Purpose: To describe the use of toric trans-plugs IOL to correct aphakia with significant corneal astigmatism. Methods: Case report and literature review. Results: A 62-year-old man with an history of aphakia in his left eye after a traumatic cataract extraction and significant corneal astigmatism was referred to our clinic. Surgery plan was cataract remnants removal and secondary IOL implantation of toric sutureless trans-scleral plugs fixated IOL (FIL SSF, Soleko, Italy). The postoperative course was uneventful. At 12 months, the IOL was well-centered and the optic alignment remained stable with minimal total astigmatism. The e uncorrected distance visual acuity (UDVA) was 20/25 Snellen while correct distance visual acuity (CDVA) was 20/20 with a manifest refraction of −0.25–50 40° D; the patient was satisfied by the visual outcome. Conclusion: This novel toric trans-scleral plug fixated lens provides valuable outcomes also for astigmatic correction for a comprehensive correction of the aphakia in patients with poor zonular support and high expectations for postoperative visual quality
De Angelis, L., Barca, F., Vicini, G., Giansanti, F., Rizzo, S., Caporossi, T., Toric trans-scleral plugs IOL to correct aphakia with significant corneal astigmatism, <<EUROPEAN JOURNAL OF OPHTHALMOLOGY>>, 2022; 33 (2): 1244-1247. [doi:10.1177/11206721221124638] [https://hdl.handle.net/10807/249823]
Toric trans-scleral plugs IOL to correct aphakia with significant corneal astigmatism
De Angelis, Livio;Barca, Francesco;Rizzo, Stanislao;Caporossi, Tomaso
2023
Abstract
Purpose: To describe the use of toric trans-plugs IOL to correct aphakia with significant corneal astigmatism. Methods: Case report and literature review. Results: A 62-year-old man with an history of aphakia in his left eye after a traumatic cataract extraction and significant corneal astigmatism was referred to our clinic. Surgery plan was cataract remnants removal and secondary IOL implantation of toric sutureless trans-scleral plugs fixated IOL (FIL SSF, Soleko, Italy). The postoperative course was uneventful. At 12 months, the IOL was well-centered and the optic alignment remained stable with minimal total astigmatism. The e uncorrected distance visual acuity (UDVA) was 20/25 Snellen while correct distance visual acuity (CDVA) was 20/20 with a manifest refraction of −0.25–50 40° D; the patient was satisfied by the visual outcome. Conclusion: This novel toric trans-scleral plug fixated lens provides valuable outcomes also for astigmatic correction for a comprehensive correction of the aphakia in patients with poor zonular support and high expectations for postoperative visual quality
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