[Limbal relaxing incision or the more curved meridian incision associated to phacoemulsification with multifocal intraocular lens implant: three case reports].
نویسندگان
چکیده
The use of multifocal intraocular lenses (IOLs) is a great advance in the treatment of patients with cataract allowing near and distance uncorrected visual acuity recovery. However patients with some degrees of corneal astigmatism have some limitations. We present 3 cases that were indicated for phacoemulsitfication and multifocal intraocular lens implant (AcrySof Restor, Alcon Labs) after limbal relaxing incision (LRI) in the dominant eye and axis topographic incision in the fellow eye. There was no similar case report in the literature. It is believed that this association can extend the indications for multifocal intraocular lens implants in patients with significant corneal astigmatism and this possibility should be confirmed by future studies.
منابع مشابه
Use of a Toric Intraocular Lens and a Limbal-Relaxing Incision for the Management of Astigmatism in Combined Glaucoma and Cataract Surgery
PURPOSE We report the surgical management of a patient with glaucoma undergoing cataract surgery with high preexisting astigmatism. A combination of techniques was employed for her astigmatism management. METHODS A 76-year-old female with 5.5 dpt of corneal astigmatism underwent surgery in her left eye consisting of one-site trabeculectomy, phacoemulsification, toric intraocular lens implanta...
متن کاملThree Methods for Correction of Astigmatism during Phacoemulsification
PURPOSE To compare the safety and efficacy of three methods for correcting pre-existing astigmatism during phacoemulsification. METHODS This prospective, comparative, non-randomized study was conducted from March 2010 to January 2011, and included patients with keratometric astigmatism ≥1.25 D undergoing cataract surgery. Astigmatism was corrected using the following approaches: limbal relaxi...
متن کاملProspective randomized trial of limbal relaxing incisions combined with microincision cataract surgery.
PURPOSE To evaluate clinical outcomes of limbal relaxing incision (LRI) combined with bimanual phacoemulsification and insertion of an intraocular lens (IOL) developed for bimanual microincision cataract surgery (MICS). METHODS In a prospective, single-center study, eyes with > or = 0.75 diopters (D) of keratometric astigmatism were randomly assigned to two surgical techniques: 1) bimanual MI...
متن کاملAcrySof IQ toric IOL implantation combined with limbal relaxing incision during cataract surgery for eyes with astigmatism >2.50 D.
PURPOSE To evaluate the effectiveness of toric intraocular lens (IOL) implantation combined with limbal relaxing incision (LRI) for patients with high-amplitude astigmatism. METHODS This single-center, prospective study evaluated 22 eyes of 19 patients with cataract and >2.50 diopters (D) astigmatism that underwent bimanual micro-phacoemulsification cataract surgery and toric IOL implantation...
متن کاملComparison of Contrast Sensitivity in Eyes with Toric and Aspheric Intraocular Lenses
Approximately 15–20% of patients with cataracts have more than 1.5 diopters (D) of pre-existing astigmatism1. Reducing this preoperative astigmatism can improve visual outcomes after cataract surgery. The astigmatism can be reduced with the phacoemulsification incisions, with corneal or limbal relaxing incisions and with excimer laser keratectomy. Another alternative for astigmatism correction ...
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ورودعنوان ژورنال:
- Arquivos brasileiros de oftalmologia
دوره 71 2 شماره
صفحات -
تاریخ انتشار 2008