity2790 , spectacle need, and @entity1 satisfaction. RESULTS: Thirty @entity1 were enrolled. Three months postoperatively, the mean residual refractive @entity940 was 0.45 D    0.49 (SD) in the toric IOL group and 0.72    0.61 D in the PCRI group. The mean uncorrected distance visual acuity was 0.10    0.14 in the toric IOL group and 0.15      0.14 in the PCRI group and the mean uncorrected near visual acuity, 0.43    0.11 and 0.39    0.10, respectively. The mean absolute misalignment from the intended axis was 2.52      1.97 degrees. The rotation was within   3 degrees in 90.9% of all cases and within   6 degrees in all cases. On the questionnaire, 52.9% of all @entity1 said they required spectacles only when reading for a long time. CONCLUSION: Although refractive @entity940 decreased in both groups, multifocal @entity2790 was predictable with good rotational stability. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.

Multifocal toric intraocular lenses versus multifocal intraocular lenses combined with peripheral corneal relaxing incisions to correct moderate XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity2790 :: ('MESH:D009798', 'Disease') :: ['toric IOL implantation', 'toric IOL implantation in 1 eye', 'vector reduction, digital toric IOL axis determination'] @entity940 :: ('MESH:D001251', 'Disease') :: ['astigmatism'] @entity231 :: ('MESH:D002386', 'Disease') :: ['cataract']
@entity940 :: (MESH:D001251,Disease) :: ['astigmatism']
