Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Brief Communication
  • Published:

‘Off the shelf’ toric intraocular lenses to allow better access in public healthcare: a randomised control study

Eye (2024)Cite this article

Subjects

Despite published benefits [1], toric intraocular lenses (TIOLs) comprise only 0.4% of IOLs implanted in the NHS [2]. Reasons include typically higher IOL prices, delivery logistics/costs as on-site storage of TIOLs is impractical due to large numbers of TIOL spherical and cylindrical combinations, and increased consultation/operative and administration times [3]. By using TIOLs with only two-cylinder powers, on-site TIOL banks might be feasible due to lower numbers of lens combinations and TIOL unit price possibly reduced by bulk manufacture [3].

This was an ethics approved (19/WA/0272), single-centre, prospective, single-masked, randomised case-control study, which adhered to the tenets of the Declaration of Helsinki and UK Data Protection Act (2018). Inclusion criteria were age over 18 with full capacity and symptomatic cataract(s), without other significant ocular pathologies and regular corneal astigmatism (1.50–5.00D).

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

References

  1. Kessel L, Andresen J, Tendal B, Erngaard D, Flesner P, Hjortdal J. Toric intraocular lenses in the correction of astigmatism during cataract surgery: a systematic review and meta-analysis. Ophthalmology 2016;123:275–86.

    Article  PubMed  Google Scholar 

  2. The Royal College of Ophthalmologists. National Ophthalmology Database Audit: Feasibility study of Post-cataract Posterior Capsule Opacification, 2021. Available from: https://www.nodaudit.org.uk/u/docs/20/rijbxkcubs/RCOphth%20NOD%20PCO%20Report%202021.pdf [Accessed 20th January 2023].

  3. Stanojcic N, Roberts H, Wagh V, Zuberbuhler B, O’Brart D. A randomised, prospective study of ‘off-the-shelf’ use of toric intraocular lenses for cataract patients with pre-existing corneal astigmatism in the NHS. Eye. 2020;34:1809–19.8u7.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Kavşut B, Özcan S, Tunçbilek Z, Nilgün S, Önder F. Cataract surgery outcomes: comparison of 2.4 mm and 2.8 mm clear corneal incisions. Van Med J. 2018;25:349–54.

    Article  Google Scholar 

  5. Ernest P, Hill W, Potvin R. Minimizing surgically induced astigmatism at the time of cataract surgery using a square posterior limbal incision. J Ophthalmol. 2011;2011:243170.

    PubMed  PubMed Central  Google Scholar 

Download references

Funding

This study was supported by a non-commercial grant from Rayner Ltd.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, St. Thomas’ Hospital, Lambeth Palace Road, London, SE1 7EH, UK

    Khayam Naderi, Ashmal Jameel, Sancy Low, Vijay Wagh, Mani Bhogal, Ailsa Ritchie, Scott Robbie, Chris Hammond, Moin Mohamed, Nick Stanojcic, Elodie Azan, Lily Lai & David O’Brart

  2. King’s College, London, WC2R 2LS, UK

    Khayam Naderi, Ashmal Jameel, Chris Hammond, Nick Stanojcic & David O’Brart

  3. Department of Optometry and Visual Science, School of Health and Psychological Sciences, City, University of London, Northampton Square, London, EC1V 0HB, UK

    Chris Hull

Authors
  1. Khayam Naderi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ashmal Jameel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sancy Low
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vijay Wagh
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mani Bhogal
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ailsa Ritchie
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Scott Robbie
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Chris Hammond
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Moin Mohamed
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Nick Stanojcic
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Elodie Azan
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Lily Lai
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Chris Hull
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. David O’Brart
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David O’Brart.

Ethics declarations

Competing interests

The authors declare no conflicts of interest.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Naderi, K., Jameel, A., Low, S. et al. ‘Off the shelf’ toric intraocular lenses to allow better access in public healthcare: a randomised control study. Eye (2024). https://doi.org/10.1038/s41433-024-03068-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1038/s41433-024-03068-3

Search

Advanced search

Quick links