Open AccessManagement of anisocoria and high vault in an eye with implantable collamer lens
Author(s) -
Arjun Srirampur,
Tarannum Mansoori,
Pasyanthi Balijepalli,
Aruna Kumari Gadde
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_3030_20
Subject(s) - medicine , pupil , vault (architecture) , asymptomatic , ophthalmology , lens (geology) , phakic intraocular lens , anisocoria , optometry , optics , surgery , refractive error , visual acuity , physics , structural engineering , engineering
A young lady presented with very high vault and fixed dilated pupil along with optic capture of the implantable collamer lens (ICL). After thorough evaluation and ruling out the ICL sizing error, the optic capture was relieved and the ICL was rotated into vertical position. Single-pass four throw pupilloplasty was performed for the fixed dilated pupil. Postoperatively the ICL vault and the pupil size decreased and patient was asymptomatic. This case highlights a successful outcome of rotation of a nontoric ICL to reduce the high vaulting and optic capture along with single-pass four throw pupilloplasty.