Toric multifocal intraocular lens implantation in a post-LASIK cataract patient: a case report
Journal Title: Eye Science (Yanke Xuebao) - Year 2023, Vol 38, Issue 12
Abstract
It is reported a case of cataract phacoemulsification combined with toric multifocal intraocular lens (IOL) implantation after LASIK surgery in this article. A 42 year-old female patient who underwent bilateral LASIK surgery in other hospital 20 years ago. She visited our hospital due to blurred vision in her right eye for one year. The preoperative IOL Master examination results showed an axial length of 29.66 mm, anterior chamber depth of 3.18 mm, lens thickness of 4.75 mm, white to white distance of 11.6 mm, and anterior surface and total corneal astigmatism of 1.01 D @ 67° and 0.91 D @ 56°, respectively in right eye. The corneal astigmatism measured by Pentacam using 15° range simulated keratometry is 1.2 D@ 58.1°, which is a regular bow tie shape. No obvious abnormalities was found in the patient's fundus examination. Due to her strong desire to get rid of the glassesa toric bifocal IOL (AT LISA Toric 909M, Zeiss, Germany) was implanted. Based onthe IOL power calculation results of Barrett True-K Toric formula with measured posterior corneal astigmatism, an IOL with Sph 17.0 D/Cyl1.5 D/A 55° was chosen. One month after surgery, the patient's uncorrected distance visual acuity was 20/25, 35 cm uncorrected near visual acuity was 20/20, and the best corrected distance visual acuity was 20/20 with a prescription of –0.25 DS/–0.5 DC × 120°. The patient was satisfied with the outcome. After detailed preoperative evaluation and design, and sufficient communication with patients, toric multifocal IOL implantation can achieve good results in some apropriated for the patients after LASIK surgery.
Authors and Affiliations
Wenwen HE, Ching KANG, Kaiwen CHENG, Xiangjia ZHU
Keywords
Related Articles
- EP ID EP764708
- DOI 10.12419/2308300001
- Views 11
- Downloads 0
Definition and measurement of axial length: Clinical and research perspective
The prevention and control of myopia has become a national strategy, and the axial length is an important parameter in the documentation of myopia prevention and control. This review summarized the measurement technology...
A case of hyperopic drift after cataract surgery in a patient with previous laser in situ keratomileusis
It is reported in this article that a 40-year-old female patient presented with "progressive blurred vision of both eyes for 3 months". The patient underwent bilateral laser in situ keratomileusis (LASIK) because of high...
Expert consensus on the application of retrobulbar block
Retrobulbar block refers to the injection of local anesthetics into the muscle cone behind the eyeball, blocking the ciliary, oculomotor, and ciliary ganglion nerves, to provide pain relief, restrict eye movement, and re...
A brief discussion of the responsibilities of clinical research coordinator in ophthalmic clinical research
At present, clinical research in ophthalmology is full of broad development prospects, and how to persist high-quality clinical research based on maintaining a sound momentum of development has captivated attention. Data...
Research progress on diabetic retinopathy in pregnancy
Diabetic retinopathy is one of the leading causes of blindness in pregnant women. The influencing factors for the progression of diabetic retinopathy during pregnancy (including pregnancy, age, diabetes duration, hypergl...