A Case Of Electric Cataract With Phacodonesis And Astigmatism Managed By Phacoemulsification With Toric Iol Implantation Under Iris Hooks
Published 2024 - 42nd Congress of the ESCRS
Reference: PO077 | Type: Case Report | DOI: 10.82333/a53b-8q36
Authors: Tanie Natung* 1 , Ester Sekhose 1 , Hanjabam Dhanashree 1 , Mayank Gupta 1 , Jaya Prabha 1
1Ophthalmology,North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences,Shillong,India
Purpose
To report a case of Electric Cataract with phacodonesis and astigmatism managed by Phacoemulsification with Toric IOL Implantation under iris hooks
Setting
Tertiary care centre
Report of case
INTRODUCTION An increasing dependency on electricity has led to the rise in electrical current injuries. Ocular injuries in electric burns include corneal opacities, uveitis, cataract, retinal-edema, papilledema, chorioretinal atrophy, retinal detachment etc. Reporting of electric cataract cases are few, probably because only few patients survive the high voltage of electric current that induces cataract formation.
METHODS A 50-year old male presented with painless, progressive diminution of vision of the right eye for the past 7 years following a high-voltage electrocution. Exit wound was seen on the back of right gastrocnemius muscle. Visual acuity of right eye was hand movement close to face. Lens had anterior and posterior subcapsular cataract with mild phacodonesis. Biometry showed corneal astigmatism of -1.31 dioptre at 34° axis. Rest of examination was within normal limits in both the eyes. The right eye underwent phacoemulsification with foldable hydrophobic Toric posterior chamber intraocular lens (PC IOL) implantation (+20.5D T3) in the capsular bag with the help of iris hooks under topical anaesthesia.
RESULTS On postoperative day-1 and day-30, the patient regained uncorrected visual acuity of 6/6 in his right eye without any residual astigmatism. Rest was within normal limits.
Conclusion/Take home message
This is the first case report of an electric cataract with phacodonesis and astigmatism being managed by phacoemulsification with Toric IOL implantation under iris hooks cover. Electric cataract may develop immediately after injury, or be delayed by a few days; the average latency varies from 1 to 18 months. However, these have excellent visual prognosis with the newer and advanced surgical procedures and IOLs which give minimal or no residual refractive errors.