Search
Search
Cynthia Matossian MD
Show Description +
This is a case of an insertion of a piggyback implant. A STAAR AQ5010 on top of a Trulign. The patient had a diopter of a myopic refractive surprise and wanted this corrected. The solution that the patient chose was to have the AQ5010 inserted piggyback on top of the previously inserted Trulign.
Posted: 3/18/2014
Cynthia Matossian MD
This is a case of an insertion of a piggyback implant. A STAAR AQ5010 on top of a Trulign. The patient had a diopter of a myopic refractive surprise and wanted this corrected. The solution that the patient chose was to have the AQ5010 inserted piggyback on top of the previously inserted Trulign.
Posted: 3/18/2014
.00_00_09_18.Still002_1755543568.png?auto=compress,format&w=504)
Please log in to leave a comment.
Comments
Just Now
Cynthia Matossian, MD FACS
11 years ago
If I had had a +1.00 D refractive surprise (instead of a -1.00 D), I would have handled it the same way with a piggy back AQ5010 IOL in the sulcus.
mark promersberger
11 years ago
would you have handled a refractive surprise of +1.00 the same way, with a -100 sulcus IOL?
Cynthia Matossian, MD FACS
11 years ago
The original surgery with the Trulign insertion was routine without any complications. There was no forward tilting or vaulting of the IOL, both haptics were in the bag with a well centered and ? 5.5 mm capsulorhexis. I do not have access to an ORA at this time. Post-operatively, the cylinder was 100% corrected with the Trulign; there was a 1D myopic refractive surprise most probably secondary to her ELP. I cannot explain the refractive surprise any other way.
P Dee G Stephenson, MD
11 years ago
why were you a diopter off for the patient that is the real question
Gary Wortz, MD
11 years ago
Beautiful demonstration of a very handy correction technique.
Cynthia Matossian, MD FACS
11 years ago
One month after the AQ5010 piggy back IOL insertion over the Trulign, the visual acuity in the patient's operated eye was as follows: UCDVA: 20/25-1 UCIVA: 20/25 UCNVA: 20/40 I have found that the Piggy back IOL does not effect the Intermediate and functional near vision over Crystalens or Trulign IOLs.
ari weitzner
11 years ago
you gotta figure that the minimal anterior haptic movement of the trulign will be reduced to zero once the piggyback is in the sulcus