Transscleral fixation of a toric intraocular lens to correct aphakic keratoplasty with high astigmatism

被引:17
作者
Borkenstein, Andreas F. M. [1 ]
Reuland, Andreas [1 ]
Limberger, Il-Joo [1 ]
Rabsilber, Tanja M. [1 ]
Auffarth, Gerd U. [1 ]
机构
[1] Heidelberg Univ, Dept Ophthalmol, Int Vis Correct Res Ctr, INF 400, D-69120 Heidelberg, Germany
关键词
IMPLANTATION;
D O I
10.1016/j.jcrs.2008.10.062
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A 71-year-old man with penetrating keratoplasty (PKP) and aphakia in the right eye and a pre-operative refraction of +20.0 -11.0 x 38 and logMAR visual acuity of 20/60 presented to our hospital. The capsular support was absent because of previous complicated intracapsular cataract extraction. The implanted IOL was a custom-made Rayner 570T with +20.5 diopters (D) sphere and + 11.0 D cylinder. The IOL's special haptics allowed it to be safely fixated in the sagittal plane. The postoperative retraction was +1.0 -2.0 x 5 with logMAR acuity of 20/60. Follow-up of 2 years revealed no IOL decentration. Transscleral fixation of a toric IOL requires exact outlining. Our case shows that this is possible and can result in improved visual rehabilitation. J Cataract Refract Surg 2009; 35:934-938 (C) 2009 ASCRS and ESCRS
引用
收藏
页码:934 / 938
页数:5
相关论文
共 17 条
[1]  
Auffarth G, 2007, OPHTHALMOLOGE, V104, P1024, DOI 10.1007/s00347-007-1659-x
[2]   Prospective, non-randomised, long term clinical evaluation of a foldable hydrophilic single piece intraocular lens: results of the Centerflex FDA study [J].
Becker, K. A. ;
Martin, M. ;
Rabsilber, T. M. ;
Entz, B. B. ;
Reuland, A. J. ;
Auffarth, G. U. .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2006, 90 (08) :971-974
[3]  
Becker KA, 2004, OPHTHALMOLOGE, V101, P600, DOI 10.1007/s00347-003-0951-7
[4]   Early rotational stability of the longer Staar toric intraocular lens - Fifty consecutive cases [J].
Chang, DF .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2003, 29 (05) :935-940
[5]   Evaluation of a toric intraocular lens with a Z-haptic [J].
De Silva, Don Julian ;
Ramkissoon, Yashin D. ;
Bloom, Philip A. .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2006, 32 (09) :1492-1498
[6]   Compensation of corneal astigmatism with toric intraocular lens:: Results of a multicentre study [J].
Dick, H. B. ;
Krummenauer, F. ;
Troeber, L. .
KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE, 2006, 223 (07) :593-608
[7]  
Gerten G, 2001, OPHTHALMOLOGE, V98, P715, DOI 10.1007/s003470170077
[8]   Combined toric intraocular lens implantation and relaxing incisions to reduce high preexisting astigmatism [J].
Gills, JP ;
Van Der Karr, M ;
Cherchio, M .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2002, 28 (09) :1585-1588
[9]  
HOLZER MP, 2004, 18 K DEUTSCHSPR GES, P377
[10]   Toric IOL and postkeratoplasty astigmatism [J].
Mohammadpour, Mehrdad .
OPHTHALMOLOGY, 2007, 114 (04) :825-826