Abstract:AIM:To evaluate the clinical effect of corneal astigmatism correction with Toric intraocular lens(IOL) in cataract surgery.Corneal astigmatism was determined by auto-keratometry and topography.Surgical induced astigmatism was personal to calculate IOL models and axis. METHODS:This study involved 43 cataract cases (43 eyes)with astigmatism. AcrySof Toric IOL implantation was adopted in the operation and placed at the target axis to evaluate the clinical effect of postoperative corneal astigmatism correction. RESULTS:The patients were followed up for 3 months with postoperative refractive assessments performed.33 eyes used T3,T4,T5 IOL,with 85% naked vision>0.5 and 70% naked vision>0.8. Preoperative corneal astigmatism was(1.64±0.53)D while postoperative corneal astigmatism was(0.63±0.32)D.10 eyes should have used T6,T7 IOL,but used T5 IOL,with naked vision>0.5. Residual astigmatism was near to the estimated numbers.The average IOL axis deviation of 43 eyes was 4.65°±4.21°on the first day after the operation. 84% IOL axis deviation was<10°.The mean axis rotation was 1.16°±1.84°in postoperative 3 months and 100% IOL axis rotation was<10°. CONCLUSION:Corneal astigmatism is determined by auto-keratometry and topography.Surgical induced astigmatism is personal to calculate IOL models and axis.The clinical effect of corneal astigmatism correction with Toric intraocular lens in cataract surgery proves to be successful. The rotational stability of Toric intraocular lens is good.