Results of cataract surgery with Z-flex hydrophilic acrylic Toric IOL

Adi Einan-Lifshitz, Yaniv Barkana, Yakov Goldich, Shay Gutfreund, Isaac Avni, David Zadok

Research output: Contribution to journalArticlepeer-review


Purpose. To report the outcome of cataract surgery with implantation of the Z-flex 690TA hydrophilic acrylic toric intraocular lens (IOL). Methods. We enrolled consecutive patients who had 1.75 D or more of preexisting corneal astigmatism. Patients had cataract extraction surgery with implantation of a Z-flex 690TA toric IOL (Medicontur, Hungary). Refractive outcomes, keratometry, correction ratio (CR), and error of magnitude (EM) were evaluated. results. Nineteen eyes of 13 patients were evaluated. Mean follow-up time was 4.3 ± 2.3 months. Mean preoperative keratometric astigmatism was 3.05 ± 0.74 D. Mean postoperative deviation from the anticipated spherical equivalent was +0.23 ± 0.39 D, with 100% of eyes achieving a spherical equivalent within ± 1.00 D of the target refraction. Mean deviation from the anticipated refractive cylinder was 0.46 ± 0.47 D. Mean IOL misalignment was 5.67 ± 6.45 degrees. Mean CR was 1.02 ± 0.22, and the mean EM was -0.09 ± 0.55 D. Conclusion. The Z-flex 690TA hydrophilic acrylic toric IOL implantation was safe, effective, and predictable in correcting corneal astigmatism during cataract surgery.

Original languageEnglish
Pages (from-to)333-338
Number of pages6
JournalEuropean Journal of Ophthalmology
Issue number3
StatePublished - 2013


  • Cataract surgery
  • Hydrophilic
  • Medicontur
  • Toric intraocular lens


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