A clinical case of aphakia correction with a lens of an extended focus depth in a patient with the consequences of a closed eye injury

Purpose. To present a clinical case of phased rehabilitation and IOL implantation with an expanded focus depth in a patient with the consequences of a closed eye injury. Methods. Patient Z., 18 years old, underwent surgical treatment for retinal detachment, lens luxation into the vitreal cavity and traumatic mydriasis. After achieving a complete fit of the retina, the silicone is removed from the vitreal cavity. Vision with aphakic correction – 0.9. After 6 months, implantation and sclerocorneal fixation of LuxSmart IOL (Bausch & Lomb, USA) were performed. Results. Visual acuity after lens implantation was: 0.6 Sph (–)1.0 D = 0.9 in the distance; 0.5 Sph (+) 1.5 D = 0.9 in the vicinity; 0.85 u.c. at an average distance, the nature of vision is binocular. IOP is 18 mm Hg. According to ultrasound biomicroscopy, the IOL is centered, does not come into contact with intraocular structures. Subjectively, the patient is extremely satisfied with the received vision. In the long-term period (6 months of the follow up period), visual functions are preserved, the position of the IOL is stable. Conclusion. Implantation and sclerocorneal fixation of LuxSmart IOL (Bausch & Lomb, USA) are an effective way to correct aphakia in a patient with concomitant retinal pathology due to a successful combination of structural design that allows the lens suture fixation and the design of the optical part, providing functional near vision with a minimum period of neuroadaptation. Key words: correction of aphakia, closed eye injury