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Sutured piggyback toric intraocular lenses to correct high astigmatism

Identifieur interne : 006F77 ( Main/Exploration ); précédent : 006F76; suivant : 006F78

Sutured piggyback toric intraocular lenses to correct high astigmatism

Auteurs : James P. Gills [États-Unis]

Source :

RBID : Pascal:03-0216711

Descripteurs français

English descriptors

Abstract

A 74-year-old woman presented for bilateral cataract surgery, which was performed 3 days apart. Corneal astigmatism was 4.25 diopters (D) in the right eye and 4.87 D in the left. After cataract extraction through 6.0 mm scleral incisions, 2 toric, plate-haptic, silicone intraocular lenses (lOLs), each with a 3.50 D cylinder add power (2.30 D at spectacle plane), were sutured together and implanted in the bag. Both eyes had limbal relaxing incisions postoperatively. Four months postoperatively, corneal astigmatism was 4.50 D in the right eye and 4.00 D in the left. Refractive astigmatism was 0.50 D with an uncorrected visual acuity of 20/40 in both eyes. No IOL rotation was observed. Suturing toric lenses together allows greater correction of astigmatism without concern about counter rotation of the lenses.


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Le document en format XML

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<term>Aged</term>
<term>Astigmatism</term>
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<term>Case study</term>
<term>Cataract</term>
<term>Cataract Extraction</term>
<term>Corneal Topography</term>
<term>Elderly</term>
<term>Female</term>
<term>High</term>
<term>Humans</term>
<term>Intraocular lens</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Posterior chamber</term>
<term>Rotation</term>
<term>Surgery</term>
<term>Suture Techniques</term>
<term>Toric lens</term>
<term>Treatment</term>
<term>Visual Acuity</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lens Implantation, Intraocular</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Astigmatism</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Cataract Extraction</term>
<term>Corneal Topography</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Rotation</term>
<term>Suture Techniques</term>
<term>Visual Acuity</term>
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<term>Astigmatisme</term>
<term>Haut</term>
<term>Traitement</term>
<term>Lentille intraoculaire</term>
<term>Lentille torique</term>
<term>Chambre postérieure</term>
<term>Etude cas</term>
<term>Personne âgée</term>
<term>Cataracte</term>
<term>Chirurgie</term>
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<div type="abstract" xml:lang="en">A 74-year-old woman presented for bilateral cataract surgery, which was performed 3 days apart. Corneal astigmatism was 4.25 diopters (D) in the right eye and 4.87 D in the left. After cataract extraction through 6.0 mm scleral incisions, 2 toric, plate-haptic, silicone intraocular lenses (lOLs), each with a 3.50 D cylinder add power (2.30 D at spectacle plane), were sutured together and implanted in the bag. Both eyes had limbal relaxing incisions postoperatively. Four months postoperatively, corneal astigmatism was 4.50 D in the right eye and 4.00 D in the left. Refractive astigmatism was 0.50 D with an uncorrected visual acuity of 20/40 in both eyes. No IOL rotation was observed. Suturing toric lenses together allows greater correction of astigmatism without concern about counter rotation of the lenses.</div>
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