TORIC IOL AND DEAD BAG
Published 2025 - 29th ESCRS Winter Meeting
Reference: CR02.04 | Type: Case Report (Cornea Day) | DOI: 10.82333/j9f6-x978
Authors: David F Chang* 1
1Altos Eye Physicians,Los Altos ,United States
Purpose
To demonstrate a case of dead bag syndrome and the management of toric IOL misalignment
Setting
Private practice
Report of case
A 64 yo patient is seen 6 mo s/p uncomplicated phaco with implantation of a T4 monofocal IOL. It is 40 degrees misaligned with 1.75 D of postop astigmatism. Surgical rotation is attemped but is not possible due to dead bag syndrome. A CTR is eventually placed with the aid of capsule retractors and the IOL is eventually rotated into alignment. The new Shimowake CTR injector will be shown.
Conclusion / Take home message
Dead bag syndrome (DBS) is associated with zonulopathy and with toric IOL rotational instability. CTR injection is challenging with DBS