Rotation stability of a toric intraocular lens with a second capsular tension ring.
An Acrysof toric intraocular lens (IOL) and a capsular tension ring (CTR) were implanted in the highly myopic eye of a 74-year-old white man during cataract surgery. On the first postoperative day, the IOL was found 90 degrees from the required position, with a consequent high amount of astigmatism. A second procedure was performed and because it was not possible to secure the toric IOL in the correct position, an additional in-the-bag CTR was inserted, with an immediate optimal outcome. The IOL remained stable up to the final follow-up examination. Co-implantation of a toric IOL and a single CTR has been reported. In our case, 2 CTRs were required to fixate the toric IOL in the correct position. This procedure is simple and safe and should be considered in cases of postoperatively misaligned toric IOLs.
From the Goldschleger Eye Institute, Sackler Faculty of Medicine, Tel-Aviv University, Sheba Medical Center, Tel Hashomer, Israel. Electronic address: odedsagiv@gmail.com.
Oded
O
Sagiv
From the Goldschleger Eye Institute, Sackler Faculty of Medicine, Tel-Aviv University, Sheba Medical Center, Tel Hashomer, Israel.
Dan
D
Sachs
D000368:Aged; D060437:Artificial Lens Implant Migration / Q000601:surgery*; D001251:Astigmatism / Q000209:etiology / Q000601:surgery*; D019781:Corneal Topography; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000150:complications; D018918:Phacoemulsification; D011446:Prospective Studies; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D012086:Reoperation; D012399:Rotation; D014792:Visual Acuity / Q000502:physiology