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. 2026 Sep 10;13:1853734. doi: 10.3389/fmed.2026.1853734

Figure 5.

Four-panel figure showing a patient with a clear corneal graft and high residual myopic astigmatism treated with a toric EyeCryl phakic intraocular lens. Preoperative corneal topography and anterior segment OCT demonstrate a stable graft-host interface, predominantly regular astigmatism, and adequate anterior chamber anatomy. Postoperative topography and OCT demonstrate a stable corneal surface, a clear graft, and a well-centered toric phakic intraocular lens with an adequate vault.

A 38-year-old male with a clear 7 mm corneal graft presented with poor visual quality due to high residual myopic astigmatism (preoperative UDVA: 0.05; CDVA: 0.80; manifest refraction: −5.50/−3.00 × 125°). At 1 month postoperatively, UDVA improved to 0.92 and CDVA to 0.96 with a small residual refraction of −0.25/−0.50 × 170°. At 12 months, UDVA was 0.86 and CDVA reached 1.0 with a refraction of 0.00/−1.00 × 180°, and at 19 months UDVA remained 0.80 with CDVA 1.0 and the same refraction, indicating long-term refractive stability. (A) Preoperative corneal topography and (B) anterior segment OCT after keratoplasty showing a stable graft–host interface, predominantly regular astigmatism, and an adequate anterior chamber configuration prior to toric EyeCryl phakic IOL implantation. (C) Postoperative corneal topography and (D) OCT demonstrating a stable corneal surface, a clear graft, and a well-centered toric EyeCryl phakic IOL with adequate vault.