TORIC INTRAOCULAR LENS IMPLANTATION AND LIMBAL RELAXING INCISIONS IN CASE OF SURGICALLY INDUCED HIGH ASTIGMATISM: COMPLICATED CATARACT SURGERY

In patients suffering from cataract and astigmatism it is preferable to use the method of phacoemulsification with toric intraocular lens implantation. Patient A. A. presented to"Shengavit" Medical Center with low and blurred vision of the left eye, lack of binocular vision, diplopia, which forced him to close the left eye. The left eye visual acuity was 0.09 with correction sph (-) 2.75, cyl(-) 8.0 ax 160 = 0.3; intraocular pressure made 10 mm Hg. The patient previously underwent a trabeculectomy with basal iridectomy because of primary open-angle glaucoma I-b. In order to improve the eyesight function and correct the induced high astigmatism the left eye surgery has been applied: phacoemulsification using "Legacy Everest" ("Alcon", USA) with toric intraocular lens implantation and limbal relaxing incisions. Based on data obtained it has been revealed that phacoemulsification with toric intraocular lens implantation and limbal relaxing incisions application for a patient with cataract and high induced astigmatism are the most preferred methods, which can improve both visual functions and the topography of the cornea in patients with the specified eye impairment.