Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery
An 80-year-old woman presented with painless blurring of vision and monocular diplopia in her left eye following routine phacoemulsification and monofocal intraocular lens (IOL) implantation 5 weeks earlier. Her uncorrected visual acuity (VA) was 6/60 correctable with pinhole to 6/21. Her best-corre...
| Main Authors: | , , |
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| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
2024
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| Online Access: | https://hdl.handle.net/10356/178408 |
| _version_ | 1811679568605478912 |
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| author | Au Eong, Jonathan T. W. Tsai, Jarryl H. J. Au Eong, Kah-Guan |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Au Eong, Jonathan T. W. Tsai, Jarryl H. J. Au Eong, Kah-Guan |
| author_sort | Au Eong, Jonathan T. W. |
| collection | NTU |
| description | An 80-year-old woman presented with painless blurring of vision and monocular diplopia in her left eye following routine phacoemulsification and monofocal intraocular lens (IOL) implantation 5 weeks earlier. Her uncorrected visual acuity (VA) was 6/60 correctable with pinhole to 6/21. Her best-corrected VA was 6/15 with a subjective refraction of -0.50DS/-5.25DCx37. Her corneal astigmatism was -1.25DCx74. Ophthalmic examination disclosed a severely tilted single-piece posterior chamber IOL in the capsular bag. The inferior portion of the optic was tilted posteriorly because of a twisted and malpositioned haptic. The patient underwent remedial surgery to untwist and reposition the IOL haptic which led to immediate improvement of the IOL position. Her uncorrected VA improved to 6/12-2 correctable with pinhole to 12+1 with an autorefraction of +0.25DS/-2.00DCx74 on the first postoperative day. One month postoperatively, her best-corrected VA was 6/12 with a refraction of +0.50DS/-2.50DCx82. Her final vision was limited by myopic macular degeneration. |
| first_indexed | 2024-10-01T03:11:14Z |
| format | Journal Article |
| id | ntu-10356/178408 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T03:11:14Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | ntu-10356/1784082024-06-18T07:27:59Z Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery Au Eong, Jonathan T. W. Tsai, Jarryl H. J. Au Eong, Kah-Guan Lee Kong Chian School of Medicine (LKCMedicine) Khoo Teck Puat Hospital International Eye Cataract Retina Centre Medicine, Health and Life Sciences Astigmatism Cataract surgery An 80-year-old woman presented with painless blurring of vision and monocular diplopia in her left eye following routine phacoemulsification and monofocal intraocular lens (IOL) implantation 5 weeks earlier. Her uncorrected visual acuity (VA) was 6/60 correctable with pinhole to 6/21. Her best-corrected VA was 6/15 with a subjective refraction of -0.50DS/-5.25DCx37. Her corneal astigmatism was -1.25DCx74. Ophthalmic examination disclosed a severely tilted single-piece posterior chamber IOL in the capsular bag. The inferior portion of the optic was tilted posteriorly because of a twisted and malpositioned haptic. The patient underwent remedial surgery to untwist and reposition the IOL haptic which led to immediate improvement of the IOL position. Her uncorrected VA improved to 6/12-2 correctable with pinhole to 12+1 with an autorefraction of +0.25DS/-2.00DCx74 on the first postoperative day. One month postoperatively, her best-corrected VA was 6/12 with a refraction of +0.50DS/-2.50DCx82. Her final vision was limited by myopic macular degeneration. Published version 2024-06-18T07:27:59Z 2024-06-18T07:27:59Z 2024 Journal Article Au Eong, J. T. W., Tsai, J. H. J. & Au Eong, K. (2024). Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery. Journal of Surgical Case Reports, 2024(3), 134-. https://dx.doi.org/10.1093/jscr/rjae134 2042-8812 https://hdl.handle.net/10356/178408 10.1093/jscr/rjae134 38469204 2-s2.0-85187695341 3 2024 134 en Journal of Surgical Case Reports © The Author(s) 2024. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. application/pdf |
| spellingShingle | Medicine, Health and Life Sciences Astigmatism Cataract surgery Au Eong, Jonathan T. W. Tsai, Jarryl H. J. Au Eong, Kah-Guan Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery |
| title | Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery |
| title_full | Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery |
| title_fullStr | Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery |
| title_full_unstemmed | Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery |
| title_short | Severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery |
| title_sort | severe astigmatism secondary to large intraocular lens pantoscopic tilt because of a malpositioned haptic following cataract surgery |
| topic | Medicine, Health and Life Sciences Astigmatism Cataract surgery |
| url | https://hdl.handle.net/10356/178408 |
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