gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Exchange of a toric ICL for a toric, iris-fixated, phakic intraocular lens

Meeting Abstract

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Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogDO.10.06

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2004

© 2004 Dick.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




For treatment of a high myopia and astigmatism a toric ICL was implanted, but a few hours after surgery patient presented with an extremely high intraocular pressure and shallow anterior chamber because of a sizing problem.


The toric ICL had to be explanted emergency and an iris-fixated phakic intraocular lens was implanted in the same surgical session.


Intraoperative course was difficult.


This video demonstrates surgical proceedings and decisive steps to solve intra- as well as postoperative problems. Solutions to prevent situations like this are provided.