title: Cataract Surgery in Anterior Megalophthalmos: A Review.
abstract: Anterior megalophthalmos is characterized by megalocornea associated with a very broad anterior chamber and ciliary ring elongation. It is also called X-linked megalocornea. It is accompanied by early development of cataracts, zonular anomalies, and, rarely, vitreoretinal disorders. Subluxation of a cataract can occur in cataract surgery because of zonular weakness. In addition, in most patients, standard intraocular lens (IOL) decentration is a risk because of the enlarged sulcus and capsular bag. These unique circumstances make cataract surgery challenging. To date, several approaches have been developed. Implantation of a retropupillary iris-claw aphakic intraocular lens may be a good option because it is easier than suturing the IOL and can have better and more stable anatomic and visual outcomes, compared to other techniques.
authors.affiliation: Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia; Fundación Oftalmológica de Santander FOSCAL, Floridablanca, Colombia; Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Colombia.
authors.forename: Virgilio
authors.initials: V
authors.lastname: Galvis
authors.affiliation: Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia; Fundación Oftalmológica de Santander FOSCAL, Floridablanca, Colombia; Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Colombia.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Tello
authors.affiliation: Fundación Oftalmológica de Santander FOSCAL, Floridablanca, Colombia; Universidad Industrial de Santander, Bucaramanga, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: M Rangel
keywords: Iris-claw intraocular lens; megalocornea; megalophthalmos