title: Decompensation of ocular torsion following malrotation of a toric intraocular lens.
abstract: Toric intraocular lenses (IOLs) are being increasingly used to correct corneal astigmatism in cataract surgery. A quarter of patients that undergo cataract surgery may benefit from a toric rather than a spherical IOL. However, these implants must be positioned accurately, because postoperative rotation of the toric IOL can have clinically significant consequences. We present the first documented case of a 78-year-old woman who presented with diplopia as a result of exacerbation of a preexisting torsion following toric lens implantation.
authors.affiliation: Singleton Hospital, Swansea, United Kingdom. Electronic address: ramskold@gmail.com.
authors.forename: Louise
authors.initials: L
authors.lastname: Ramskold
authors.affiliation: Hairmyres Hospital, East Kilbride, United Kingdom.
authors.forename: Vaishali
authors.initials: V
authors.lastname: Lodhia
authors.affiliation: Royal Free Hospital, London, United Kingdom.
authors.forename: Alistair
authors.initials: A
authors.lastname: Jones
authors.affiliation: Royal Free Hospital, London, United Kingdom.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Jain
mesh_terms: D000368:Aged; D060437:Artificial Lens Implant Migration / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019781:Corneal Topography; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D018918:Phacoemulsification; D014102:Torsion Abnormality / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology