Abstract
PURPOSE: To describe a patient with irregular astigmatism who developed highly symptomatic monocular vertical diplopia after receiving a toric intraocular lens (IOL) at the time of surgery. METHODS: Data collected for this case report included pre-operative and postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity, refraction, mean keratometry, topographic astigmatism, and pachymetry. RESULTS: The patient's vertical diplopia was corrected safely. UDVA improved from 20/40 to 20/20, refraction improved from −0.50 −1.00 × 155° to −1.00 −0.87 × 160°, and mean keratometry changed from 45.18 to 45.08 diopters (D). Topographic astigmatism changed from −1.02 D @ 165° to −1.30 D @ 170°, and central pachymetry decreased from 506 to 491 µm. CONCLUSIONS: Monocular vertical diplopia after toric lens implantation in a patient with keratoconus may be corrected with lens exchange for a non-toric lens and subsequent SmartSurfACE photorefractive keratectomy (SCHWIND eyetech-solutions). [ Journal of Refractive Surgery Case Reports. 2022;2(3):e60–e62.]
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
