Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High Myopia
Background: We report the case of a 40-year-old female patient treated with implantation of the Acrysof® IQ ReSTOR® lens (Alcon, Fort Worth, Tex., USA) with overlaying Acrysof EXpand® minus piggyback lens (Alcon). Methods: The patient had high myopia and was diagnosed with presbyopia and bilateral p...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2013-06-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/353497 |
| _version_ | 1818990001599283200 |
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| author | Isha Gupta Zack Oakey Brian C. Stagg Balamurali K. Ambati |
| author_facet | Isha Gupta Zack Oakey Brian C. Stagg Balamurali K. Ambati |
| author_sort | Isha Gupta |
| collection | DOAJ |
| description | Background: We report the case of a 40-year-old female patient treated with implantation of the Acrysof® IQ ReSTOR® lens (Alcon, Fort Worth, Tex., USA) with overlaying Acrysof EXpand® minus piggyback lens (Alcon). Methods: The patient had high myopia and was diagnosed with presbyopia and bilateral posterior subcapsular cataract. She desired to be spectacle-free and opted to undergo bilateral placement of the ReSTOR multifocal lens. The necessary intraocular lens (IOL) power was +3.5 in the right eye and +4.0 in the left eye, though the range of commercially available ReSTOR lenses is +6.0 to +34.0 D. In order to achieve emmetropia in this case of high myopia, it was determined that an EXpand minus piggyback lens would be necessary. Results: Implantation of the ReSTOR lens with overlaying EXpand minus piggyback lens was performed successfully and without complication. At 5 months postoperatively, the patient had 20/20 uncorrected visual acuity in both eyes. She reported a high level of satisfaction and was able to return to her daily activities including reading and driving without spectacles. Conclusion: We report successful primary implantation of AcrySof EXpand minus piggyback lenses overlying the AcrySof IQ ReSTOR lens in a patient with high myopia. Long-term follow-up and further evaluation is necessary to establish piggyback IOL implantation with multifocal IOL as an accepted treatment for high myopia with presbyopia. |
| first_indexed | 2024-12-20T19:47:26Z |
| format | Article |
| id | doaj.art-d9922ee25e294460880503b05f8dbdd3 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-20T19:47:26Z |
| publishDate | 2013-06-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-d9922ee25e294460880503b05f8dbdd32022-12-21T19:28:23ZengKarger PublishersCase Reports in Ophthalmology1663-26992013-06-0142576010.1159/000353497353497Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High MyopiaIsha GuptaZack OakeyBrian C. StaggBalamurali K. AmbatiBackground: We report the case of a 40-year-old female patient treated with implantation of the Acrysof® IQ ReSTOR® lens (Alcon, Fort Worth, Tex., USA) with overlaying Acrysof EXpand® minus piggyback lens (Alcon). Methods: The patient had high myopia and was diagnosed with presbyopia and bilateral posterior subcapsular cataract. She desired to be spectacle-free and opted to undergo bilateral placement of the ReSTOR multifocal lens. The necessary intraocular lens (IOL) power was +3.5 in the right eye and +4.0 in the left eye, though the range of commercially available ReSTOR lenses is +6.0 to +34.0 D. In order to achieve emmetropia in this case of high myopia, it was determined that an EXpand minus piggyback lens would be necessary. Results: Implantation of the ReSTOR lens with overlaying EXpand minus piggyback lens was performed successfully and without complication. At 5 months postoperatively, the patient had 20/20 uncorrected visual acuity in both eyes. She reported a high level of satisfaction and was able to return to her daily activities including reading and driving without spectacles. Conclusion: We report successful primary implantation of AcrySof EXpand minus piggyback lenses overlying the AcrySof IQ ReSTOR lens in a patient with high myopia. Long-term follow-up and further evaluation is necessary to establish piggyback IOL implantation with multifocal IOL as an accepted treatment for high myopia with presbyopia.http://www.karger.com/Article/FullText/353497Multifocal lensPiggyback lensHigh myopia |
| spellingShingle | Isha Gupta Zack Oakey Brian C. Stagg Balamurali K. Ambati Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High Myopia Case Reports in Ophthalmology Multifocal lens Piggyback lens High myopia |
| title | Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High Myopia |
| title_full | Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High Myopia |
| title_fullStr | Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High Myopia |
| title_full_unstemmed | Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High Myopia |
| title_short | Minus Piggyback Lens Overlaying ReSTOR® Multifocal Lens in High Myopia |
| title_sort | minus piggyback lens overlaying restor r multifocal lens in high myopia |
| topic | Multifocal lens Piggyback lens High myopia |
| url | http://www.karger.com/Article/FullText/353497 |
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