[Limbal relaxing incision or the more curved meridian incision associated to phacoemulsification with multifocal intraocular lens implant: three case reports].
The use of multifocal intraocular lenses (IOLs) is a great advance in the treatment of patients with cataract allowing near and distance uncorrected visual acuity recovery. However patients with some degrees of corneal astigmatism have some limitations. We present 3 cases that were indicated for phacoemulsitfication and multifocal intraocular lens implant (AcrySof Restor, Alcon Labs) after limbal relaxing incision (LRI) in the dominant eye and axis topographic incision in the fellow eye. There was no similar case report in the literature. It is believed that this association can extend the indications for multifocal intraocular lens implants in patients with significant corneal astigmatism and this possibility should be confirmed by future studies.
Departamento de Oftalmologia da Universidade de São Paulo, São Paulo, Brasil. witaks@yahoo.com.br
Wilson Takashi
WT
Hida
Antonio Francisco Pimenta
AF
Motta
Daniela Lumi
DL
Inomata
Martha de Queiroz Monteiro
Mde Q
Jales
Antonio Carlos
AC
Facio Júnior
Newton Kara
NK
José Júnior
Celso Takashi
CT
Nakano
D000368:Aged; D001251:Astigmatism / Q000473:pathology / Q000534:rehabilitation*; D019781:Corneal Topography; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D016850:Limbus Corneae / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*