First Author: M.Poelzl GERMANY
Co Author(s): D. Uthoff D. Holland
Purpose:
To show the limits of rotational stability of toric phakic ICL.
Setting:
: Eye hospital Bellevue
Lindenallee 21
24105 Kiel
Germany
Methods:
Visual acuity of both cases, a postoperative day monocular 1.0. Six weeks later, both describe a decrease of visual acuity. After detailed history patient 1 has noticed the decrease of visual acuity after a head ball. Patient 2 describes a decrease of visual acuity right after a night of wild dancing.
In both patients we found a rotation to the phakic lens (ICL) by 90 °. The findings were photodocumented. In both cases, the posterior chamber phakic lens desired by a rotation in the place to be brought.
Results:
The incorrect positioning of a toric lens by 30 ° leads to complete loss of correction. The secondary rotation of the toric phakic lens leads to the desired result even though a repeated intraocular surgery with all known risks is necessary.
Conclusions:
Both, one-stage shock as a header and a more pronounced sustained head movement like wild dancing can cause a rotation of a phakic intraocular lens.
Financial Disclosure:
No
