Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive error
Purpose: We present the case of a 49-year old female who underwent bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens (IOL) to correct a residual refractive error. Six months beforehand, she had been treated for hyperopia, astigmatism and presbyopia with a duet procedure...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-12-01
|
| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993620302723 |
| _version_ | 1818385428013645824 |
|---|---|
| author | Isabella Diana Baur Gerd Uwe Auffarth Timur Mert Yildirim Christian Steffen Mayer Ramin Khoramnia |
| author_facet | Isabella Diana Baur Gerd Uwe Auffarth Timur Mert Yildirim Christian Steffen Mayer Ramin Khoramnia |
| author_sort | Isabella Diana Baur |
| collection | DOAJ |
| description | Purpose: We present the case of a 49-year old female who underwent bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens (IOL) to correct a residual refractive error. Six months beforehand, she had been treated for hyperopia, astigmatism and presbyopia with a duet procedure to create reversible trifocality. Observations: Refractive lens exchange with combined implantation of a monofocal toric IOL into the capsular bag and a trifocal supplementary IOL into the ciliary sulcus (duet procedure) had been performed in both eyes. Decreased uncorrected distance visual acuity due to the refractive outcome of −0.75 diopter sphere (DS)/-0.25 diopter cylinder (DC)x10° for the right eye and −1.0DS for the left eye as well as the perception of photic phenomena were inacceptable for the patient. In the second operations, we exchanged the supplementary IOLs to correct the residual refractive error and achieve the target refraction of emmetropia. UDVA increased from 0.50 logMAR in both eyes prior to the IOL exchange to −0.22 logMAR in the right eye and −0.20 logMAR in the left eye. Binocular uncorrected near and intermediate visual acuity were −0.10 logMAR and 0.00 logMAR respectively after exchanging the sulcus-fixated supplementary IOLs, allowing for complete spectacle independence. Conclusions: This case demonstrates one of the most important benefits of the duet procedure: the possibility, if necessary, to easily remove or exchange the supplementary IOL from the ciliary sulcus. The duet procedure offers a safe treatment option in the event of postoperative complications like residual refractive error or intolerance to a multifocal optic. |
| first_indexed | 2024-12-14T03:38:00Z |
| format | Article |
| id | doaj.art-b26ea9570a0949799fc5189b72223a8b |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-14T03:38:00Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-b26ea9570a0949799fc5189b72223a8b2022-12-21T23:18:34ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-12-0120100957Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive errorIsabella Diana Baur0Gerd Uwe Auffarth1Timur Mert Yildirim2Christian Steffen Mayer3Ramin Khoramnia4Department of Ophthalmology, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, GermanyCorresponding author.; Department of Ophthalmology, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, GermanyPurpose: We present the case of a 49-year old female who underwent bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens (IOL) to correct a residual refractive error. Six months beforehand, she had been treated for hyperopia, astigmatism and presbyopia with a duet procedure to create reversible trifocality. Observations: Refractive lens exchange with combined implantation of a monofocal toric IOL into the capsular bag and a trifocal supplementary IOL into the ciliary sulcus (duet procedure) had been performed in both eyes. Decreased uncorrected distance visual acuity due to the refractive outcome of −0.75 diopter sphere (DS)/-0.25 diopter cylinder (DC)x10° for the right eye and −1.0DS for the left eye as well as the perception of photic phenomena were inacceptable for the patient. In the second operations, we exchanged the supplementary IOLs to correct the residual refractive error and achieve the target refraction of emmetropia. UDVA increased from 0.50 logMAR in both eyes prior to the IOL exchange to −0.22 logMAR in the right eye and −0.20 logMAR in the left eye. Binocular uncorrected near and intermediate visual acuity were −0.10 logMAR and 0.00 logMAR respectively after exchanging the sulcus-fixated supplementary IOLs, allowing for complete spectacle independence. Conclusions: This case demonstrates one of the most important benefits of the duet procedure: the possibility, if necessary, to easily remove or exchange the supplementary IOL from the ciliary sulcus. The duet procedure offers a safe treatment option in the event of postoperative complications like residual refractive error or intolerance to a multifocal optic.http://www.sciencedirect.com/science/article/pii/S2451993620302723Duet procedureReversible trifocalitySupplementary IOLSpectacle independenceCataract surgeryRefractive lens exchange |
| spellingShingle | Isabella Diana Baur Gerd Uwe Auffarth Timur Mert Yildirim Christian Steffen Mayer Ramin Khoramnia Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive error American Journal of Ophthalmology Case Reports Duet procedure Reversible trifocality Supplementary IOL Spectacle independence Cataract surgery Refractive lens exchange |
| title | Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive error |
| title_full | Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive error |
| title_fullStr | Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive error |
| title_full_unstemmed | Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive error |
| title_short | Reversibility of the duet procedure: Bilateral exchange of a supplementary trifocal sulcus-fixated intraocular lens for correction of a postoperative refractive error |
| title_sort | reversibility of the duet procedure bilateral exchange of a supplementary trifocal sulcus fixated intraocular lens for correction of a postoperative refractive error |
| topic | Duet procedure Reversible trifocality Supplementary IOL Spectacle independence Cataract surgery Refractive lens exchange |
| url | http://www.sciencedirect.com/science/article/pii/S2451993620302723 |
| work_keys_str_mv | AT isabelladianabaur reversibilityoftheduetprocedurebilateralexchangeofasupplementarytrifocalsulcusfixatedintraocularlensforcorrectionofapostoperativerefractiveerror AT gerduweauffarth reversibilityoftheduetprocedurebilateralexchangeofasupplementarytrifocalsulcusfixatedintraocularlensforcorrectionofapostoperativerefractiveerror AT timurmertyildirim reversibilityoftheduetprocedurebilateralexchangeofasupplementarytrifocalsulcusfixatedintraocularlensforcorrectionofapostoperativerefractiveerror AT christiansteffenmayer reversibilityoftheduetprocedurebilateralexchangeofasupplementarytrifocalsulcusfixatedintraocularlensforcorrectionofapostoperativerefractiveerror AT raminkhoramnia reversibilityoftheduetprocedurebilateralexchangeofasupplementarytrifocalsulcusfixatedintraocularlensforcorrectionofapostoperativerefractiveerror |