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First Author: V.Galvis COLOMBIA
Co Author(s): A. Tello G. Miotto C. Rangel
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To report a patient with anterior megalophthalmos who underwent cataract surgery and the modified approach to solve the challenges posed by this rare eye condition
Centro Oftalmológico Virgilio Galvis
The case of a 44-year-old man with anterior megalophthalmos who arrived at the clinic presenting a cataract in the right eye, is presented.
The corneal diameter was 13 mm. Iridodonesis and phacodonesis were evident during slit lamp examination. Anterior chamber depth was 5.89 mm, and the diameter of the capsular bag was approximately 14.45 mm. Due to the large capsular bag, a standard posterior chamber intraocular lens was considered inadequate because of potential instability. Phacoemulsification and an implantation of an iris-claw lens (Artisan for aphakia®, Ophtec) in the posterior chamber were performed with good results. In the fourth postoperative month, uncorrected distance visual acuity was 20/30, and 20/20 was achieved with +0.75 1.25 Ṫ 10Ḟ.
We consider retropupillary aphakic iris-claw intraocular lenses to be a worthwhile option in these cases of megalophthalmos and cataract, since instability is avoided and the procedure is less challenging than suturing the lens.