Dr. Nayana Nagesh

, DR. JYOTI MATALIA, DR. HIMANSHU MATALIA

Abstract

Complex membranous cataracts with high astigmatism in a child is uncommon & it’s treatment is a challenge.This video describes the successful implantation of a customized smart Toric Intraocular lens(IOL) in a child after surgical management of complex cataract

A 10 yr old presented with CF vision & membranous cataract in RE. Also, anterior capsular wrinkling, PC plaque & PC dehiscence with high astigmatism of 6D was noted

The video not only describes the implantation technique of a customized Smart Toric IOL(which does not need in-the bag IOL rotation thus making it ideal in presence of a PC defect)but also adds tips & tricks for step wise cataract surgery retaining capsular integrity to enable implantation of Toric IOL in the bag

Excellent visual outcome was obtained with stable IOL & vision improved from CF to 6/9p

Thus the video emphasizes that good preoperative planning can help achieve smart toric IOL implantation even in a child with a membranous cataract & PC defect