|
KMID : 0360220220630121028
|
|
Journal of the Korean Ophthalmological Society
2022 Volume.63 No. 12 p.1028 ~ p.1032
|
|
|
A Case Exhibiting Late, Postoperative, Toric Intraocular Lens Rotation
|
|
Kim Hyun-Woo
Lee Sang-Hee
Lee Chong-Eun
Lee Kyoo-Won
Seo Sam
|
|
|
Abstract
|
|
|
Purpose: We present a case of spontaneous toric intraocular lens (IOL) rotation in the late postoperative period (after 10 months).
Case summary: A 44-year-old male underwent phacoemulsification and placement of an IOL (AcrySof IQ Toric, Alcon Laboratories Inc., Fort Worth, FL, USA) in the right eye. The preoperative best corrected visual acuities (BCVAs) were 0.2 in the right eye and 0.3 in the left eye, and the corneal astigmatisms -2.25 × 175° and -2.25 × 178°. Ten months later, the astigmatic IOL axis was 85° (the initial [correct] value). The BCVA after surgery was 1.0. At 11 months postoperatively, the patient presented with a sudden decrease in visual acuity in the right eye. The IOL had rotated 50° clockwise; we decided to reposition it. A capsular tension ring had been placed during surgery. The IOL was re-aligned but rotated again 1 week later. We replaced the IOL with a monofocal non-toric IOL (enVista MX60, Bausch & Lomb, Rochester, NY, USA).
Conclusions: Severe toric IOL rotation is a late postoperative complication.
|
|
|
KEYWORD
|
|
|
Astigmatism, Cataract surgery, IOL rotation, Toric IOL
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|