Cataract surgery in patients with nanophthalmos.
OBJECTIVE
To report the visual outcomes and complications of cataract surgery in a large series of patients with nanophthalmos.


METHODS
Retrospective, interventional case series.


METHODS
Forty-three eyes with an axial length ≤ 20.5 mm of 32 adult patients who underwent cataract surgery in a tertiary clinic.


METHODS
Medical records of patients undergoing cataract surgery between 1994 and 2010 were reviewed.


METHODS
Best-corrected visual acuity (BCVA) at 6 months after surgery and postoperative complications occurring during the entire follow-up period.


RESULTS
Forty-three eyes of 32 patients (aged 19-87 years; median, 69 years) were included. Cataract surgery resulted in improvement of ≥ 3 Snellen lines in 19 eyes (44.2%). Two eyes (4.7%) lost ≥ 3 Snellen lines because of corneal decompensation in one and angle-closure glaucoma in the other. During the entire follow-up period, complications occurred in 12 eyes (27.9%). The most frequent complications were uveal effusion (9.3%) and cystoid macular edema (CME) (7.0%).


CONCLUSIONS
Cataract surgery in patients with nanophthalmos remains a surgical challenge, and complications often occur in these high-risk eyes.
Department of Ophthalmology, University Medical Center Utrecht, Utrecht, The Netherlands. D.Steijns@umcutrecht.nl
Daan
D
Steijns
Ward R
WR
Bijlsma
Allegonda
A
Van der Lelij
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D058452:Axial Length, Eye; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008850:Microphthalmos / Q000601:surgery*; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D019591:Pseudophakia / Q000503:physiopathology; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult