Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos
A 44-year-old man with anterior megalophthalmos arrived at the clinic presenting a cataract in the right eye. The corneal diameter was 13 mm. Iridodonesis and phacodonesis were evident during slit lamp examination. Anterior chamber depth was 5.89 mm, and the diameter of the capsular bag was approxim...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2012-12-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/346074 |
| _version_ | 1819230420899725312 |
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| author | Virgilio Galvis Alejandro Tello Giuseppe Miotto Carlos M. Rangel |
| author_facet | Virgilio Galvis Alejandro Tello Giuseppe Miotto Carlos M. Rangel |
| author_sort | Virgilio Galvis |
| collection | DOAJ |
| description | A 44-year-old man with anterior megalophthalmos arrived at the clinic presenting a cataract in the right eye. The corneal diameter was 13 mm. Iridodonesis and phacodonesis were evident during slit lamp examination. Anterior chamber depth was 5.89 mm, and the diameter of the capsular bag was approximately 14.45 mm. Due to the large capsular bag, a standard posterior chamber intraocular lens was considered inadequate because of potential instability. Phacoemulsification and an implantation of an iris-claw lens (Artisan for aphakia®, Ophtec) in the posterior chamber were performed with good results. In the fourth postoperative month, uncorrected distance visual acuity was 20/30, and 20/20 was achieved with +0.75 –1.25 × 10°. We consider retropupillary aphakic iris-claw intraocular lenses to be a worthwhile option in these cases of megalophthalmos and cataract, since instability is avoided and the procedure is less challenging than suturing the lens. |
| first_indexed | 2024-12-23T11:28:48Z |
| format | Article |
| id | doaj.art-4db1338486be47c5833f6b4a50639b10 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-23T11:28:48Z |
| publishDate | 2012-12-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-4db1338486be47c5833f6b4a50639b102022-12-21T17:48:52ZengKarger PublishersCase Reports in Ophthalmology1663-26992012-12-013342843310.1159/000346074346074Artisan Aphakic Lens for Cataract Surgery in Anterior MegalophthalmosVirgilio GalvisAlejandro TelloGiuseppe MiottoCarlos M. RangelA 44-year-old man with anterior megalophthalmos arrived at the clinic presenting a cataract in the right eye. The corneal diameter was 13 mm. Iridodonesis and phacodonesis were evident during slit lamp examination. Anterior chamber depth was 5.89 mm, and the diameter of the capsular bag was approximately 14.45 mm. Due to the large capsular bag, a standard posterior chamber intraocular lens was considered inadequate because of potential instability. Phacoemulsification and an implantation of an iris-claw lens (Artisan for aphakia®, Ophtec) in the posterior chamber were performed with good results. In the fourth postoperative month, uncorrected distance visual acuity was 20/30, and 20/20 was achieved with +0.75 –1.25 × 10°. We consider retropupillary aphakic iris-claw intraocular lenses to be a worthwhile option in these cases of megalophthalmos and cataract, since instability is avoided and the procedure is less challenging than suturing the lens.http://www.karger.com/Article/FullText/346074Iris-claw intraocular lensMegalocorneaMegalophthalmos |
| spellingShingle | Virgilio Galvis Alejandro Tello Giuseppe Miotto Carlos M. Rangel Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos Case Reports in Ophthalmology Iris-claw intraocular lens Megalocornea Megalophthalmos |
| title | Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos |
| title_full | Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos |
| title_fullStr | Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos |
| title_full_unstemmed | Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos |
| title_short | Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos |
| title_sort | artisan aphakic lens for cataract surgery in anterior megalophthalmos |
| topic | Iris-claw intraocular lens Megalocornea Megalophthalmos |
| url | http://www.karger.com/Article/FullText/346074 |
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