AIM: To discuss the efficacy of senile cataract with corneal astigmatism treated with Acrysof toric intraocular lens(IOL)implantation. to observe the clinical preoperative and postoperative visual function of Acrysof toric IOL implantation.

METHODS: In this is a retrospective observational study, 34 senile(39 eyes)cataract patients with corneal astigmatism underwent phacoemulsification combined with Acrysof toric IOL implantation. The preoperative and 3mo postoperative uncorrected visual acuity(UCVA), best corrected visual acuity(BCVA), postoperative residual astigmatism, toric lens axis, and spectacle independence were detected and compared.

RESULTS: Thirty-four patients(39 eyes)underwent phacoemulsification combined with Acrysof toric IOL implantation successfully. Preoperative UCVA was 0.15±0.06, 3mo postoperative UCVA increased to 0.65±0.15(P<0.01). Preoperative BCVA was 0.37±0.13, 3mo postoperative BCVA increased to 0.85±0.19(P<0.01).Preoperative corneal astigmatism was 2.14±0.69D and the postoperative residual astigmatism was 0.73±0.36D(P<0.01), 97% IOL rotation was <5%, the mean IOL rotation was 2.6°±1.3°, 95% patients were independence with spectacle at distance at 3mo postoperative.

CONCLUSION: Implantation of Acrysof totic IOL for correcting astigmatism is effective, the IOL has good rotation stability, and provides postoperative visual function.