This is a Trulign Z syndrome in a very small (20.9mm) eye. It is my experience that eyes under 22mm are more prone to asymmetric and posterior vaults with the Crystalens platform IOLs. In this case the lens is not of a high enough power to correct the 3.6 diopters of against the rule astigmatism but also because of the tilt there is actually very significant myopic against the rule astigmatism being induced on the order of 5 diopters. I am exchanging this lens for a 1 piece AMO toric ZCT525 (28.5d) IOL on the correct axis of 170 degrees. A CTR is placed as well.
Capsular Tension Rings, CTRs • Cataract Surgery • Crystalens • IOL Exchange/IOL Explant • Toric IOLs • Trulign Toric IOL • Z Syndrome
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