Reversal of toric intraocular lens-corrected corneal astigmatism after Kahook dual blade goniotomy

Matthew T. Hirabayashi, Lindsey M. McDaniel, Jella A. An

Research output: Contribution to journalArticlepeer-review

Abstract

A 79-year-old man underwent phacoemulsification (phaco) with TORIC intraocular lens (IOL) insertion combined with Kahook dual blade (KDB) goniotomy of the right eye several months after a stand-alone phaco in the fellow eye. He had significant against-the-rule astigmatism in both eyes (2.41D @ 10° right, 2.40D @ 160° left) preoperatively. Postoperatively, nearly all corneal astigmatism disappeared in the right eye (0.60D @ 37°), while it remained the same in the left eye (2.00D @ 167°). Ophthalmologists should be aware that KDB may have an unreported effect of altering corneal astigmatism, which should be considered when inserting TORIC IOL.

Original languageEnglish (US)
Pages (from-to)42-44
Number of pages3
JournalJournal of Current Glaucoma Practice
Volume13
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Keywords

  • Astigmatism
  • Kahook dual blade
  • Phaco
  • Toric

ASJC Scopus subject areas

  • Ophthalmology

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