Trifocal toric intra-ocular lens implantation in pediatric traumatic cataract

Abstract

PurposeTo present the case of a 6-year-old child who presented with a traumatic cataract and was treated with trifocal toric intra-ocular lens implantation.ObservationsThe child's uncorrected distance visual acuity improved from +0.7 logMAR preoperatively to 0.00 logMAR after cataract surgery, with spectacle independence and no reported side effectsConclusions and importanceIn carefully selected pediatric patients with traumatic cataracts, trifocal toric intra-ocular lenses may offer some benefit over standard monofocal lenses

Premium intraocular lenses in children

“…Articles with outcomes unrelated to our topic, letters to editors and commentaries were excluded. A total of 17 studies (case reports, [12][13][14][15][16][17] case series 18 and interventional studies) were then evaluated in detail. Full text and reference lists of all these were screened to ensure that any relevant study was not excluded.…”

“…However, two interesting case reports did use this IOL in children. Zeng et al 12 implanted the Restor Toric IOL in a 9-year-old child with a post-traumatic cataract while Vianna et al 13 implanted the Trifocal toric IOL (Zeiss AT Lisa Tri Toric 939 MP) in a 6-year-old child with a post-traumatic cataract. Both children had astigmatism >2D and were targeted for emmetropia.…”

Supporting suture combined scleral fixation of toric IOL implantation in traumatic aniridia, aphakia and corneal astigmatic eye: a case report

“…The management is often challenging due to multistructures affected. Toric intraocular lens (IOL) implantation can be an effective method for the treatment of traumatic corneal astigmatism [1] . Because of the optic design, the toric IOLs require more precise centration.…”

Implantation einer torischen Intraokularlinse mit erweiterter Tiefenschärfe bei unilateraler, traumatischer Katarakt

“…Es konnte gezeigt werden, dass mit torischen IOLs bei Patienten mit kornealem Astigmatismus eine Brillenunabhängigkeit deutlich häufiger erreicht werden kann als mit einer monofokalen IOL 38 , 39 . Trotz traumatisch bedingter Katarakt kann in Fällen mit ausreichender Stabilität der Zonulafasern auch eine torische IOL implantiert werden 40 , 41 . Aufgrund der modernen IOL-Designs mit hoher Rotationsstabilität ist eine postoperative Rotation der IOL selten geworden 38 , 39 .…”