Dislocation Of Toric Iol After Residential Building Airstrike

On 14 January 2023 at about 3:30 p.m., a Russian Kh-22 missile struck a nine-story residential building in Dnipro, Ukraine, in the right-bank part of the city, destroying one entrance and 236 apartments. On 19 January the official casualty rate was stated as 46 people killed (including 6 children]) and 80 injured (12 in critical condition) and 11 people reported missing. 14 children were reported injured, and 39 inhabitants were rescued.The destruction left about 400 people homeless. The strike was part of months-long campaign of Russian strikes on Ukrainian civilians and civilian infrastructure. A three-day period of mourning was declared in Dnipro.

Eye trauma is estimated to account for 20 percent of all injuries in modern warfare. Due to widespread bombing and shelling in Ukraine. In civilians as cataract surgeons in private clinic we are facing traumatic cataracts and dislocations of different IOL types.

Female 68 y.o.,

history of cataract surgery in 2015 with implantation of toric IOL.

Blunt eye trauma, concussion, partial hearing loss on the left side and dislocation of the complex IOL+capsular ring in capsular bag and became homeless after Dnipro residential building airstrike on 14 January 2023.

Here you can see the indirect ophthalmoscopy and photo captured be smartphone.

No data from previous surgery were saved. So we operated with everything we can get with our eyes. From slit lamp exam we revealed the type of IOL – It`s Alcon SN6Tx. Also, patient admitted, that she had never reached 1,0 vision after Phaco.

And we decided to add the OCT scan`s where we also can see age-related changes.

To reach the best result in such case, was used biometry assisted with Zeiss IOL master. And Alcon toric calculator. Video (3:19 duration) of Scleral fixation of IOL using 6.0 prolene with 2 needles

Next day after surgery

Vis OS: 0,6

refraction: sph + 0,25 cyl – 0,5 ax 132º

Even in such a tough time like that, we are doing our best for all the patients who suffered the consequences of warfare in minimally invasive way.