Abstract | BACKGROUND: CASE REPORT: A 74-year-old patient presented with endothelial decompensation and an uncorrected distance visual acuity (UDVA) of 1.0 logMAR for penetrating keratoplasty on the right eye due to a Fuchs endothelial dystrophy. Postoperatively, the uncorrected distance visual acuity improved to 0.8 logMAR, with pinhole correction to 0.5 logMAR. After removing the sutures a high and irregular corneal astigmatism of 21.0 D was found. The corrected distance visual acuity (CDVA) with a refraction of + 5.5 D sph, - 21.0 D cyl 90° was 0.24 logMAR. Therefore an individually manufactured toric additive intraocular lens of + 25.0 D cylindrical and - 18.0 D spherical power for sulcus implantation was chosen and implanted uneventfully. Eight months after surgery refractive astigmatism was reduced significantly to - 0.75 D with an UDVA of 0.08 logMAR and a CDVA of 0.02 logMAR. During the 8-months follow-up period the additive IOL remained centered and no IOL rotation could be observed. CONCLUSION:
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Authors | K Linz, G U Auffarth, F T A Kretz |
Journal | Klinische Monatsblatter fur Augenheilkunde
(Klin Monbl Augenheilkd)
Vol. 231
Issue 8
Pg. 788-92
(Aug 2014)
ISSN: 1439-3999 [Electronic] Germany |
Vernacular Title | Implantation einer additiven Intraokularlinse in den Sulcus ciliaris zur Korrektur eines hochgradigen Astigmatismus nach Triple Procedure. |
PMID | 25025646
(Publication Type: Case Reports, English Abstract, Journal Article)
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Copyright | Georg Thieme Verlag KG Stuttgart · New York. |
Topics |
- Aged
- Anisometropia
(diagnosis, surgery)
- Astigmatism
(diagnosis, surgery)
- Female
- Follow-Up Studies
- Fuchs' Endothelial Dystrophy
(surgery)
- Humans
- Keratoplasty, Penetrating
- Lens Implantation, Intraocular
(methods)
- Lenses, Intraocular
- Postoperative Complications
(diagnosis, surgery)
- Prosthesis Design
- Reoperation
- Visual Acuity
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