ESCRS - PO405 - Shallow Anterior Chamber: The Challenge In Phacoemulsification

Shallow Anterior Chamber: The Challenge In Phacoemulsification

Published 2024 - 42nd Congress of the ESCRS

Reference: PO405 | Type: Poster | DOI: 10.82333/9rrk-bn20

Authors: Rinanto Prabowo* 1

1Cataract refractive Surgery,Yap Eye Hospital,Jogja,Indonesia

Purpose

Shallow anterior chamber is one of the hard and challenging condition for phacoemulsification, with the consequence of permanent corneal damage. This case series demonstrates the phacoemulsification strategies in achieving the best visual outcome despite the shallow anterior chamber condition.

Setting

Study was conducted in YAP Eye Hospital Yogyakarta in January and February 2024.

Methods

Presented here is a retrospective case series of 3 cataract patients with shallow anterior chamber. First patient with anterior chamber microphtalmos, had ACD and AL of around 1.96 mm and 22 mm respectively. Phacoemulsification was performed parallel to the posterior chamber to maintain optimal distance to the endothelium. The second and third patient had ACD of 1.52 mm and 1.48 mm, with lens inconsistency characterized by LSD of 15 and 21 respectively, indicating lens subluxation. Phacoemulsification procedures for both cases were performed with CTR insertion to maintain bag stability.

Results

On postoperative day 7, the first, second, and third patients experienced an increase in vision to 6/6, 6/12, and 6/9 respectively. The shallow anterior chamber condition also improved, as indicated by an increase to 3.77; 3.82; and 4.16 respectively.

Conclusions

Performing specific and precise phacoemulsification techniques may prevent poor prognosis in shallow anterior chamber conditions.