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
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