Impact of the line of sight on toric phakic intraocular lenses for hyperopia.

Abstract

We present a hyperopic patient with a decentered line of sight in whom the residual refractive error after toric phakic intraocular lens (TP IOL) implantation was improved by displacement and individualized treatment. A 35-year-old woman presented with asthenopic complaints 2 months after bilateral TP IOL implantation and IOL rotation 4 weeks later. Examination revealed the line of sight to be nasally and inferiorly decentered in relation to the center of the pupil. A more nasal reenclavation of the TP IOL decreased the coma, and the uncorrected visual acuity was 20/20. We conclude that line of sight should be measured before TP IOL implantation, especially in hyperopic eyes.

• Authors: Ulrike B Kottler, Mana Tehrani, H Burkhard Dick
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 30 Issue 8 Pg. 1799-801 (Aug 2004) ISSN: 0886-3350 [Print] United States
• PMID: 15313311 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Asthenopia (etiology)
• Astigmatism (surgery)
• Corneal Topography
• Female
• Foreign-Body Migration (etiology)
• Humans
• Hyperopia (surgery)
• Lens Implantation, Intraocular (adverse effects)
• Lens, Crystalline (physiology)
• Pupil (physiology)
• Reoperation
• Vision Disorders (etiology)
• Visual Acuity