Cataract surgery with intraocular lens implantation in 3 brothers with megalocornea: Long-term follow-up

被引:7
|
作者
Messina, Marco
Ross, Andrew R.
Pocobelli, Giulio
Said, Dalia G.
Dua, Harminder S.
机构
[1] Univ Nottingham, Div Clin Neurosci, Acad Ophthalmol, Nottingham, England
[2] Nottingham Univ Hosp NHS Trust, Dept Ophthalmol, Nottingham, England
来源
关键词
X-LINKED MEGALOCORNEA; ANTERIOR MEGALOPHTHALMOS; PHACOEMULSIFICATION; DISLOCATION; EXTRACTION; FIXATION; PATIENT;
D O I
10.1016/j.jcrs.2018.01.020
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Cataract surgery in patients with megalocornea is challenging because of the large capsular bag in which a conventional intraocular lens (IOL) does not fit and the atrophic nature of the iris. We report the procedures and outcomes of cataract surgery in 6 eyes of 3 brothers with megalocornea. In 2 eyes, a posterior chamber IOL (PC IOL) was inserted and sutured to the iris with 10-0 nylon sutures. In the other 4 eyes, an iris-clip anterior chamber IOL (AC IOL) was inserted. In all cases, the postoperative corrected distance visual acuity (CDVA) was 6/6. In the PC IOL group, 1 IOL dislocated and was replaced with an iris-clip AC IOL. In the AC IOL group, 1 IOL subluxated and was reenclavated. In both eyes with dislocation, the CDVA improved to 6/6. (C) 2018 Published by Elsevier Inc.
引用
收藏
页码:399 / 402
页数:4
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