Reposition of dislocated piggyback intraocular lens in a patient with induced keratectasia after radial keratotomy

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Abstract

Aim – to substantiate low-traumatic sutureless surgery for piggyback intraocular lens (IOL) reposition as a method of choice in a patient after previous keratorefractive surgery and cataract phacoemulsification.

The article provides the examination and surgical treatment data of one patient with piggyback intraocular lens dislocation after previous radial keratotomy and keratectasia.

The presented clinical case shows that proper consideration of eye anatomical features allows for effective low-traumatic sutureless piggyback IOL reposition in patients who have previously undergone radial keratotomy, and may lead to sustainable high visual and functional results.

About the authors

M. A. Artemov

Samara Regional Clinical Ophthalmological Hospital named after T.I. Eroshevsky

Author for correspondence.
Email: artemov1989@gmail.com
ORCID iD: 0000-0002-4992-1957

ophthalmologist of the Ophthalmic Microsurgery Department №4

Russian Federation, Samara

I. S. Kazakov

Samara Regional Clinical Ophthalmological Hospital named after T.I. Eroshevsky

Email: dr-cz@yandex.ru
ORCID iD: 0000-0003-3589-8618

Head of the Ophthalmic Microsurgery Department №4

Russian Federation, Samara

V. M. Malov

Samara State Medical University

Email: v.m.malov@samsmu.ru
ORCID iD: 0000-0001-7366-7955

PhD, Professor, Department of Eye Diseases of the Institute of Postgraduate Education

Russian Federation, Samara

A. V. Zolotarev

Samara Regional Clinical Ophthalmological Hospital named after T.I. Eroshevsky; Samara State Medical University

Email: a.v.zolotarev@samsmu.ru
ORCID iD: 0000-0002-9107-5221

PhD, Associate Professor, Head of the Department of Eye Diseases of the Institute of Postgraduate Education, Chief Physician

Russian Federation, Samara; Samara

E. B. Eroshevskaya

Samara Regional Clinical Ophthalmological Hospital named after T.I. Eroshevsky; Samara State Medical University

Email: vision63@yandex.ru
ORCID iD: 0000-0002-2137-7769

PhD, Professor, Department of Eye Diseases of the Institute of Postgraduate Education, ophthalmologist of the Ophthalmology Day Hospital №2

Russian Federation, Samara; Samara

E. V. Karlova

Samara Regional Clinical Ophthalmological Hospital named after T.I. Eroshevsky; Samara State Medical University

Email: karlova@inbox.ru
ORCID iD: 0000-0003-4929-8832

PhD, Associate Professor, Department of Eye Diseases of the Institute of Postgraduate Education, Deputy Chief Physician for Innovation and Technology Development

Russian Federation, Samara; Samara

References

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  2. Waring GO, Lynn MJ, McDonnell PJ. Results of the prospective evaluation of radial keratotomy (PERK) study 10 years after surgery. Arch Ophthalmol. 1994;112(10):1298-308. doi: 10.1001/archopht.1994.01090220048022
  3. Werblin TP, Stafford GM. Hyperopic shift after refractive keratotomy using the Casebeer System. Journal of cataract and refractive surgery. 1996;22(8):1030-6. doi: 10.1016/s0886-3350(96)80115-5
  4. Bikbov MM, Bikbulatova AA, Pasikova NV. Methods of correction of refractive errors after anterior radial keratotomy. Tochka zreniya. Vostok – Zapad. 2015;2. (In Russ.). [Бикбов М.М., Бикбулатова А.А., Пасикова Н.В. Способы коррекции рефракционных ошибок после передней радиальной кератотомии. Точка зрения. Восток – Запад. 2015;2].
  5. Avetisov SE. Radial keratotomy: history and reality. Vestnik oftal'mologii. 2021;137(2):123-131. (In Russ.). [Аветисов С.Э. Радиальная кератотомия: история и реальность. Вестник офтальмологии. 2021;137(2):123-131]. doi: 10.17116/oftalma2021137021123
  6. Gayton JL, Sanders V, Van der Karr M, Raanan MG. Piggybacking intraocular implants to correct pseudophakic refractive error. Ophthalmology. 1999;106(1):56-9. doi: 10.1016/S0161-6420(99)90005-2
  7. Antonov AA, Karlova EV, Brezhnev AYu, Dorofeev DA. The current state of ophthalmotonometry. Vestnik oftal'mologii. 2020;136(6):100-107. (In Russ.). [Антонов А.А., Карлова Е.В., Брежнев А.Ю., Дорофеев Д.А. Современное состояние офтальмотонометрии. Вестник офтальмологии. 2020;136(6):100-107]. doi: 10.17116/oftalma2020136061100
  8. Zahra Karjou, Mohammad-Reza Jafarinasab, Mohammad-Hassan Seifi, et al. Secondary Piggyback Intraocular Lens for Management of Residual Ametropia after Cataract Surgery. J Ophthalmic Vis Res. 2021;16(1):12-20. Published 2021 Jan 20. doi: 10.18502/jovr.v16i1.8244
  9. Shilovskikh OV, Ul'yanov AN, Kremeshkov MV, Titarenko EM. Calculation of IOL in the eyes after a previous radial keratotomy. Ekaterinburg, 2015:43. (In Russ.). [Шиловских О.В., Ульянов А.Н., Кремешков М.В., Титаренко Е.М. Расчет ИОЛ на глазах после перенесенной ранее радиальной кератотомии. Екатеринбург, 2015:43]. Available at: https://eyepress.ru/material/raschet-iol-na-glazakh-posle-perenesennoy-ranee-radial-noy-keratotomii

Supplementary files

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1. JATS XML
2. Figure 1. Corneal topography, right eye. Corneal ectasia (CASIA-1, Tomey Corporation, Japan)

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3. Figure 2. Piggyback IOL position before and after surgery

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Copyright (c) 2023 Artemov M.A., Kazakov I.S., Malov V.M., Zolotarev A.V., Eroshevskaya E.B., Karlova E.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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