SCLERAL FIXATED INTRAOCULAR LENS IMPLANTATION IN A PATIENT WITH BILATERAL MICROCORNEA AND MICROPHTHALMIA: A CASE REPORT

Published 2022 - 26th ESCRS Winter Meeting

Reference: P208 | Type: Abstracts | DOI: 10.82333/szpf-js40

Authors: Nada Nasser Al Wohaibi* ¹ , Mohanna Mohanna Al Jindan ² , Fatemah Al Rashidi ³

¹Ophthalmology - Cornea &amp; External Diseases,SCFHS,Dammam,Saudi Arabia, ²Ophthalmology - Cornea &amp; External Diseases,Imam Abdulrahman Bin Faisal University,Dammam,Saudi Arabia, ³MBBS,Imam Abdulrahman Bin Faisal University,Dammam,Saudi Arabia

Purpose

Microphthalmos is a developmental anomaly consisting of a smaller than normal eye, which can be associated with other ocular abnormalities such as congenital cataracts and nystagmus.

Setting

Management of aphakia in microphthalmic eyes is challenging due to the anatomical abnormalities and limited literature on managing such cases. Visual rehabilitation for aphakia using contact lenses is limited by intolerance and poor lens fitting. Significant optical aberrations may limit aphakic spectacle use, further exacerbated in patients with nystagmus. Thus, secondary IOL implantation seems to be a reasonable rehabilitation alternative; however, it is surgically challenging in microphthalmic eyes.

Methods

Results

Conclusion

Here, we report a case of a 22-year-old lady with bilateral microphthalmia and microcornea, in which a modified technique for sutureless scleral fixated intraocular lens implantation provided a successful aphakic rehabilitation alternative with a good visual outcome and significant improvement in quality of life.