Rotation and decentration of an undersized plate-haptic trifocal toric intraocular lens in an eye with moderate myopia

被引：10

作者：

Giers, Bert C. ^{[1
,2
,3
]}

Khoramnia, Ramin ^{[1
,2
,3
]}

Weber, Lea F. ^{[1
]}

Tandogan, Tamer ^{[1
,2
,3
]}

Auffarth, Gerd U. ^{[1
,2
,3
]}

机构：

[1] Heidelberg Univ, Dept Ophthalmol, Heidelberg, Germany

[2] Heidelberg Univ, Int Vis Correct Res Ctr, Heidelberg, Germany

[3] Heidelberg Univ, David J Apple Int Lab Ocular Pathol, Heidelberg, Germany

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 2016年 / 42卷 / 03期

关键词：

CLINICAL-OUTCOMES; IMPLANTATION; ASTIGMATISM; STABILITY;

D O I：

10.1016/j.jcrs.2016.02.001

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We present the case of a 56-year-old woman with moderate myopia and bilateral cataract who had cataract extraction and intraocular lens (IOL) implantation. Due to the patient's desire for spectacle independence, a trifocal IOL with toric correction for astigmatism was implanted. During the follow-up, it became obvious that the implanted IOL had rotated and tilted due to insufficient fixation in the large capsular bag of the myopic eye. An IOL explantation was therefore performed, and the original IOL was exchanged for a bifocal toric IOL with a larger overall diameter. Stable fixation of the IOL in the capsular bag was achieved, and after surgery in the second eye, the patient recovered good bilateral vision. This case illustrates the need for careful selection of IOL diameter and sizing even in patients with moderate myopia due to the potentially larger ocular dimensions in these patients. (c) 2016 ASCRS and ESCRS

引用

页码：489 / 493

页数：5

共 20 条

[1]

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