Megalocornea and bilateral developmental cataracts.
We present the case of a 9-year-old boy with megalocornea and juvenile cataracts. Bilateral lens aspiration and acrylic intraocular lens (IOL) implantation were performed under general anesthesia. After the surgery, both IOLs gradually decentered. Posterior capsule opacification was a further complication, necessitating bilateral neodymium:YAG (Nd:YAG) capsulotomy under local anesthesia. Five years after the Nd:YAG capsulotomy, the decentered IOLs remained in the same position and the vision remained stable with glasses. Cataract extraction in megalocornea is difficult, and complications are frequent. The type of IOL, IOL size, and need for surgery should be carefully considered.
Berry-Brincat
Antonella
A
Eye Department, Royal Hallamshire Hospital, Sheffield, United Kingdom. aberrybrincat@hotmail.com
Chan
Tin K J
TK
D002386:Cataract / Q000151:congenital*; D002387:Cataract Extraction; D002648:Child; D003315:Cornea / Q000002:abnormalities*; D005124:Eye Abnormalities / Q000150:complications*; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male