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Astigmatic correction of ectatic corneas with toric IOLs in the bag

Poster Details

First Author: K.Diamantopoulou GREECE

Co Author(s):    E. Patsoura   B. Neureither   S. Georgaras        

Abstract Details


To evaluate the efficacy of toric intraocular lens (IOL) implantation for correcting irregular astigmatism in eyes with ectatic corneas, who undergo lens surgery.


: 1. Ophthalmos Research and Therapeutic Institute, Glyphada Athens, Greece 2. Hygeia Hospital, Athens, Greece.


We had three observation cases, first one eye of a 68 year old male with penetrating keratoplasty for keratoconus, 25 years ago. This patient had regression of ectasia over the corneal graft. The second case refers to an eye of a 32 years old male with pellucid marginal degeneration who had corneal cross linking 3 months prior to lens surgery. The third case was an eye of a 49 years old male with keratoconus. All eyes had cataractic opacities. They underwent cataract surgery with toric IOL implantation, the first two with Acrysof Toric IOL-SN60T9 and the third with Acrysof Toric IOL-SN60T5. In the second eye we performed additional opposite corneal incisions for anticipated residual astigmatism.


All eyes had good postoperative recovery. In all cases, the preoperative BCVA was under 20/50 with over 6 diopters Cyl correction, and all cases post operatively had BCVA of 20/25 with under 2 diopters Cyl correction one month after surgery. The refraction was stable until their last follow up visit.


Toric IOL in selective cases of eyes with ectatic corneas can be a very good and sometimes spectacular solution, despite the initial manufacturer’s recommendation for use only in eyes with regular astigmatism.

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