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Six-year follow-up of toric intra-ocular lens implantation for post keratoplasty astigmatism and cataract – Case reports
Manas Nath1, Annamalai Odayappan2, Karan Bhatia3, Ashish M Khodifad4, Sivagami Nachiappan5, Narayana Shivananda6
1 Cataract, Glaucoma and Refractive Services, ASG Eye Hospital, Kolkata, West Bengal, India
2 Glaucoma Services, Aravind Eye Hospital, Pondicherry, India
3 Department of Ophthalmology, Manaktala Eye and Maternity Home, Meerut, Uttar Pradesh, India
4 Vitreo Retina Consultant, Shree Ram Netralaya, Bhavnagar, Gujarat, India
5 General Ophthalmology, Aravind Eye Hospital, Pondicherry, India
6 Cornea Services, Aravind Eye Hospital, Pondicherry, India
Correspondence Address:
Annamalai Odayappan
C/O Aravind Eye Hospital, Cuddalore Main Road, Thavalakuppam, Pondicherry - 605 007
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2891_22
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We describe the long-term outcomes of two patients who underwent toric intra-ocular lens (IOL) implantation for cataract with post-keratoplasty astigmatism. At 6 years, the IOL was found to be stable with a rotation of less than 2°. Neither of our patients had graft rejection after IOL implantation. There was no significant increase in the corneal thickness, and graft clarity was maintained. The endothelial cell loss in our patients was 10.8% at 1 year, 13.2% at 2 years, and 7.8% at 6 years in case 1 and 9.3% at 1 year, 12.4% at 2 years, and 37.3% at 6 years in case 2.
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