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Toric to monofocal intraocular lens exchange in patient with subepithelial fibroplasia after radial keratotomy. Clinical case

Year: 2024

Type: article

Abstract: This clinical case demonstrates the toric to monofocal intraocular lens exchange due to the erroneous assessment of corneal topography in a patient with radial corneal scars after keratotomy. Toric intraocular lens power calculation was performed using initial parameters, when its central optical area was transparent, and at the mid-periphery, approximately 4–5 mm from the central optical area in the upper temporal quadrant, there was a subepithelial fibroplasia present. Postoperative refractive result was not optimal; residual astigmatism was noted, and it was decided to eliminate it by scarification of the epithelium in the area of fibroplasia. This lead to a significant change in keratometry and to practically total restoration of corneal spherical form. IOL exchange was performed, which caused an increase in visual function.

Source: Ophthalmology Reports

DOI: 10.17816/ov630721

Authors: Boris E. Malyugin, Svetlana Yu. Kalinnikova, Ivan S. Tkachenko, Anastasia A. Khaletskaya, Pavel D. Melovatskiy

Institution: Intersectoral Research and Technology Complex Eye Microsurgery

Language: English

Topic: Intraocular Surgery and Lenses

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4406683885

FWCI:

Cites: 28

Cited by:

Related to: 10