combined special capsular tension ring and toric iol implantation for management of post-dalk high regular astigmatism with subluxated traumatic cataract

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ID: 178491
2014
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Abstract
We report a case of 18-year-old male who has undergone phacoemulsification with implantation of toric IOL (AcrySof IQ SN6AT9) after fixation of lens capsule with Cionni′s capsular tension ring (CTR) for subluxated traumatic cataract with high astigmatism after deep anterior lamellar keratoplasty (DALK). He underwent right eye DALK for advanced keratoconus four years earlier. He had history of trauma one year later with displaced clear crystalline lens into  anterior chamber and graft dehiscence, which was repaired successfully. The graft survived, but patient developed cataract with subluxated lens, for which phacoemulsification with implantation of toric IOL was done. Serial  topography showed regular corneal astigmatism of -5.50 diopter (K 1 42.75 D @130°, K 2 48.25 D @40°). At 10-month follow-up, the patient has BCVA 20/30 with + 0.75 DS/- 1.75 DC @ 110°. The capsular bag is quite stable with well-centered IOL. Combination of Cionni′s ring with toric IOL could be a good option to manage such complex cases.
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kandar2014indiancombined Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Asim Kumar Kandar
Journal Bioinformatics
Year 2014
DOI
10.4103/0301-4738.138294
URL
http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=7;spage=819;epage=822;aulast=Kandar
Keywords
Optical coherence tomography systematic review surgery methodology quality of life e-learning ophthalmology personality medical education ophthalmic drug delivery satisfaction biometry spectral domain optical coherence tomography systemic gas residency training cornea solid lipid nanoparticles psychosocial bevacizumab psychosocial impact functional blunt trauma retinal detachment individualized Personal optic pit nanosponges

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