AIM: To evaluate and compare aspheric toric intraocular lens (IOL) implantation and aspheric monofocal IOL implantation with limbal relaxing incisions (LRI) to manage low corneal @entity940 (1.0-2.0 D) in @entity231 surgery. METHODS: A prospective randomized comparative clinical study was performed. There were randomly recruited 102 eyes (102 @entity1 ) with @entity231 associated with corneal @entity940 and divided into two groups. The first group received toric IOL implantation and the second one monofocal IOL implantation with peripheral corneal relaxing incisions. Outcomes considered were: visual acuity, postoperative residual @entity940 , endothelial cell count, the need for spectacles, and @entity1 satisfaction. To determine the postoperative toric axis, all @entity1 who underwent the toric IOL implantation were further evaluated using an OPD Scan III (Nidek Co, Japan). Follow-up lasted 6mo. RESULTS: The mean uncorrected distance visual acuity (UCVA) and the best corrected visual acuity (BCVA) demonstrated statistically significant improvement after surgery in both groups. At the end of the follow-up the UCVA was statistically better in the @entity1 with toric IOL implants compared to those @entity1 who underwent implantation of monofocal IOL plus LRI. The mean residual refractive @entity940 was of 0.4 D for the toric IOL group and 1.1 D for the LRI group (P<0.01). No difference was observed in the postoperative endothelial cell count between the two groups. CONCLUSION: The two surgical procedures demonstrated a significant decrease in refractive @entity940 . @entity2790 was more effective and predictable compared to the limbal relaxing incision.

Correction of low corneal XXXX in @entity231 surgery.

@entity940 :: ('MESH:D001251', 'Disease') :: ['astigmatism'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2790 :: ('MESH:D009798', 'Disease') :: ['Toric IOL implantation'] @entity231 :: ('MESH:D002386', 'Disease') :: ['cataracts', 'cataract']
@entity940 :: (MESH:D001251,Disease) :: ['astigmatism']
