title: Refractive lensectomy and accommodating lens implantation in a case of hyperopia.
abstract: We present a 39-year-old woman with high hyperopia who developed an intolerance to contact lenses due to dry-eye syndrome and Grave's disease. Refractive lensectomy with implantation of a custom-made +31.00 diopter (D) accommodating intraocular lens (IOL) (1CU, HumanOptics) was performed in both eyes. This foldable IOL has modified haptics with transmission elements that allow axial movement of the IOL optic and capsular bag secondary to contraction of the ciliary muscle. The calculated pseudophakic accommodation induced by the anterior shift of a +31.00 D IOL is 2.20 D per millimeter of axial displacement. After 6 months, the accommodative range determined by defocusing was 3.00 D. The subjective near point with best distance correction was 32.00 cm. Refractive lensectomy and implantation of an accommodating IOL based on focus shift may be a refractive solution in eyes with high hyperopia and a short axial length.
authors.affiliation: Department of Ophthalmology, Charité Medical Faculty, Humboldt University, Berlin, Germany. ingrid.lehrer@charite.de
authors.forename: Ingrid E
authors.initials: IE
authors.lastname: Lehrer
authors.forename: Manfred R
authors.initials: MR
authors.lastname: Tetz
authors.forename: Katharina
authors.initials: K
authors.lastname: Dumke
authors.forename: Peter
authors.initials: P
authors.lastname: Ruokonen
mesh_terms: D000065:Accommodation, Ocular; D000328:Adult; D002924:Ciliary Body / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000000981:diagnostic imaging / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D018918:Phacoemulsification / Q000379:methods; D011474:Prosthesis Design; D012029:Refraction, Ocular; D014463:Ultrasonography; D014792:Visual Acuity