A Case of Corrected Residual Refractive Error after Cataract Surgery with the Sulcoflex Piggyback IOL

Jong Soo Lee; Young Hee Kim; Jung Yul Park; Sung Il Kim

doi:10.3341/jkos.2014.55.12.1890

Journal List > J Korean Ophthalmol Soc > v.55(12) > 1009874

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Lee, Kim, Park, and Kim: A Case of Corrected Residual Refractive Error after Cataract Surgery with the Sulcoflex Piggyback IOL

Case Report

J Korean Ophthalmol Soc 2014;55(12):1890-1894.

Published online: 2 September 2014

DOI: https://doi.org/10.3341/jkos.2014.55.12.1890

A Case of Corrected Residual Refractive Error after Cataract Surgery with the Sulcoflex Piggyback IOL

Jong Soo Lee, MD, PhD¹, Young Hee Kim, MD², Jung Yul Park, MD¹, Sung Il Kim, MD¹

¹Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea

²BGN Eye Clinic, Busan, Korea

Address reprint requests to Jong Soo Lee, MD, PhD, Department of Ophthalmology, Pusan National University Hospital, #179 Gudeok-ro, Seo-gu, Busan 602-739, Korea, Tel: 82-51-240-7321, Fax: 82-51-242-7341, E-mail: jongsool@pusan.ac.kr

Received 21 March 2014 Revised 12 June 2014 Accepted 24 November 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of corrected residual refractive error after cataract surgery with sulcoflex piggyback intraouclar lens (IOL).

Case summary

A 77-year-old man was diagnosed as having hypermature cataract in the right eye and his corrected visual acuity in the same eye was hand-motion before surgery. Refractive error was +9.0 diopter (D) 6 months after conventional cataract surgery in the right eye. The authors performed additional cataract surgery using a piggyback method inserting a +10.0 D IOL in the ciliary sulcus. Four weeks after surgery, his refractive error was −1.25 D, visual acuity increased to 120/200 and 60/200 (with and without correction, respectively). No complication was observed during follow-up time and the patient was satisfied with his results.

Conclusions

Correction of residual refractive error after cataract surgery with sulcoflex piggyback IOL is safe and effective.

Keywords: Cataract surgery, Piggyback, Residual refractive error, Sulcoflex IOL

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Figure 1.

(A) The sulcoflex intraouclar lens (IOL) is placed on the central hinge of injector and pressed downward slightly. (B) The cartridge wings are closed and the secondary IOL is inserted into the ciliary sulcus. (C) Ophthalmic viscosurgical device is washed out. (D) The secondary IOL is well located in the ciliary sulcus.

Figure 2.

(A) Photograph of the sulcoflex intraouclar lens (IOL). The 6.5 mm optics reduce the risk of pupillary block and the 14 mm haptics maintain centration. Sulcoflex has a concave posterior surface to avoid contact with primary IOL. (B) Comparison between conventional piggyback IOL (left) and sulcoflex IOL (right). Specific design for sulcoflex IOL reduces physical contact between 2 IOLs.

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