Implantation of a trifocal toric intraocular lens to a patient with pigment dispersion syndrome

R F Akhmetshin; M R Gilyazev; A T Galeeva; S N Bulgar

doi:10.17816/KMJ2019-495

Kazan medical journal ›› 2019, Vol. 100 ›› Issue (3) : 495 -499. DOI: 10.17816/KMJ2019-495

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Implantation of a trifocal toric intraocular lens to a patient with pigment dispersion syndrome

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Abstract

Aim. To present a clinical case of treatment of pigment dispersion syndrome by clear lens extraction and implantation of a toric intraocular lens in a patient with myopic astigmatism.

Methods. A 33-year-old patient with a diagnosis of moderate myopia, complex mild myopic astigmatism, pigment dispersion syndrome of both eyes.

Results. The first stage was laser peripheral iridotomy of both eyes. On follow-up pathological irido-zonular contact and increases intraocular pressure by 2 mm persisted. The second stage included clear lens extraction and implantation of a toric multifocal intraocular lens to both eyes. In 2 months, distance and near visual acuity was 1.0, intraocular pressure was normal, no pathological irido-zonular contact was observed according to the ultrasound biomicroscopy.

Conclusion. Implantation of an intraocular lens in patients with myopia and pigment dispersion syndrome is both a method of preventing pigment glaucoma and myopia correction; patients with pigment dispersion syndrome after peripheral iridotomy should monitor the state of the anterior segment of the eye and the effectiveness of the treatment by ultrasound biomicroscopy.

Keywords

myopia / pigment dispersion syndrome / myopia correction / intraocular lens implantation / prevention of pigment glaucoma

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R F Akhmetshin, M R Gilyazev, A T Galeeva, S N Bulgar. Implantation of a trifocal toric intraocular lens to a patient with pigment dispersion syndrome. Kazan medical journal, 2019, 100(3): 495-499 DOI:10.17816/KMJ2019-495

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