Arquivos Brasileiros de Oftalmologia
Print version ISSN 0004-2749
ROCHA, Ricardo de Carvalho; OECHSLER, Rafael Allan; CARVALHO, Róberson Garcia de and MOREIRA, Hamilton. Influence of corneal astigmatism in final visual acuity after implantation of AcrySofTM ReSTORTM: case report. Arq. Bras. Oftalmol. [online]. 2007, vol.70, n.6, pp. 1040-1042. ISSN 0004-2749. http://dx.doi.org/10.1590/S0004-27492007000600031.
Currently, new types of intraocular lenses have been developed aiming to eliminate presbyopia and the use has become more popular. The authors report the case of a patient with bilateral cataract and corneal irregularities and astigmatism higher than 2D in the corneal topography, in which AcrySofTM ReSTORTM intraocular lens was implanted in the left eye associated to relaxing limbal incisions trying to reduce corneal astigmatism. The near and distance postoperative visual acuity were worse than expected, with no improvement with refraction. Apparently, no other reason apart from irregular astigmatism/multifocal lens justified the low vision. After 45 days, with no visual acuity improvement, the intraocular lens was explanted and a monofocal one was implanted. The final corrected visual acuity improved. Thus, the present case emphasizes the need of a correct preoperative selection of patients to implant this type of multifocal lens, with special attention to corneal topography data.
Keywords : Pseudophakia; Phacoemulsification; Lens implantation, intraocular; Cataract extraction; Visual acuity; Case reports.