Surgical technique for management of isolated lenticular coloboma with high corneal astigmatism

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Date
2018-04
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
We describe a surgical technique for the correction of isolated congenital lenticular coloboma associated with high corneal astigmatism. Transscleral fixation of the capsular bag with a single eyelet Cionni capsular tension ring was followed by in-the-bag implantation of a toric intraocular lens (IOL). This lead to complete correction of the lenticular defect and perfect alignment of the toric lens. In this case, the child attained an unaided distance visual acuity of 20/30 following amblyopia therapy and a well-aligned toric IOL at 12 months of follow-up. This technique can be used in cases with concomitant lenticular coloboma and significant corneal astigmatism.
Description
Keywords
Astigmatism, capsular tension ring, cionni ring, coloboma, toric intraocular lens
Citation
Singh SR, Yangzes S, Gupta R, Ram J. Surgical technique for management of isolated lenticular coloboma with high corneal astigmatism. Indian Journal of Ophthalmology. 2018 Apr; 66(4): 562-564