Author(s):
1. Zlatko Mušanović, JZU univerzitetski klinicki centar Tuzla, Federation of Bosnia and Herzegovina , Bosnia and Herzegovina
2. Vahid Jusufović, 3. Jasmin Zvorničanin, Federation of Bosnia and Herzegovina , Bosnia and Herzegovina

Abstract:
Purpose: To present a case of difficult toric-IOL calculation and present possible solutions for solving high irregular corneal astigmatism in keratoconus. Upon adapted IOL calculation cataract extraction with a foldable acrylic toric-IOL implantation was used in order to correct irregular corneal astigmatism in patient with keratoconus and cataract. Methods: CASE REPORT AND VIDEO PRESENTATION. 46-year-old man with cataract and keratoconus in the both eyes presented to Eye clinic University clinical center Tuzla. Patient underwent phacoemulsification with a toric-IOL (Acrysof SN60T9; cylinder power: 6.0D) implantation. Postoperative follow-up was 3 months. Result: Uncorrected visual acuity (UCVA) improved from 0,01 to 0,8. The refractive cylinder decreased from -7,3 to -1.0 D. Conclusions: Cataract extraction with toric-IOL implantation can be used to correct irregular astigmatism and can significantly improve visual functioning in patients with mild to moderate amounts of stable keratoconus and cataract.

Key words:
astigmatism, phacoemulsification, toric-IOL

Thematic field:
katarakta

Opening paper:
Yes

Date of abstract submission:
27.03.2012.

Number of visits:
822

Conference:
II Kongres oftalmologa BiH