ASCRS 2025: Rotational stability and outcomes with 'monofocal plus' toric IOL with Gregory Moloney, FRANZCO, FRCSC

Gregory Moloney, FRANZCO, FRCSC, presented a straightforward but impactful study evaluating a design modification in the Eyhance toric IOL at the 2025 American Society of Cataract and Refractive Surgery annual meeting, held April 25 to 28 in Los Angeles, California. "This study is simple. The message is really, really clear and quick," Moloney explained, setting the tone for his findings on rotational stability improvements.

The key change tested was the introduction of a frosted haptic, replacing the previous polished design. "We were looking to test whether or not a design modification in the Eyhance toric lens resulted in improved or better rotational stability," he said. Patients were assessed at day 1, week 1, and 3 months post-implantation.

The results were promising. In a cohort of 98 eyes from 65 patients, the mean IOL rotation was just 1.73 degrees. "The mean average IOL rotation was 1.73 degrees, which is really very acceptable," Moloney noted. Notably, 95% of patients experienced less than 5 degrees of rotation. "I think as surgeons that's reassuring for us that we can trust this platform," he added.

Beyond objective measurements, patient-reported outcomes were also encouraging. Using a near vision questionnaire, preoperative scores (typically around 20 to 23) dropped significantly to an average of 6 postoperatively, suggesting that "near vision tasks were perceived to be easier after implantation of this lens."

Summing up the study’s practical impact, Moloney stated, "All we wanted to know personally from our perspective was...can we trust this lens to be rotationally stable?" His conclusion was confident: "Surgeons can feel reassured that a rotation rate of under 5 degrees in almost every patient...is a stable platform."