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Toric IOL Gone LRI

Nandini Venkateswaran, MD

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A patient with a visually significant cataract, prior vitrectomy, and a high degree of against-the-rule astigmatism was undergoing laser cataract surgery with insertion of a toric IOL. However, during nuclear disassembly, a posterior capsular tear was noted due to excessive manipulation of the lens nucleus. The lens nucleus and cortex were successfully removed and a manual limbal relaxing incision was created to correct the patient's astigmatism. Placement of a three-piece IOL in the sulcus was successfully performed and the patient was 20/25 uncorrected despite an unintended intraoperative quicksand moment.

Posted: 10/20/2021

Keywords:

Toric IOLs

•

Limbal Relaxing Incision, LRI

•

CRST Phaco Saves

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Toric IOL Gone LRI

Nandini Venkateswaran, MD

A patient with a visually significant cataract, prior vitrectomy, and a high degree of against-the-rule astigmatism was undergoing laser cataract surgery with insertion of a toric IOL. However, during nuclear disassembly, a posterior capsular tear was noted due to excessive manipulation of the lens nucleus. The lens nucleus and cortex were successfully removed and a manual limbal relaxing incision was created to correct the patient's astigmatism. Placement of a three-piece IOL in the sulcus was successfully performed and the patient was 20/25 uncorrected despite an unintended intraoperative quicksand moment.

Posted: 10/20/2021

Keywords:

Toric IOLs

•

Limbal Relaxing Incision, LRI

•

CRST Phaco Saves

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