Doğanay, DeryaÇankaya, CemDoğanay, Selim2024-08-042024-08-0420241300-03652146-9008https://doi.org/10.5336/ophthal.2023-100669https://search.trdizin.gov.tr/yayin/detay/1239507https://hdl.handle.net/11616/90108Phacoemulsification and implantation of a customized toric intraocular lens (IOL) Acriva BB T UDM 611 was performed in 3 eyes of 3 patients with cataract and more than 13 diopters of astig- matism after penetrating keratoplasty at least 6 months after complete suture removal. Pre- and postoperative uncorrected and corrected vi- sual acuity, manifest refractions, corneal topographies, autorefracto- metric keratometry values, posterior segment examinations and intraocular pressure measurements were performed in all patients. The corneal astigmatism was a relatively regular bow-tie pattern in all three patients. Astigmatic changes were also evaluated. No compli- cations were observed during surgery or at follow-up. Customized toric IOL implantation seems to be a predictable and safe procedure in patients with cataract and high astigmatism after penetrating ker- atoplasty. Longer follow-up is required to confirm these predictable clinical results, particularly with regard to IOL misalignment and bag stability.eninfo:eu-repo/semantics/openAccessArticle33212813210.5336/ophthal.2023-1006691239507