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Revista mexicana de oftalmología
On-line version ISSN 2604-1227Print version ISSN 0187-4519
Abstract
VALDEZ-GARCIA, Jorge E. et al. Visual outcome after trifocal intraocular lens exchange in a patient with cornea guttata. Rev. mex. oftalmol [online]. 2022, vol.96, n.3, pp.131-134. Epub Oct 07, 2022. ISSN 2604-1227. https://doi.org/10.24875/rmo.m21000192.
Purpose:
To report the management of a patient with primary cornea guttata symptoms after cataract surgery with a trifocal intraocular lens (IOL) implant.
Case report:
A 67-year-old male was referred to our department due to persistent blurred vision and night glare 6 months after phacoemulsification and trifocal IOL implantation. By slit-lamp examination, corneal guttae was observed and changes in corneal endothelium morphology suggested primary cornea guttata. A monofocal IOL exchange was performed in order to reduce corneal aberrations, with an excellent outcome after 2 years of follow up.
Conclusions:
Corneal guttae accent optical aberrations in combination with premium IOLs. Screening for endothelial dysfunction is a key element for successful outcomes in cataract surgery.
Keywords : Primary cornea guttata; IOL exchange; Cataract surgery; Trifocal IOL.
