Abstract
The authors present a case report of a 74-year- old female patient with a unilateral
corticonuclear cataract and high corneal astigmatism in her right eye. Patient’s medical history evidenced anisometropic amblyopia with CDVA 0,63 twenty years ago. A cataract
surgery of the right eye was indicated. The implantation of a toric IOL was recommended due
to the regular corneal astigmatism (4,2 Dcyl) in Pentacam. However, the patient re
fused this
IOL because of low expectation, so we decided to perform phacoemulsification and
implantation of a spheric IOL, with 3 incisional astigmatic keratotomies at the steep corneal
meridian. 15 months later, the patient was satisfied as her vision got
better to UDVA 0,9 and
CDVA 1,0 with 0,5D cyl.
This case study demonstrates the effectiveness of astigmatic keratotomy. Moreover, it points
out the possibility of apparent amblyopia, which can be caused by the combination of high
refractive error and anis
ometropia