Undesirable High Astigmatism after Penetrating Keratoplasty in Pseudophakia Corrected with an Add-On Toric Intraocular Lens

Bibliographic Details
Title: Undesirable High Astigmatism after Penetrating Keratoplasty in Pseudophakia Corrected with an Add-On Toric Intraocular Lens
Authors: Pau Cid-Bertomeu, Magí Vilaltella, Valentín Huerva
Source: Case Reports in Ophthalmology, Vol 14, Iss 1, Pp 307-313 (2023)
Publisher Information: Karger Publishers, 2023.
Publication Year: 2023
Collection: LCC:Ophthalmology
Subject Terms: astigmatism, toric lens, intraocular lens, keratoplasty, pseudophakic patients, add-on intraocular lens, Ophthalmology, RE1-994
More Details: The purpose of the present case is to report the visual outcomes of a pseudophakic patient with high post-penetrating keratoplasty astigmatism treated with implantation of toric AddOn® intraocular lens (IOL) in the sulcus. A 79-year-old man with a ophthalmologic history of pseudoexfoliative glaucoma and Fuchs endothelial dystrophy had a graft failure after Descemet’s stripping automated endothelial keratoplasty procedure on his right eye. Consequently, a penetrating keratoplasty was performed, and a high corneal astigmatism of −9.8 D to 140° resulted in that eye after selective suture removal. A secondary AddOn® toric IOL customized for the patient with a manufacturer-calculated power of +11.0 D was implanted to 50° in sulcus of the right eye. Subjective refraction was used for IOL calculation. Final refraction was +1.0 D of sphere and −2.0 D of cylinder power to 105°, with spherical equivalent of 0.0 D. Best corrected visual acuity was logMAR 0.1 (20/25, 0.8 decimal) 1 year after the IOL implant. Our case report demonstrates that the toric AddOn® secondary IOL can be effective and safe in correcting residual refractive error of high regular astigmatism after keratoplasty in pseudophakic eyes.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1663-2699
Relation: https://beta.karger.com/Article/FullText/530281; https://doaj.org/toc/1663-2699
DOI: 10.1159/000530281
Access URL: https://doaj.org/article/f7df580605d343118057db763de892e5
Accession Number: edsdoj.f7df580605d343118057db763de892e5
Database: Directory of Open Access Journals
More Details
ISSN:16632699
DOI:10.1159/000530281
Published in:Case Reports in Ophthalmology
Language:English