Case Report: Implantable Collamer Lens for Keratoconus with Splinter Cataract.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2024-12-08 eCollection Date: 2024-01-01 DOI:10.2147/IMCRJ.S502174
Danya Aldahan, Sara AlHilali
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引用次数: 0

Abstract

Background: Implantable collamer lens (ICL) could be an effective and safe treatment option for patient with keratoconus. The presence of cataract is considered a relative contraindication to the use of ICL. In this case report, we describe the outcomes of ICL implantation in an eye with keratoconus and splinter cortical cataract sparing the visual axis.

Case report: Thirty-six-year-old female patient diagnosed with keratoconus was followed in the outpatient department and sought to be independent of glasses in the right eye. Upon examination she was found to have bilateral splinter cortical cataract not involving the visual axis. She had the best spectacle corrected visual acuity of 20/30; she underwent uneventful implantation of ICL in the right eye with an uncorrected visual acuity of 20/30 post-operatively with no progression of the cataract during the follow-up period.

Conclusion: The patient achieved a stable uncorrected visual acuity of 20/30 with no cataract progression after 18 months. Splinter cataract remains stable over time, thus it should not be considered as a contraindication for the implantation of ICL in patients with keratoconus.

锥形角膜伴分裂性白内障植入性晶状体一例报告。
背景:人工晶状体(ICL)是治疗圆锥角膜的一种安全有效的方法。白内障的存在被认为是使用ICL的相对禁忌症。在这个病例报告中,我们描述了在圆锥角膜和分裂性皮质白内障保留视轴的眼睛中植入ICL的结果。病例报告:36岁女性患者诊断为圆锥角膜在门诊随访,寻求独立的右眼眼镜。经检查发现她患有双侧裂状皮质性白内障,不累及视轴。最佳眼镜矫正视力为20/30;她顺利接受了右眼ICL植入术,术后未矫正视力为20/30,随访期间白内障无进展。结论:患者术后18个月视力稳定,未矫正视力为20/30,无白内障进展。随着时间的推移,分裂性白内障保持稳定,因此不应将其视为圆锥角膜患者植入术的禁忌症。
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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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