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Surgical technique for management of isolated lenticular coloboma with high corneal astigmatism.

ABSTRACT: We describe a surgical technique for the correction of isolated congenital lenticular coloboma associated with high corneal astigmatism. Transscleral fixation of the capsular bag with a single eyelet Cionni capsular tension ring was followed by in-the-bag implantation of a toric intraocular lens (IOL). This lead to complete correction of the lenticular defect and perfect alignment of the toric lens. In this case, the child attained an unaided distance visual acuity of 20/30 following amblyopia therapy and a well-aligned toric IOL at 12 months of follow-up. This technique can be used in cases with concomitant lenticular coloboma and significant corneal astigmatism.

SUBMITTER: Singh SR

PROVIDER: S-EPMC5892062 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Surgical technique for management of isolated lenticular coloboma with high corneal astigmatism.

Singh Simar Rajan SR Yangzes Sonam S Gupta Rohit R Ram Jagat J

Indian journal of ophthalmology 20180401 4

We describe a surgical technique for the correction of isolated congenital lenticular coloboma associated with high corneal astigmatism. Transscleral fixation of the capsular bag with a single eyelet Cionni capsular tension ring was followed by in-the-bag implantation of a toric intraocular lens (IOL). This lead to complete correction of the lenticular defect and perfect alignment of the toric lens. In this case, the child attained an unaided distance visual acuity of 20/30 following amblyopia t ...[more]

PMID: 29582820

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