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 |