J Korean Ophthalmol Soc.  2014 Dec;55(12):1890-1894. 10.3341/jkos.2014.55.12.1890.

A Case of Corrected Residual Refractive Error after Cataract Surgery with the Sulcoflex Piggyback IOL

• Lee JS
• Kim YH
• Park JY
• Kim SI

• KMID: 2338981
• DOI: http://doi.org/10.3341/jkos.2014.55.12.1890

Abstract

PURPOSE
To report a case of corrected residual refractive error after cataract surgery with sulcoflex piggyback intraouclar lens (IOL).
CASE SUMMARY
A 77-year-old man was diagnosed as having hypermature cataract in the right eye and his corrected visual acuity in the same eye was hand-motion before surgery. Refractive error was +9.0 diopter (D) 6 months after conventional cataract surgery in the right eye. The authors performed additional cataract surgery using a piggyback method inserting a +10.0 D IOL in the ciliary sulcus. Four weeks after surgery, his refractive error was -1.25 D, visual acuity increased to 120/200 and 60/200 (with and without correction, respectively). No complication was observed during follow-up time and the patient was satisfied with his results.
CONCLUSIONS
Correction of residual refractive error after cataract surgery with sulcoflex piggyback IOL is safe and effective.

Keyword

Cataract surgery; Piggyback; Residual refractive error; Sulcoflex IOL

MeSH Terms

Aged
Cataract*
Follow-Up Studies
Humans
Refractive Errors*
Visual Acuity

Figure

• 

  Figure 1. (A) The sulcoflex intraouclar lens (IOL) is placed on the central hinge of injector and pressed downward slightly. (B) The cartridge wings are closed and the secondary IOL is inserted into the ciliary sulcus. (C) Ophthalmic viscosurgical device is washed out. (D) The secondary IOL is well located in the ciliary sulcus.

• 

  Figure 2. (A) Photograph of the sulcoflex intraouclar lens (IOL). The 6.5 mm optics reduce the risk of pupillary block and the 14 mm haptics maintain centration. Sulcoflex has a concave posterior surface to avoid contact with primary IOL. (B) Comparison between conventional piggyback IOL (left) and sulcoflex IOL (right). Specific design for sulcoflex IOL reduces physical contact between 2 IOLs.

Reference

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