Open AccessImplantation of a trifocal toric intraocular lens to a patient with pigment dispersion syndrome
Author(s) -
Р Ф Ахметшин,
Ахметшин Рустэм Фаисович,
M R Gilyazev,
Гилязев Марат Рустамович,
А. Т. Галеева,
Галеева Айгуль Тауфиковна,
S N Bulgar,
Булгар Софья Ниязовна
Publication year - 2019
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kmj2019-495
Subject(s) - ophthalmology , ultrasound biomicroscopy , medicine , intraocular lens , intraocular pressure , astigmatism , glaucoma , iris (biosensor) , visual acuity , optics , physics , computer security , computer science , biometrics
Aim. To present a clinical case of treatment of pigment dispersion syndrome by clear lens extraction and implantation of a toric intraocular lens in a patient with myopic astigmatism.
Methods. A 33-year-old patient with a diagnosis of moderate myopia, complex mild myopic astigmatism, pigment dispersion syndrome of both eyes.
Results. The first stage was laser peripheral iridotomy of both eyes. On follow-up pathological irido-zonular contact and increases intraocular pressure by 2 mm persisted. The second stage included clear lens extraction and implantation of a toric multifocal intraocular lens to both eyes. In 2 months, distance and near visual acuity was 1.0, intraocular pressure was normal, no pathological irido-zonular contact was observed according to the ultrasound biomicroscopy.
Conclusion. Implantation of an intraocular lens in patients with myopia and pigment dispersion syndrome is both a method of preventing pigment glaucoma and myopia correction; patients with pigment dispersion syndrome after peripheral iridotomy should monitor the state of the anterior segment of the eye and the effectiveness of the treatment by ultrasound biomicroscopy.