6533b820fe1ef96bd127a3ce

RESEARCH PRODUCT

Impact of the line of sight on toric phakic intraocular lenses for hyperopia

H. Burkhard DickMana TehraniUlrike Kottler

subject

AdultReoperationRefractive errormedicine.medical_specialtygenetic structuresEye diseasemedicine.medical_treatmentVision DisordersVisual AcuityComa (optics)Intraocular lensUncorrected visual acuityPhakic intraocular lensPupilVision disorderForeign-Body MigrationLens Implantation IntraocularOphthalmologyLens CrystallinemedicineHumansbusiness.industryAstigmatismCorneal TopographyPupilmedicine.diseaseeye diseasesSensory SystemsOphthalmologyHyperopiaOptometryFemaleSurgeryAsthenopiasense organsmedicine.symptombusiness

description

We present a hyperopic patient with a decentered line of sight in whom the residual refractive error after toric phakic intraocular lens (TP IOL) implantation was improved by displacement and individualized treatment. A 35-year-old woman presented with asthenopic complaints 2 months after bilateral TP IOL implantation and IOL rotation 4 weeks later. Examination revealed the line of sight to be nasally and inferiorly decentered in relation to the center of the pupil. A more nasal reenclavation of the TP IOL decreased the coma, and the uncorrected visual acuity was 20/20. We conclude that line of sight should be measured before TP IOL implantation, especially in hyperopic eyes.

yearjournalcountryeditionlanguage
2003-12-17Journal of Cataract and Refractive Surgery
https://doi.org/10.1016/j.jcrs.2003.12.046