scholarly journals Implantation of a trifocal toric intraocular lens to a patient with pigment dispersion syndrome

2019 ◽  
Vol 100 (3) ◽  
pp. 495-499
Author(s):  
R F Akhmetshin ◽  
M R Gilyazev ◽  
A T Galeeva ◽  
S N Bulgar

Aim. To present a clinical case of treatment of pigment dispersion syndrome by clear lens extraction and implantation of a toric intraocular lens in a patient with myopic astigmatism. Methods. A 33-year-old patient with a diagnosis of moderate myopia, complex mild myopic astigmatism, pigment dispersion syndrome of both eyes. Results. The first stage was laser peripheral iridotomy of both eyes. On follow-up pathological irido-zonular contact and increases intraocular pressure by 2 mm persisted. The second stage included clear lens extraction and implantation of a toric multifocal intraocular lens to both eyes. In 2 months, distance and near visual acuity was 1.0, intraocular pressure was normal, no pathological irido-zonular contact was observed according to the ultrasound biomicroscopy. Conclusion. Implantation of an intraocular lens in patients with myopia and pigment dispersion syndrome is both a method of preventing pigment glaucoma and myopia correction; patients with pigment dispersion syndrome after peripheral iridotomy should monitor the state of the anterior segment of the eye and the effectiveness of the treatment by ultrasound biomicroscopy.


2016 ◽  
Vol 15 (1) ◽  
pp. 34-39
Author(s):  
Devendra Maheshwari ◽  
Renagappa Ramakrishnan ◽  
Neelam Pawar

We report a 10-year-old boy with unusually dense, bilateral central posterior capsule pigmentation associated with the characteristic clinical features of pigment dispersion syndrome, including Krukenberg’s spindle and dense trabecular pigmentation in both eyes. There was no history of trauma , laser or intraocular surgeries . The presence of posterior or backward bowing of iris suggested a reverse pupillary block mechanism of pigment dispersion syndrome. Nd Yag laser peripheral iridotomy was performed in both eyes to relieve reverse pupillary block. Anterior segment optical coherence tomography (AS-OCT) showed reversal of iris concavity after laser iridotomy.



2015 ◽  
Vol 6 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Aditya Kelkar ◽  
Rachana Shah ◽  
Jai Kelkar ◽  
Shreekant Kelkar ◽  
Ekta Arora

Sutureless, glueless, scleral fixation of an intraocular lens is a known technique of fixing a lens in the scleral pockets. However, this technique is applied to single-piece and toric lenses instead of 3-piece lenses, allowing the advantage of the use of premium lenses in patients with poor capsular support. Favourable results without complications of pigment dispersion, iris transillumination defects, dysphotopsia, elevated intraocular pressure, intraocular hemorrhage and cystoid macular edema with a well-centered, stable intraocular lens have been observed in the 3-month postoperative period in both cases.



Eye ◽  
2002 ◽  
Vol 16 (6) ◽  
pp. 722-726 ◽  
Author(s):  
M O Balidis ◽  
C Bunce ◽  
K Boboridis ◽  
J Salzman ◽  
R P L Wormald ◽  
...  


2017 ◽  
Vol 8 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Hiroshi Sakai ◽  
Michiko Yonahara ◽  
Miyako Sakai

A 59-year-old woman was seen by an ophthalmologist for blurred vision, ocular pain, headache, and nausea. She was diagnosed with acute primary angle closure (APAC) and successfully treated with medications. Using ultrasound biomicroscopy (UBM), engorged episcleral vein was observed and small uveal effusion was diagnosed after laser peripheral iridotomy (LPI). The uveal effusion disappeared and was again diagnosed by UBM together with anterior segment inflammation with ocular pain. Iritis caused by LPI after APAC might be a cause of uveal effusion in this specific case.





Ophthalmology ◽  
2000 ◽  
Vol 107 (3) ◽  
pp. 435-440 ◽  
Author(s):  
Christian Y Mardin ◽  
Michael Küchle ◽  
Nhung X Nguyen ◽  
Peter Martus ◽  
Gottfried O.H Naumann


Ophthalmology ◽  
2011 ◽  
Vol 118 (8) ◽  
pp. 1563-1570 ◽  
Author(s):  
Florent Aptel ◽  
Sylvain Beccat ◽  
Vincent Fortoul ◽  
Philippe Denis


Ophthalmology ◽  
1994 ◽  
Vol 101 (2) ◽  
pp. 332-339 ◽  
Author(s):  
Seth D. Potash ◽  
Celso Tello ◽  
Jeffrey Liebmann ◽  
Robert Ritch


Ophthalmology ◽  
2012 ◽  
Vol 119 (1) ◽  
pp. 99-105 ◽  
Author(s):  
Chixin Du ◽  
Jianhua Wang ◽  
Xiaoyu Wang ◽  
Ying Dong ◽  
Yangshun Gu ◽  
...  


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