Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2022; 10(20): 7013-7019
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.7013
Secondary positioning of rotationally asymmetric refractive multifocal intraocular lens in a patient with glaucoma: A case report
Cong Fan, Yi Zhou, Jian Jiang
Cong Fan, Yi Zhou, Jian Jiang, Department of Ophthalmology, Xiangya Hospital Central South University, Changsha 410000, Hunan Province, China
Author contributions: Fan C was a major contributor in acquisition of the data, literature search, and manuscript draft; Zhou Y analyzed and interpreted the imaging findings, and contributed to manuscript drafting; Jiang J was the patient’s surgeon, provided the concept and design, and was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 81974130; and Natural Science Foundation of Hunan Province, China, No. 2020JJ4882.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Jiang, PhD, Associate Professor, Department of Ophthalmology, Xiangya Hospital Central South University, No. 87 Xiangya Road, Changsha 410000, Hunan Province, China. jiangjianxy@126.com
Received: November 17, 2021
Peer-review started: November 17, 2021
First decision: April 13, 2022
Revised: April 20, 2022
Accepted: May 27, 2022
Article in press: May 27, 2022
Published online: July 16, 2022
Core Tip

Core Tip: Based on the design concept of asymmetric region refraction, the placement of asymmetric multifocal intraocular lenses (IOLs) is particularly important. Here, we report the case of a glaucoma patient undergoing cataract surgery with an asymmetric multifocal IOL implanted in the dominant eye. After 2 wk, the lens epithelial cells proliferated rapidly and visual acuity decreased significantly, which was recovered after capsular polishing combined with IOL rotation. By reporting this case, we hope to provide new insights into the implantation of asymmetric multifocal IOLs in patients with glaucoma.