Open AccessEnhancing rotational stability of toric intraocular lenses using a type 2L Cionni capsular tension ring in patients with high myopia
Author(s) -
Călin Petru Tătaru,
Anca Cristina Dogaroiu,
Călin Petru Tătaru,
Cătălin Dogăroiu
Publication year - 2019
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1016/j.jcrs.2019.05.045
Subject(s) - ophthalmology , intraocular lenses , medicine , intraocular lens , optometry
We present the technique used in a patient with high myopia to obtain rotational stability of a plate-haptic multifocal toric intraocular lens (IOL) (AT LISA tri toric 939MP). Both of the patient's eyes had long axial lengths and large capsular bags. The first operated eye experienced consecutive toric IOL malpositions. In the fellow eye, toric IOL alignment was preserved by implanting a type 2L Cionni capsular tension ring. This was reversely inserted so the two eyelets, which are positioned slightly anterior to the ring, pressed the IOL on the posterior capsule. This unsophisticated technical artifice provided rotational stability of the IOL, even at 12 months postoperatively.