Case ReportCataract Surgery With Toric Intraocular Lens Implantation in Keratoconus: A Case ReportVisser, Nienke MD; Gast, Sacha T J M MD; Bauer, Noël J C MD, PhD; Nuijts, Rudy M M A MD, PhDAuthor Information From the University Eye Clinic, Maastricht University Medical Centre, Maastricht, The Netherlands. Received for publication January 13, 2010; revision received July 8, 2010; accepted September 12, 2010. The authors state that they have no proprietary interest in the products named in this article. Reprints: Rudy M. M. A. Nuijts, Department of Ophthalmology, University Hospital Maastricht, P Debyelaan 25, 6202 AZ Maastricht, Limburg, The Netherlands (e-mail: [email protected]). Cornea: June 2011 - Volume 30 - Issue 6 - p 720-723 doi: 10.1097/ICO.0b013e31820009d4 Buy Metrics Abstract Purpose: We report 2 cases in which cataract extraction with a foldable acrylic toric intraocular lens (IOL) implantation was used to correct (irregular) corneal astigmatism in patients with keratoconus and cataract. Methods: Case 1 was a 78-year-old man with cataract and keratoconus in the left eye. He underwent phacoemulsification with a toric IOL [Acrysof SN60T9; cylinder power: 6.0 diopters (D)] implantation. Case 2 was a 64-year-old woman with bilateral cataract and keratoconus. She underwent phacoemulsification with toric IOL implantation in the right (Acrysof SN60T9; cylinder power: 6.0 D) and left eyes (Acrysof SN60T5; cylinder power: 3.0 D). Postoperative follow-up in both cases was 6 months. Results: In case 1, the uncorrected visual acuity increased from 20/400 to 20/50. The refractive cylinder decreased from −6.0 to −1.5 D, which is a reduction of 75%. In case 2, the uncorrected visual acuity increased from 20/400 to 20/130 in the right eye and from 20/400 to 20/30 in the left eye. Refractive astigmatism decreased by 70% in both eyes. No IOL misalignment or other complications occurred. Conclusions: Cataract extraction with toric IOL implantation can be used to correct (irregular) astigmatism and to improve visual functioning in patients with mild to moderate amounts of stable keratoconus and cataract. Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.