MAR 26, 2020
AAO 2019 Video Program
What do you do when the power of the IOL is 60 or 62 D? When the eye is only 15 mm long? It is not only a matter of size; it is also a problem of space. We present the case of a 26-year-old woman with unremarkable systems review, high degree of hyperopia, refractive error of OD +13.50, OS +15.25 and a closed-angle glaucoma on full treatment but not controlled. The challenge was choosing the IOL power, which was the Hoffer Q for emmetropia 60.00 D OD and 62.00 D OS. The surgery was a challenge due to the lack of space, and the implanted IOL was of 50 D.