AIM: To observe clinical results of multifocal intraocular lens(MIOL)and matching astigmatic intraocular lens(IOL)for cataract patients with corneal astigmatism.

METHODS:Twenty patients(40 eyes)were included into the observation group. One eye with corneal astigmatism 1.50-2.50D(2.15±0.87D)was implanted astigmatic IOL(Acrysof Toric, Alcon); another eye with corneal astigmatism less than 1.50D(0.78±0.26D)was implanted MIOL. In the control group, 20 patients(40 eyes)with corneal astigmatism less than 1.00D(0.62±0.34D)were implanted MIOL in both eyes. 3 months after surgery, uncorrected distant vision and near vision with one eye and both eyes were observed in two groups.

RESULTS: In the observation group, uncorrected distant vision and near vision were 0.81±0.32 and 0.58±0.27 with Toric IOL, 0.76±0.28 and 0.67±0.24 with MIOL. There were no statistical differences(t=0.797,P>0.05; t=1.243,P>0.05). Uncorrected distant vision and near vision with both eyes were 0.90±0.33 and 0.79±0.22 in the observation group, 0.92±0.25 and 0.85±0.28 in the control group, there were no statistical differences(t=0.601, P>0.05; t=0.875, P>0.05).

CONCLUSION: MIOL and matching astigmatic IOL are good choice to increase vision without glasses for cataract patients with corneal astigmatism.