title: Rotation and decentration of an undersized plate-haptic trifocal toric intraocular lens in an eye with moderate myopia.
abstract: We present the case of a 56-year-old woman with moderate myopia and bilateral cataract who had cataract extraction and intraocular lens (IOL) implantation. Due to the patient's desire for spectacle independence, a trifocal IOL with toric correction for astigmatism was implanted. During the follow-up, it became obvious that the implanted IOL had rotated and tilted due to insufficient fixation in the large capsular bag of the myopic eye. An IOL explantation was therefore performed, and the original IOL was exchanged for a bifocal toric IOL with a larger overall diameter. Stable fixation of the IOL in the capsular bag was achieved, and after surgery in the second eye, the patient recovered good bilateral vision. This case illustrates the need for careful selection of IOL diameter and sizing even in patients with moderate myopia due to the potentially larger ocular dimensions in these patients.
authors.affiliation: From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.
authors.forename: Bert C
authors.initials: BC
authors.lastname: Giers
authors.affiliation: From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.
authors.forename: Ramin
authors.initials: R
authors.lastname: Khoramnia
authors.affiliation: From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.
authors.forename: Lea F
authors.initials: LF
authors.lastname: Weber
authors.affiliation: From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany.
authors.forename: Tamer
authors.initials: T
authors.lastname: Tandogan
authors.affiliation: From the Department of Ophthalmology (Auffarth, Giers, Tandogan, Khoramnia, Weber), the International Vision Correction Research Center, and the David J. Apple International Laboratory for Ocular Pathology (Auffarth, Giers, Tandogan, Khoramnia), University of Heidelberg, Heidelberg, Germany. Electronic address: gerd.auffarth@med.uni-heidelberg.de.
authors.forename: Gerd U
authors.initials: GU
authors.lastname: Auffarth
mesh_terms: D060437:Artificial Lens Implant Migration / Q000209:etiology*; D001251:Astigmatism / Q000601:surgery; D002386:Cataract / Q000150:complications*; D020878:Device Removal; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008875:Middle Aged; D009216:Myopia / Q000150:complications*; D018918:Phacoemulsification; D012086:Reoperation; D012399:Rotation; D014792:Visual Acuity / Q000502:physiology