Sutured piggyback toric intraocular lenses to correct high astigmatism.
Identifieur interne : 007163 ( Main/Merge ); précédent : 007162; suivant : 007164Sutured piggyback toric intraocular lenses to correct high astigmatism.
Auteurs : James P. Gills [États-Unis]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2003.
English descriptors
- KwdEn :
- MESH :
- methods : Lens Implantation, Intraocular.
- surgery : Astigmatism.
- Aged, Cataract Extraction, Corneal Topography, Female, Humans, Lenses, Intraocular, Rotation, Suture Techniques, Visual Acuity.
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 (IOLs), 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.
PubMed: 12648658
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