Cataract surgery and anterior megalophthalmos: custom intraocular lens and special considerations.
We report a patient who presented with anterior megalophthalmos: corneal diameter of nearly 17.0 mm, anterior chamber depth of 7.0 mm, mild lens subluxation, and nuclear sclerotic cataract. Surgical management consisted of a scleral tunnel incision, capsule staining, a predetermined capsulorhexis size, microcoaxial phacoemulsification with torsional ultrasound, and implantation of a custom IOL to ensure endocapsular fixation. Special consideration must be given to the patient with a very large anterior segment.
Hospital do Olho de Rio Preto and the Hospital de Olhos Jose Eutropio Salvador, Brazil.
Fabio Marques
FM
Vaz
Robert H
RH
Osher
D000328:Adult; D000867:Anterior Chamber / Q000002:abnormalities*; D019923:Capsulorhexis / Q000379:methods; D002386:Cataract / Q000150:complications; D003315:Cornea / Q000002:abnormalities*; D005124:Eye Abnormalities / Q000150:complications*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D012590:Sclera / Q000601:surgery