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Exchange of a dual-optic, accommodative IOL against a toric, monofocal IOL for the correction of residual astigmatism and myopia

Poster Details

First Author: F.Kretz GERMANY

Co Author(s):    G. Auffarth              

Abstract Details


Emmetropia correction in a pseudophacic patient with residual myopia and astigmatism after implantation of an accommodative dual-optic IOL with no accommodative function.


International Vision Correction and Research Center (IVCRC), University Ophthalmology Hospital, Heidelberg, Germany


A 58 year old, pseudophacic patient presented in our outpatient department with a BCVA of OD: -1.0/-1.0/125° = -0.1 (logMAR). The cataract surgery with implantation of an accommodative dual-optic IOL was performed 4 month ago, but myopia and astigmatism didn’t resolve. Also a revision had been performed 2 month before. The biometry was performed with the IOLMaster V5.4 and the IOL power was calculated with the Holladay 1 formula. After explantation of the dual-optic IOL, a monofocal, toric IOL (Oculentis, Germany) (+17.00/2.25/45°) was implanted.


Surgery went without capsular damage or any other complications. UCVA one day postoperatively was 0.0 logMAR and increased to -0.1 logMAR 13 days later. During follow up period of 2 months UCVA stayed stable.


Explantation of a dual-optic, accommodative IOL is a challenging situation, even for experienced anterior segment surgeons. With carefully preparation and cutting the IOL, it can be moved out without any tissue damage to implant another IOL in the bag. Still further studies have to be done to prove our experiences. FINANCIAL DISCLOSURE?: ... research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, ... research is funded, fully or partially, by a competing company

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