Spontaneous rotation of a toric implantable collamer lens related to abnormal ciliary body morphology: a case report.

Abstract:

BACKGROUND:This is a case of spontaneous toric implantable collamer lens (TICL) rotation that occurred twice in the left eye of a patient. CASE PRESENTATION:A 24-year-old gentleman received TICL implantation for treatment of myopic astigmatism encountered with spontaneous rotation of approximately 90° from its original position. TICL reposition procedure was performed with visual outcome of 20/16. Surprisingly, a re-rotation of TICL occurred. The patient underwent a replacement of non-toric ICL with a larger size after careful re-evaluation with final visual outcome of 20/20. A short and small ciliary process with shallow ciliary sulcus and posteriorly positioned ciliary body was found by Ultrasound Biomicroscopy (UBM). CONCLUSIONS:The unique morphology of the ciliary body may have a potential association with the vault and instability of implanted ICL. Careful examination of the ciliary body morphology is essential in preoperative evaluation.

journal_name

BMC Ophthalmol

journal_title

BMC ophthalmology

authors

Chen Q,Zeng Q,Wang Z,Pan C,Lei X,Tan W

doi

10.1186/s12886-020-01597-5

subject

Has Abstract

pub_date

2020-08-28 00:00:00

pages

350

issue

1

issn

1471-2415

pii

10.1186/s12886-020-01597-5

journal_volume

20

pub_type

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