Phacoemulsification in anterior megalophthalmos.
This case outlines the phacoemulsification technique used to overcome the challenge of the hyperdeep anterior chamber, weak zonules, abnormal anterior capsule, and large capsular bag. Key steps included trypan blue staining of the anterior capsule, a large capsulorhexis, prolapse of the nucleus into the anterior chamber with phacoemulsification anterior to the capsulorhexis, and a posterior chamber-placed iris-clip intraocular lens. Successful visual rehabilitation is achievable in these anatomically challenging eyes.
Lee
Graham A
GA
Royal Brisbane Hospital, Brisbane, Australia. eye@cityeye.com.au
Hann
Joshua V
JV
Braga-Mele
Rosa
R
D000328:Adult; D000867:Anterior Chamber / Q000002:abnormalities*; D019923:Capsulorhexis; D003315:Cornea / Q000002:abnormalities*; D005124:Eye Abnormalities / Q000150:complications*; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D014786:Vision Disorders / Q000534:rehabilitation; D014792:Visual Acuity