Spontaneous 90° Rotation of a Toric Intraocular Lens in Congenital Aniridia: A Surgical Challenge

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Published

2026-04-02

DOI:

https://doi.org/10.56692/upjo.2026140108

Keywords:

Congenital aniridia, toric intraocular lens, capsular tension ring, IOL rotation, cataract surgery

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Issue

Vol. 14 No. 01 (2026): UP Journal of Ophthalmology

Section

Case Report

License

Copyright (c) 2026 Ratnali Gandhi, Neha Shilpy, Abhishek Chandra, Govind Khalko

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

© Author, Open Access. This article is licensed under a CC Attribution 4.0 License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/byncsa/4.0/.

Authors

  • Ratnali Gandhi Gandhi
  • Neha Shilpy Consultant Netrodaya The Eye City
  • Abhishek Chandra Director Netrodaya The Eye City
  • Govind Khalko Consultant Netrodaya The Eye City

Abstract

Purpose: To report a rare case of spontaneous 90° rotation of a toric intraocular lens (IOL) in a patient with congenital aniridia and highlight the importance of capsular support.
Methods: An 18-year-old female with bilateral congenital aniridia presented with cataract. The left eye underwent phacoemulsification with toric IOL implantation without a capsular tension ring (CTR).
Results: On postoperative day 1, the toric IOL showed spontaneous 90° rotation from the intended axis, resulting in significant alteration of astigmatic correction. The case highlighted capsular instability in the absence of CTR.
Conclusion: Eyes with congenital aniridia are at high risk of zonular weakness and IOL instability. Use of CTR is crucial in maintaining rotational stability of toric IOLs and optimizing postoperative outcomes.

How to Cite

1.
Gandhi R, Shilpy N, Chandra A, Khalko G. Spontaneous 90° Rotation of a Toric Intraocular Lens in Congenital Aniridia: A Surgical Challenge. UPJO [Internet]. 2026 Apr. 2 [cited 2026 Jun. 26];14(01):40-1. Available from: https://upjo.info/index.php/upjo/article/view/637

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