Accommodating intraocular lens implantation in an epikeratophakia patient.
We report a case of implantation of the Crystalens AT-45SE and AT-52SE intraocular lenses in a highly myopic patient who had bilateral epikeratophakia surgery 15 years previously. Lessons learned from the first eye were taken into consideration when selecting the dioptric power for the fellow eye. With secondary interventions and meticulous lens calculations, the final outcomes were excellent and equivalent, allowing the patient to achieve uncorrected distance and intermediate visual acuities of 20/25 and near visual acuity of 20/50 in both eyes. To our knowledge, this is the first reported case of accommodating lens implantation in an epikeratophakic eye.
Eye Consultants of Texas, PA, 1643 Lancaster Drive, 305, Grapevine, Texas 76051, USA. plabor@eyecontx.com
Phillips Kirk
PK
Labor
Teresa
T
Ignacio
Maureen
M
Johnson
Linda
L
Janku-Lestock
D000065:Accommodation, Ocular; D001699:Biometry; D002386:Cataract / Q000150:complications; D017391:Epikeratophakia; D005260:Female; D006801:Humans; D007368:Interferometry; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D018918:Phacoemulsification; D014792:Visual Acuity / Q000502:physiology