Open AccessA RARE CAUSE OF HIGH ASTIGMATISM IN PSEUDOPHAKIA
Author(s) -
Hajra Arshad Malik,
Madiha Khalid,
Rayyan Sabih,
Kazuyoshi Hina,
Aamir Asrar
Publication year - 2022
Publication title -
jamc. journal of ayub medical college, abbotabad, pakistan/journal of ayub medical college
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.195
H-Index - 31
eISSN - 1819-2718
pISSN - 1025-9589
DOI - 10.55519/jamc-01-8494
Subject(s) - medicine , phacoemulsification , pseudophakia , ophthalmology , lens (geology) , senile cataract , astigmatism , intraocular lens , optometry , surgery , visual acuity , optics , physics
We present a case of a 65-year-old Pakistani woman who underwent an uneventful standard left phacoemulsification with posterior chamber intra-ocular lens placement for a mature senile cataract. She was observed to develop post-operative astigmatism secondary to a tilted intra-ocular lens and required repeat surgical intervention to correct the malposition. Per-operatively, the lens was found to be defective with a fixed bend at the haptic-optic junction which necessitated the need for an intra-ocular lens exchange procedure that restored adequate vision. The study highlighted defects in the structural integrity of intra-ocular lenses as an important differential to consider in such cases, and established lens replacement as a successful intervention to improve visual outcome.