Customized ultra-high-power toric intraocular lens implantation for pellucid marginal degeneration and cataract.
I report a case of pellucid marginal degeneration (PMD) with cataract that was successfully treated with implantation of an ultra-high-power customized bitoric AT.Comfort 646TLC intraocular lens (IOL). The preoperative uncorrected distance visual acuity (UDVA) was 6/120 and the corrected distance visual acuity (CDVA), 6/24 with 10.9 diopters (D) of keratometric astigmatism on Scheimpflug imaging. After implantation of an IOL with -0.5 +16.0 x 170, the UDVA was 6/9 with a manifest refraction of +0.25 +1.25 x 150 and the CDVA, 6/6(-1). No surgical complications or postoperative problems occurred, and the patient was very satisfied with the outcome. A longer follow-up is required to confirm this favorable clinical result.


BACKGROUND
The author has no financial or proprietary interest in any material or method mentioned.
Luck
Jonathan
J
Royal United Hospital, Bath, United Kingdom. jon.luck@blueyonder.co.uk
D001251:Astigmatism / Q000209:etiology / Q000601:surgery; D002386:Cataract / Q000150:complications / Q000628:therapy*; D003317:Corneal Dystrophies, Hereditary / Q000150:complications / Q000601:surgery*; D019781:Corneal Topography; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008875:Middle Aged; D018918:Phacoemulsification; D011474:Prosthesis Design; D012029:Refraction, Ocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology