Cataract Extraction and Toric Intraocular Lens Implantation for the Management of Pellucid Marginal Degeneration and Cataract

ABSTRACT We report cataract surgery with toric intraocular lens implantation for the management of senile cataract combined with pellucid marginal degeneration. A 72-year-old man with bilateral senile cataract and significant against-the-rule astigmatism sought counseling for blurry vision and glare, mostly in the right eye. Based on ophthalmic examination and corneal topography, a diagnosis of pellucid marginal degeneration and cataract was made. Since visual acuity and refraction had been stable in the past 3 years, the patient underwent cataract extraction and implantation of a custom-designed toric posterior chamber intraocular lens. Postoperative follow-up of 1.5-year demons- trated marked improvement in visual acuity, stable refraction and patient satisfaction. This treatment for pellucid marginal degeneration offers the simplicity of regular cataract surgery, and avoids the known complications of keratoplasty and other corneal surgical manipulation for the management of pellucid marginal degeneration. How to cite this article Bahar I, Bialer O. Cataract Extraction and Toric Intraocular Lens Implantation for the Management of Pellucid Marginal Degeneration and Cataract. Int J Keratoco Ectatic Corneal Dis 2012;1(1):66-67.

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Visual outcome of conventional extra-capsular cataract extraction with posterior chamber intraocular lens implantation versus manual small incision cataract surgery

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v1i2.3694 ◽

1970 ◽

Vol 1 (2) ◽

pp. 151

Author(s):

A Sharma ◽

P Lavaju

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

Visual Outcome ◽

Cataract Extraction ◽

Posterior Chamber ◽

Intraocular Lens Implantation ◽

Small Incision Cataract Surgery ◽

Small Incision ◽

Posterior Chamber Intraocular Lens ◽

Lens Implantation

DOI: 10.3126/nepjoph.v1i2.3694 Nep J Oph 2009;1(2):151

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Unilateral Multifocal Intraocular Lens Implantation in a Patient with Adie’s Pupil

Case Reports in Ophthalmology ◽

10.1159/000492106 ◽

2018 ◽

Vol 9 (2) ◽

pp. 369-374 ◽

Cited By ~ 1

Author(s):

Stephen A. LoBue ◽

Fukutaro Mano ◽

Erin Schaefer ◽

Thomas D. LoBue

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Cataract Extraction ◽

Posterior Chamber ◽

Bilateral Cataract ◽

Multifocal Iol ◽

Pupillary Constriction ◽

Lens Implantation ◽

The Right ◽

Bilateral Cataract Extraction

Purpose: To report a case of a patient with unilateral Adie’s pupil who underwent bilateral cataract extraction with multifocal and monofocal posterior chamber intraocular lens (IOL) implantation. Methods: A 74-year-old woman presented to our institution complaining of worsening near vision. Gross examination revealed a 6-mm fixed pupil on the right eye (OD) and a 5-mm pupil reacting to 3 mm with light on the left eye (OS). Slit lamp examination revealed a tonic pupil with an exaggerated pupillary constriction to dilute pilocarpine OD. Dilated exam revealed 2–3+ nuclear and cortical lens changes bilaterally. The patient’s active lifestyle, personality, and biometry measurements made her a good candidate for multifocal IOL (MfIOL) implantation OS. Femtosecond laser-assisted cataract extraction with a ReSTOR +3 ADD (SN60D1) implantation was performed OS. Monofocal lens implantation (SN60WF) was performed OD 6 months later. Results: One year postoperatively, our patient had an uncorrected visual acuity (VAsc) of 20/15 for distance and J10 for near OD. Her VAsc was 20/25 +1 for distance and J1 for near OS. Visual acuity when using both eyes was 20/15 for distance and J1 for near. Conclusion: Optimizing success for MfIOL implantation is a multifactorial process. Large pupils preoperatively are of particular concern, as this may lead to increased dysphotopsia with pupil-dependent MfIOLs. Thus, patients with unilateral mydriasis, such as Aide’s pupil, may have a beneficial outcome combining multifocal-monofocal implantation after bilateral cataract extraction, especially if they are not a candidate for monovision but desire spectacle independence.

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A case series of bilateral electric cataract in high-voltage electrical injury

Asian Journal of Ophthalmology ◽

10.35119/asjoo.v13i4.171 ◽

1970 ◽

Vol 13 (4) ◽

pp. 163-167

Author(s):

K Fariduddin ◽

S Samanta ◽

C Chakraborty

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

High Voltage ◽

Case Series ◽

Posterior Chamber ◽

Intraocular Lens Implantation ◽

Slit Lamp ◽

Posterior Chamber Intraocular Lens ◽

Lens Implantation ◽

The Right

A 39 year-old female presented with progressive diminution of vision in the right eye for six months after sustaining an injury from a high-voltage electric current to the right side of her forehead, face, around the right eye and to the scalp. On examination with the slit lamp, the right eye showed a mature cataract and anterior subcapsular opacities, with early lental opacity in left eye. She suffered from lagophthalmos and slight conjunctival congestion in the right eye. Vision in the right eye was only perception of light and in the left eye accurate projection of rays and 6/24. From the history, the type of injury (wound of entry and exit), and slit-lamp examination confirmed a case of bilateral electric cataract. We performed manual smallincision cataract surgery with posterior chamber intraocular lens implantation in right eye and in the left eye, using local anesthesia. Postoperative visual acuity was only 3/20 in the right eye and 6/6 in the left eye. In this case we have seen three circumscribed retinal lesions in the right eye; the left eye it was normal. This has been documented.The second case was a 20-year-old male, who was admitted to our center with bilateral electric cataract. He was treated the same way as the first case. He regained normal BCVA after cataract surgery with posterior chamber intraocular lens implantation.

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