title: Management of myopic astigmatism with phakic intraocular lens implantation.
abstract: A 48-year-old woman presented with a manifest refraction of -9.25 -2.25 x 98 that resulted in a best corrected visual acuity (BCVA) of 20/20(-2) in the right eye. She was contact lens intolerant but was not a good candidate for laser in situ keratomileusis because of a thin cornea. A phakic posterior chamber intraocular lens (IOL) with a toric optic was implanted with no operative complications. One day after surgery, the uncorrected visual acuity (UCVA) was 20/15. Five months postoperatively, the UCVA in the operated eye was 20/15 with a manifest refraction of +0.25 -0.25 x 60 and a BCVA of 20/15. No changes to the crystalline lens or anterior lens capsule were seen. This is the first report of implantation of a toric phakic IOL in North America.
authors.affiliation: Gimbel Eye Centre, Calgary, Alberta, Canada.
authors.forename: Howard V
authors.initials: HV
authors.lastname: Gimbel
authors.forename: Steven L
authors.initials: SL
authors.lastname: Ziémba
mesh_terms: D001251:Astigmatism / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline; D007910:Lenses, Intraocular; D008875:Middle Aged; D009216:Myopia / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D012029:Refraction, Ocular; D014792:Visual Acuity