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

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.


R F Akhmetshin

Kazan State Medical University

Author for correspondence.
Email: rustemfa@mail.ru
Kazan, Russia

M R Gilyazev

Kazan State Medical University

Email: rustemfa@mail.ru
Kazan, Russia

A T Galeeva

Kazan State Medical University

Email: rustemfa@mail.ru
Kazan, Russia

S N Bulgar

Kazan State Medical Academy

Email: rustemfa@mail.ru
Kazan, Russia

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© 2019 Akhmetshin R.F., Gilyazev M.R., Galeeva A.T., Bulgar S.N.

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Свидетельство о регистрации СМИ ЭЛ № ФС 77-75008 от 1 февраля 2019 года выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор)