Late Reposition of a Dislocated Toric Intraocular Lens in a Fibrosed Capsular Bag: A Case Report.

Mustafa K Hallak, Robin Splawski, Sabine E Buchner, Robert P Finger, Argyrios Chronopoulos

Abstract readCase Reports

In one paragraph

Article in Case reports in ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mustafa K HallakDepartment of Ophthalmology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Robin SplawskiDepartment of Ophthalmology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Sabine E BuchnerDepartment of Ophthalmology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Robert P FingerDepartment of Ophthalmology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Argyrios ChronopoulosDepartment of Ophthalmology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Toric intraocular lenses (IOLs) are widely used to correct corneal astigmatism during cataract surgery. However, postoperative rotation or decentration may significantly compromise visual outcomes. Case Presentation: A 70-year-old patient presented with progressive visual deterioration several years after cataract surgery with toric IOL implantation. Examination revealed a rotated and partially dislocated toric IOL with significant residual astigmatism (-7.50 D). Intraoperatively, the nasal haptic was located in the sulcus and fibrotic adhesions within the capsular bag were present. After careful viscodissection and release of capsular adhesions, the IOL was mobilized and repositioned into the capsular bag using a push-pull technique and aligned to the intended axis. Conclusion: Several years after cataract surgery, a repositioning of a dislocated toric IOL is still possible and can restore visual function avoiding unnecessary complex IOL exchange procedures.

Indexed as

Astigmatism correctionCataract surgeryIntraocular lens dislocationIntraocular lens repositioningToric intraocular lens

Identifiers

PMID42565025

DOI10.1159/000553211

PMCPMC13446891

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.