Icl Toric Implantation In Post-Traumatic Extracapsular Aphakia

We present the case of a young patient with corneal scar due to perforating trauma and extracapsular aphakia who underwent implantation of an icl toric iol. Resolution of postsurgical complications and visual results

A 19-year-old male comes for iol implantation due to post-traumatic aphakia. It was decided to implant an "off label" toric ICL iol. In the postoperative period, OCT of the anterior segment showed apposition of the iris and iridocorneal contact, so a new surgery was decided with an exchange of the ICL for a smaller one.

After the study with OCT, biometry and topography, the toric-ICL to be implanted is calculated and surgery is performed under subtenon anesthesia and without associated intraoperative complications.

The patient's visual acuity and quality of life improved considerably after the implantation of the toric ICL iol without presenting any complications after the exchange for a smaller iol.  We show the improvement in refraction and visual acuity.

It is a very easy iol to implant and explant so we recommend its use for similar cases (aphakia with present capsular bag). There are no studies of icl in extracapsular aphakia (difficult calculation) There are no toric iols for sulcus