Spontaneous rotation of a toric implantable collamer lens related to abnormal ciliary body morphology: a case report

被引:10
作者
Chen, Qian [1 ,2 ]
Zeng, Qingyan [2 ]
Wang, Zheng [3 ]
Pan, Chao [2 ]
Lei, Xiaohua [2 ]
Tan, Weina [1 ,2 ]
机构
[1] Wuhan Univ, Aier Eye Hosp, Wuhan, Hubei, Peoples R China
[2] Hankou Aier Eye Hosp, Machang Rd, Wuhan, Hubei, Peoples R China
[3] Aier Inst Refract Surg, Guangzhou, Guangdong, Peoples R China
关键词
Ciliary body; Myopic astigmatism; Rotation; Toric implantable Collamer Lens; AXIS ALIGNMENT; STABILITY;
D O I
10.1186/s12886-020-01597-5
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
BackgroundThis is a case of spontaneous toric implantable collamer lens (TICL) rotation that occurred twice in the left eye of a patient.Case presentationA 24-year-old gentleman received TICL implantation for treatment of myopic astigmatism encountered with spontaneous rotation of approximately 90 degrees from its original position. TICL reposition procedure was performed with visual outcome of 20/16. Surprisingly, a re-rotation of TICL occurred. The patient underwent a replacement of non-toric ICL with a larger size after careful re-evaluation with final visual outcome of 20/20. A short and small ciliary process with shallow ciliary sulcus and posteriorly positioned ciliary body was found by Ultrasound Biomicroscopy (UBM).ConclusionsThe unique morphology of the ciliary body may have a potential association with the vault and instability of implanted ICL. Careful examination of the ciliary body morphology is essential in preoperative evaluation.
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页数:4
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