A RARE CAUSE OF HIGH ASTIGMATISM IN PSEUDOPHAKIA

Authors

  • Hajra Arshad Malik Amanat Eye Hospital
  • Maham Khalid Amanat Eye Hospital
  • Rayyan Sabih Amanat Eye Hospital
  • Hina Khan Amanat Eye Hospital
  • Aamir Asrar Amanat Eye Hospital

DOI:

https://doi.org/10.55519/JAMC-01-8494

Abstract

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.

Author Biographies

Hajra Arshad Malik, Amanat Eye Hospital

Research Assistant, Medical Retina Clinic, Amanat Eye Hospital

Maham Khalid, Amanat Eye Hospital

Research Assistant, Amanat Eye Hospital

Rayyan Sabih, Amanat Eye Hospital

Research Assistant, Amanat Eye Hospital

Hina Khan, Amanat Eye Hospital

Consultant Ophthalmologist, Head of Ophthalmic Diagnostics Amanat Eye HospitalMBBS, FCPS, FRCS;Fellowship in Medical Retina and Uveitis (UK)

Aamir Asrar, Amanat Eye Hospital

Chief Consultant Ophthalmologist, Amanat Eye HospitalMBBS, MRCOPhth, FRCSFellowship in vitreo-retinal surgeryFellowship in corneo-refractive surgery

References

Nizami AA, Gulani AC. Cataract. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 [cited 2020 Aug]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK539699/

Sitompul R. Intraocular Lens Dislocation after Cataract Surgery in Tambolaka, Southwest Sumba, Indonesia: A Case Report. Case Rep Ophthalmol 2018;9(1):179–84.

Liu YC, Wilkins M, Kim T, Malyugin B, Mehta JS. Cataracts. Lancet 2017;390(10094):600–12.

Jadoon Z, Shah SP, Bourne R, Dineen B, Khan MA, Gilbert CE, et al. Cataract prevalence, cataract surgical coverage and barriers to uptake of cataract surgical services in Pakistan: the Pakistan National Blindness and Visual Impairment Survey. Br J Ophthalmol 2007;91(10):1269–73.

Oshika T, Sugita G, Miyata K, Tokunaga T, Samejima T, Okamoto C, et al. Influence of tilt and decentration of scleral-sutured intraocular lens on ocular higher-order wavefront aberration. Br J Ophthalmol 2007;91(2):185–8.

Obstbaum SA, To K. Posterior chamber intraocular lens dislocations and malpositions. Aust N Z J Ophthalmol 1989;17(3):265–71.

Dada T, Sethi HS, Aggarwal A. Tilt of single-piece hydrophobic intraocular lens due to folded haptic. J Cataract Refract Surg 2005;31(12):2429–30.

Kang H, Han KE, Kim T, Kim EK. Spontaneous fracture of an implanted posterior chamber polyimide intraocular lens haptic: a case report. Indian J Ophthalmol 2014;62(3):348–50.

Goodman DF, Stark WJ, Gottsch JD. Complications of cataract extraction with intraocular lens implantation. Ophthalmic Surg 1989;20(2):132–40.

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Published

2022-01-01