Bilateral Cataract Surgery After Myopic Lenticule Extraction In Megalocornea -First Case Worldwide
Published 2025 - 43rd Congress of the ESCRS
Reference: PO060 | Type: Case Report | DOI: 10.82333/zc0t-qk90
Authors: Cyres Mehta* 1 , keiki mehta 2
1anterior segment,iec,mumbai,India, 2cataract,miei,mumbai,India
Purpose
To show that Bilateral cataract surgery with EDOF lenses are sight restorative in Megalocornea patients previously operated with SMILE.
Setting
A 35-years-old male ,6/12 in the RE and 6/9 in the LE with bilateral megalocornea (wtw distance 14.8 mm), with post SMILE clear corneas presented for cataract surgery .After Ethics committee clearance and informed consent ,IOL power was calculated with Barrett Myopic post refractive ,targeting -0.75D monovision.Phaco with a CTR was performed bilaterally and EDOF lenses were implanted
Report of case
The patient was 6/6 N8 bilaterally two days post procedure .At 1 year follow up ,the cornea and refraction are stable. In a exhaustive literature review, bilateral cataract surgery after SMILE for megalocornea has never been attempted any where in the world .Bilateral cataract surgery after SMILE can be a viable and safe treatment .
Conclusion/Take home message
Bilateral cataract surgery with EDOF lenses post SMILE in primary megalocornea is safe and effective.