Rotation and decentration of an undersized plate-haptic trifocal toric intraocular lens in an eye with moderate myopia.
Identifieur interne : 000085 ( Main/Exploration ); précédent : 000084; suivant : 000086Rotation and decentration of an undersized plate-haptic trifocal toric intraocular lens in an eye with moderate myopia.
Auteurs : Bert C. Giers [Allemagne] ; Ramin Khoramnia [Allemagne] ; Lea F. Weber [Allemagne] ; Tamer Tandogan [Allemagne] ; Gerd U. Auffarth [Allemagne]Source :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2016.
Abstract
We present the case of a 56-year-old woman with moderate myopia and bilateral cataract who had cataract extraction and intraocular lens (IOL) implantation. Due to the patient's desire for spectacle independence, a trifocal IOL with toric correction for astigmatism was implanted. During the follow-up, it became obvious that the implanted IOL had rotated and tilted due to insufficient fixation in the large capsular bag of the myopic eye. An IOL explantation was therefore performed, and the original IOL was exchanged for a bifocal toric IOL with a larger overall diameter. Stable fixation of the IOL in the capsular bag was achieved, and after surgery in the second eye, the patient recovered good bilateral vision. This case illustrates the need for careful selection of IOL diameter and sizing even in patients with moderate myopia due to the potentially larger ocular dimensions in these patients.
DOI: 10.1016/j.jcrs.2016.02.001
PubMed: 27063530
Affiliations:
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Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Khoramnia, Ramin" sort="Khoramnia, Ramin" uniqKey="Khoramnia R" first="Ramin" last="Khoramnia">Ramin Khoramnia</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. 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Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Auffarth, Gerd U" sort="Auffarth, Gerd U" uniqKey="Auffarth G" first="Gerd U" last="Auffarth">Gerd U. Auffarth</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany. Electronic address: gerd.auffarth@med.uni-heidelberg.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. 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Giers</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Khoramnia, Ramin" sort="Khoramnia, Ramin" uniqKey="Khoramnia R" first="Ramin" last="Khoramnia">Ramin Khoramnia</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Weber, Lea F" sort="Weber, Lea F" uniqKey="Weber L" first="Lea F" last="Weber">Lea F. Weber</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Tandogan, Tamer" sort="Tandogan, Tamer" uniqKey="Tandogan T" first="Tamer" last="Tandogan">Tamer Tandogan</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Auffarth, Gerd U" sort="Auffarth, Gerd U" uniqKey="Auffarth G" first="Gerd U" last="Auffarth">Gerd U. Auffarth</name><affiliation wicri:level="3"><nlm:affiliation>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany. Electronic address: gerd.auffarth@med.uni-heidelberg.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="eISSN">1873-4502</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We present the case of a 56-year-old woman with moderate myopia and bilateral cataract who had cataract extraction and intraocular lens (IOL) implantation. Due to the patient's desire for spectacle independence, a trifocal IOL with toric correction for astigmatism was implanted. During the follow-up, it became obvious that the implanted IOL had rotated and tilted due to insufficient fixation in the large capsular bag of the myopic eye. An IOL explantation was therefore performed, and the original IOL was exchanged for a bifocal toric IOL with a larger overall diameter. Stable fixation of the IOL in the capsular bag was achieved, and after surgery in the second eye, the patient recovered good bilateral vision. This case illustrates the need for careful selection of IOL diameter and sizing even in patients with moderate myopia due to the potentially larger ocular dimensions in these patients.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li></region><settlement><li>Heidelberg</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Giers, Bert C" sort="Giers, Bert C" uniqKey="Giers B" first="Bert C" last="Giers">Bert C. Giers</name></region><name sortKey="Auffarth, Gerd U" sort="Auffarth, Gerd U" uniqKey="Auffarth G" first="Gerd U" last="Auffarth">Gerd U. Auffarth</name><name sortKey="Khoramnia, Ramin" sort="Khoramnia, Ramin" uniqKey="Khoramnia R" first="Ramin" last="Khoramnia">Ramin Khoramnia</name><name sortKey="Tandogan, Tamer" sort="Tandogan, Tamer" uniqKey="Tandogan T" first="Tamer" last="Tandogan">Tamer Tandogan</name><name sortKey="Weber, Lea F" sort="Weber, Lea F" uniqKey="Weber L" first="Lea F" last="Weber">Lea F. Weber</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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