Indian Journal of Ophthalmology

BRIEF COMMUNICATION
Year
: 2014  |  Volume : 62  |  Issue : 7  |  Page : 819--822

Combined special capsular tension ring and toric IOL implantation for management of post-DALK high regular astigmatism with subluxated traumatic cataract


Asim Kumar Kandar 
 Department of Ophthalmology, Vasan Eye Care Hospital, Puducherry, India

Correspondence Address:
Asim Kumar Kandar
Department of Ophthalmology, Cataract, Cornea and Refractive Surgery Services, Vasan Eye Care Hospital, No. 1, Villupuram Main Road, Puducherry - 605 005
India

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«SQ»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«SQ»s ring with toric IOL could be a good option to manage such complex cases.


How to cite this article:
Kandar AK. Combined special capsular tension ring and toric IOL implantation for management of post-DALK high regular astigmatism with subluxated traumatic cataract.Indian J Ophthalmol 2014;62:819-822


How to cite this URL:
Kandar AK. Combined special capsular tension ring and toric IOL implantation for management of post-DALK high regular astigmatism with subluxated traumatic cataract. Indian J Ophthalmol [serial online] 2014 [cited 2020 Oct 1 ];62:819-822
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=7;spage=819;epage=822;aulast=Kandar;type=0