Cargando…

Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy

PURPOSE: We present the case of a 36-year old Curschmann-Steinert myotonic dystrophy patient with posterior subcapsular cataract that we treated with unilateral implantation of an extended depth of focus intraocular lens to address his wish for spectacle independence at far and intermediate distance...

Descripción completa

Detalles Bibliográficos
Autores principales: Baur, Isabella, Auffarth, Gerd U., Łabuz, Grzegorz, Khoramnia, Ramin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8094889/
https://www.ncbi.nlm.nih.gov/pubmed/33997472
http://dx.doi.org/10.1016/j.ajoc.2021.101109
_version_ 1783688002628747264
author Baur, Isabella
Auffarth, Gerd U.
Łabuz, Grzegorz
Khoramnia, Ramin
author_facet Baur, Isabella
Auffarth, Gerd U.
Łabuz, Grzegorz
Khoramnia, Ramin
author_sort Baur, Isabella
collection PubMed
description PURPOSE: We present the case of a 36-year old Curschmann-Steinert myotonic dystrophy patient with posterior subcapsular cataract that we treated with unilateral implantation of an extended depth of focus intraocular lens to address his wish for spectacle independence at far and intermediate distance. OBSERVATIONS: The patient underwent phacoemulsification with subsequent implantation of the AcrySof IQ Vivity IOL (Alcon, Fort Worth, TX, USA) in his left eye. Uncorrected distance visual acuity (UDVA) on the left eye increased from +0.40 logMAR preoperatively to −0.12 logMAR at 3 months postoperatively. At the three months follow-up distance corrected intermediate visual acuity (DCIVA) at 80 cm distance was −0.08 logMAR and DCIVA at 66 cm distance was 0.14 logMAR for the left eye. The defocus curve showed a functional defocus of 2.0 diopters at 0.2 logMAR or better, corresponding to the extended depth of focus. Dysphotopsia evaluation with a Halo & Glare simulator (Eyeland-Design Network GmbH, Vreden, Germany) revealed a very low level of photic phenomena. CONCLUSIONS AND IMPORTANCE: Unilateral implantation of a new generation, non-diffractive extended depth of focus IOL was well tolerated and provided good functional results for far and intermediate distances. The patient reported a very low level of photic phenomena.
format Online
Article
Text
id pubmed-8094889
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-80948892021-05-13 Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy Baur, Isabella Auffarth, Gerd U. Łabuz, Grzegorz Khoramnia, Ramin Am J Ophthalmol Case Rep Case Report PURPOSE: We present the case of a 36-year old Curschmann-Steinert myotonic dystrophy patient with posterior subcapsular cataract that we treated with unilateral implantation of an extended depth of focus intraocular lens to address his wish for spectacle independence at far and intermediate distance. OBSERVATIONS: The patient underwent phacoemulsification with subsequent implantation of the AcrySof IQ Vivity IOL (Alcon, Fort Worth, TX, USA) in his left eye. Uncorrected distance visual acuity (UDVA) on the left eye increased from +0.40 logMAR preoperatively to −0.12 logMAR at 3 months postoperatively. At the three months follow-up distance corrected intermediate visual acuity (DCIVA) at 80 cm distance was −0.08 logMAR and DCIVA at 66 cm distance was 0.14 logMAR for the left eye. The defocus curve showed a functional defocus of 2.0 diopters at 0.2 logMAR or better, corresponding to the extended depth of focus. Dysphotopsia evaluation with a Halo & Glare simulator (Eyeland-Design Network GmbH, Vreden, Germany) revealed a very low level of photic phenomena. CONCLUSIONS AND IMPORTANCE: Unilateral implantation of a new generation, non-diffractive extended depth of focus IOL was well tolerated and provided good functional results for far and intermediate distances. The patient reported a very low level of photic phenomena. Elsevier 2021-04-17 /pmc/articles/PMC8094889/ /pubmed/33997472 http://dx.doi.org/10.1016/j.ajoc.2021.101109 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Baur, Isabella
Auffarth, Gerd U.
Łabuz, Grzegorz
Khoramnia, Ramin
Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy
title Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy
title_full Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy
title_fullStr Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy
title_full_unstemmed Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy
title_short Unilateral implantation of a new non-diffractive extended range-of-vision IOL in a young patient with Curschmann-Steinert myotonic dystrophy
title_sort unilateral implantation of a new non-diffractive extended range-of-vision iol in a young patient with curschmann-steinert myotonic dystrophy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8094889/
https://www.ncbi.nlm.nih.gov/pubmed/33997472
http://dx.doi.org/10.1016/j.ajoc.2021.101109
work_keys_str_mv AT baurisabella unilateralimplantationofanewnondiffractiveextendedrangeofvisioniolinayoungpatientwithcurschmannsteinertmyotonicdystrophy
AT auffarthgerdu unilateralimplantationofanewnondiffractiveextendedrangeofvisioniolinayoungpatientwithcurschmannsteinertmyotonicdystrophy
AT łabuzgrzegorz unilateralimplantationofanewnondiffractiveextendedrangeofvisioniolinayoungpatientwithcurschmannsteinertmyotonicdystrophy
AT khoramniaramin unilateralimplantationofanewnondiffractiveextendedrangeofvisioniolinayoungpatientwithcurschmannsteinertmyotonicdystrophy