Scleral Fixation of a Toric Intraocular Lens. Clinical Case
https://doi.org/10.18008/1816-5095-2026-2-418-422
Abstract
Purpose: to present a clinical case of suturing a toric intraocular lens (tIOL) in a patient with lens luxation into the vitreous body and corneal astigmatism. Patient K., 78, presented with complaints of deteriorating vision. His objective status at presentation was as follows: visual acuity OS 0.02 with correction sph +11.0 cyl –1.25 ax 26° = 0.4. Keratometry OS: strong meridian 45.60 D ax 129, weak meridian 44.43 D ax 39. Biomicroscopic examination of the left eye revealed a clear cornea, deep anterior chamber, clear aqueous humor, subatrophic iris, and lens luxation into the vitreous cavity. The patient was referred for surgical treatment. Scleral fixation of the TIOL was performed, which provided correction of aphakia and compensation for corneal astigmatism. The presented method of scleral fixation of TIOLs allows achieving high visual acuity in patients with luxation of the lens combined with corneal astigmatism.
About the Authors
R. R. Faizrakhmanov
National Medical and Surgical Center named after N.I. Pirogov
Russian Federation
Russian Federation
Fayzrakhmanov Rinat R. - MD, Professor, Corresponding Member of the Russian Academy of Natural Sciences, Member of the Presidium of the Board of the Russian Ophthalmologists Society, head of the Ophthalmology Center, ophthalmologist, head of Department
Nizhnyaya Pervomayskaya str., 70, Moscow, 105203
D. B. Tutaev
National Medical and Surgical Center named after N.I. Pirogov
Russian Federation
Russian Federation
Tutaev Dmitry B. - ophthalmologist
Nizhnyaya Pervomayskaya str., 70, Moscow, 105203
N. A. Morina
S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Morina Natalya A. - PhD, junior researcher of the Clinical and Functional Diagnostics Department, ophthalmologist
Beskudnikovskiy Blvd, 59a, Moscow, 127486
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Review
For citations:
Faizrakhmanov R.R., Tutaev D.B., Morina N.A. Scleral Fixation of a Toric Intraocular Lens. Clinical Case. Ophthalmology in Russia. 2026;23(2):418-422. (In Russ.) https://doi.org/10.18008/1816-5095-2026-2-418-422
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