Purpose: To evaluate visual performance of a small aperture extended depth of focus intraocular lens (IOL) in patients with irregular corneas from various underlying causes. Method: A retrospective chart review of nine patients (mean age of 46.6 + 11.6 years) with monocular implantation of IC-8 IOL (a hydrophobic acrylic non-toric IOL with an opaque mini ring measuring 3.23 mm in total diameter with a 1.36 mm central aperture) was undertaken. All patients' monocular uncorrected distance visual acuity (UCDVA) and near visual acuity were analysed. Results: At three months, 8/9 (89) of patients were 6/9 or better UCDVA in their IC-8 eye. Of the IC-8 implanted eyes 6/9 (67) achieved N6 or better uncorrected near visual acuity. UCDVA of at least 6/9 or better was attained even in presence of up to 2.50D corneal astigmatism. Conclusion: Implantation of a small aperture IOL provides patients with good simultaneous distance and near visual acuity, even in the presence of significant corneal astigmatism.
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