Abstract
Purpose
To evaluate the effectiveness of the Toric implantable contact lens in correcting high myopic astigmatism.
Methods
A 44-year-old woman's uncorrected visual acuity was 0.08 in the right eye and 0.125 in the left eye. The refractive errors of her eyes were −11.75Dsph. : −5.0D cyl.axis 3° in the right eye and −1.0Dsph.: −3.0D cyl.axis 178° in the left eye. Her best corrected visual acuity was 0.5 in the right eye and 1.0 in the left eye. Toric implantable contact lenses were implanted in both eyes without any no intra-operative complications.
Results
Six months after surgery, her uncorrected visual acuities were 0.8 in the right eye and 1.0 in the left eye. The refractive errors were −0.5D sph. : −0.5D cyl.axis 120° in the right eye and −0.25Dsph. : −1.5D cyl.axis 13° in the left eye. The best corrected visual acuity was 1.0 in the both eyes. In these eyes, there was no cataract or spike of intraocular pressure.
References
1. Stulting RD, Carr JD, Thompson KP, et al. Complications of laser in situ keratomileusis for the correction of myopia. Ophthalmology. 1999; 106:13–20.
2. Dulaney DD, Barnet RW, Perkins SA, Kezirian GM. Laser in situ keratomileusis for myopia and astigmatism: 6 month results. J Cataract Refract Surg. 1998; 24:758–64.
3. Kawesch GM, Kezirian GM. Laser in situ keratomileusis for high myopia with the VISX Star laser. Ophthalmology. 2000; 107:653–61.
4. Moreno BE, Merayo LJ, Marcos S, et al. Ocular aberrations before and after myopic corneal refractive surgery: LASIK-induced changes measured with laser ray tracing. Invest Ophthalmol Vis Sci. 2001; 42:1396–403.
5. Mrochen M, Kaemmerer M, Seiler T. Clinical results of wavefront-guided laser in situ keratomileusis 3 months after surgery. J Cataract Refract Surg. 2001; 27:201–7.
6. Gimbel HV, Zie'mba SL. Management of myopic astigmatism with phakic intraocular lens implantation. J Cataract Refract Surg. 2002; 28:883–6.
7. Zaldivar R, Davidorf JM, Oscherow S, et al. Combined posterior chamber phakic intraocular lens and laser in situ keratomileusis: bioptics for extreme myopia. J Refract Surg. 1999; 15:299–308.
8. Ame JL, Lesueur LC, Hulin HH. Photorefractive keratectomy or laser in situ keratomileusis for residual refractive error after phakic intraocular lens implantation. J Cataract Refract Surg. 2003; 29:1167–73.
9. Bleckmann H, Keuch RJ. Implantation of spheric phakic posterior chamber intraocular lenses in astigmatic eyes. J Cataract Refract Surg. 2002; 28:805–9.
10. Yoon KC, Park YK, Cho CW, Park YG. Effect of Implantable Contact Lens for High Myopia. J Korean Ophthalmol Soc. 2004; 45:38–44.
11. Chun YS, Lee JH, Lee JM, et al. Outcomes after Implantable Contact Lens for Moderate to High Myopia. J Korean Ophthalmol Soc. 2004; 45:480–9.
12. Uusitalo RJ, Aine E, Sen NH, Laatikainen L. Implantable contact lens for high myopia. J Cataract Refract Surg. 2002; 28:29–36.
13. Rashad KM. Laser in situ keratomileusis for myopic anisometropia in children. J Refract Surg. 1999; 15:429–35.