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Toric IOL and capsular tension ring implantation in patient with zonular dehiscence

Poster Details

First Author: A.Vicente PORTUGAL

Co Author(s):    L. Costa   N. Silva   R. Anjos   L. Vieira   V. Maduro   J. Feijao

Abstract Details


The authors present a case report of toric IOL and capsular bag tension ring implantation in a patient with zonular dehiscence.


Centro Hospitalar Lisboa Central, Lisbon, Portugal


A 72 years old patient with zonular dehiscence was submitted to phacoemulsification and a capsular bag tension ring (InjectoRing®, AMO) was implanted, as there was a zonular deshiscence in one of the quadrants. Afterwards a toric IOL capsular lens (AcrySof®, Alcon) with a spherical power of +18,5 and a cillinder of +3,75 was inserted. A full opthalmology exam was perform pre and postoperatively and included corneal topography (Orbscan®), anterior segment OCT (OCT Visante®, Carl Zeiss®) and static computerized perimetry (Octopus Perimetry®, Haag-Streit).


Toric IOL implantation and alignment followed in a normal way. A considerable refractive improvement happened and no clinically significant refractive or morphological changes occurred during the follow-up. No posterior capsule opacification or capsular folds in the central axis were found.


The surgical procedure performed obtained a stable functional and refractive result in a patient that combined multiple risk factors: high astigmatism, cataract and zonular dehiscence.

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