gms | German Medical Science

28. Internationaler Kongress der Deutschen Ophthalmochirurgen (DOC)

11.06. - 13.06.2015, Leipzig

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Add-On implantation for postoperative ametropy correction (K)

Meeting Abstract

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  • Boris Laptev - IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russland
  • Oleg Shilovskikh - IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russland
  • Oleg Fechin - IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russland

28. Internationaler Kongress der Deutschen Ophthalmochirurgen. Leipzig, 11.-13.06.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. DocPO 1.6

doi: 10.3205/15doc156, urn:nbn:de:0183-15doc1562

Veröffentlicht: 9. Juni 2015

© 2015 Laptev et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

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Purpose: To estimate the possibility of postoperative high ametropia correction by add-on implantation.

Methods: Two cases of Add-On Torica-sPB (HumanOptics AG/ Dr. Schmidt Intraocularlinsen GmbH. Germany) lenses implantation in pseudophakia and high residual spherical and astigmatic ametropia were analyzed with a follow-up of 16 months. were analyzed.

Case 1: a 48 yo male, cataract surgery in 2008. Visual acuity: 0.08 sph + 3.0 cyl -6.5 ax 100 =1.0; keratometry 45.25/ 39.5 ax 3.

Case 2: a 51 yo male; in 1990 radial keratotomy for high myopia; in 2004 phaco with B&L H60M IOL (26 D) implantation. Visual acuity 0.1 cyl – 7.0 ax 135 = 0.5; keratometery (Pentacam) 27.9 – 23.7 ax 24.3. In both cases add-on Torica-sPB IOLs were implanted, in case 1 - sph -4.0 cyl + 8, in case 2 - sph -8.0 cyl + 8.0.

Results: No complications were marked. In case 1 UCVA at day 1 0.75, in 1 year – 1.0. In case 2 BCVA at day 1 was 0.75; there were fluctuation of keratometry data (Pentacam): 27.6 /23.9 ax 138; 33.6/23.1 ax 158; 27.2/22.8 ax 125. Respectively, visual acuity has also changed: 0.45; 0.15 cyl -3.0=0.45; 0.35. At 1 year post-op visual acuity was 0.75 cyl - 1.0 = 0.8.

Conclusions: Complex postoperative ametropia can be successfully corrected by add-on IOLs implantation. No specific complications were marked.