Calculating intraocular lens power in anterior megalophthalmos: A case report
IntroductionWe report a case of a man with cataract and anterior megalophthalmos (AM), in which some myopia was retained when calculating intraocular lens (IOL) power using the Haigis formula to avoid postoperative farsightedness.Case descriptionA 59-year-old Chinese man was referred to our clinic f...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.926792/full |
| _version_ | 1811321246357389312 |
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| author | Jiancheng Mu Yu Yang Tianxu Xiong Wei Fan |
| author_facet | Jiancheng Mu Yu Yang Tianxu Xiong Wei Fan |
| author_sort | Jiancheng Mu |
| collection | DOAJ |
| description | IntroductionWe report a case of a man with cataract and anterior megalophthalmos (AM), in which some myopia was retained when calculating intraocular lens (IOL) power using the Haigis formula to avoid postoperative farsightedness.Case descriptionA 59-year-old Chinese man was referred to our clinic for cataract surgery in his right eye. He had strong bilateral megalocornea, and his left eye had undergone surgery four times. After complete preoperative examinations and repeated biometry, the Haigis formula was used, and a 3-piece IOL was implanted with a target power of −1.97 D. At 1-year follow-up, the patient showed the best-corrected distance vision of 20/20 with the refraction of −1.50 DC × 160°, and the IOL was stable.ConclusionOur patient with anterior megalophthalmos showed postoperative hyperopia drift even though the Haigis formula was used as suggested in previous studies. To prevent farsightedness after surgery, some myopia should be retained when calculating IOL power. The Kane, Holladay II with AL adjustment, and Barrett Universal II formulas may be more accurate for calculating IOL power in such patients. |
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| id | doaj.art-e64099c3e4fb46b2886937700bf3dbd3 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-13T13:13:31Z |
| publishDate | 2022-08-01 |
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| series | Frontiers in Medicine |
| spelling | doaj.art-e64099c3e4fb46b2886937700bf3dbd32022-12-22T02:45:32ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-08-01910.3389/fmed.2022.926792926792Calculating intraocular lens power in anterior megalophthalmos: A case reportJiancheng MuYu YangTianxu XiongWei FanIntroductionWe report a case of a man with cataract and anterior megalophthalmos (AM), in which some myopia was retained when calculating intraocular lens (IOL) power using the Haigis formula to avoid postoperative farsightedness.Case descriptionA 59-year-old Chinese man was referred to our clinic for cataract surgery in his right eye. He had strong bilateral megalocornea, and his left eye had undergone surgery four times. After complete preoperative examinations and repeated biometry, the Haigis formula was used, and a 3-piece IOL was implanted with a target power of −1.97 D. At 1-year follow-up, the patient showed the best-corrected distance vision of 20/20 with the refraction of −1.50 DC × 160°, and the IOL was stable.ConclusionOur patient with anterior megalophthalmos showed postoperative hyperopia drift even though the Haigis formula was used as suggested in previous studies. To prevent farsightedness after surgery, some myopia should be retained when calculating IOL power. The Kane, Holladay II with AL adjustment, and Barrett Universal II formulas may be more accurate for calculating IOL power in such patients.https://www.frontiersin.org/articles/10.3389/fmed.2022.926792/fullanterior megalophthalmoscataractintraocular lensIOL power calculationsurgical technique |
| spellingShingle | Jiancheng Mu Yu Yang Tianxu Xiong Wei Fan Calculating intraocular lens power in anterior megalophthalmos: A case report Frontiers in Medicine anterior megalophthalmos cataract intraocular lens IOL power calculation surgical technique |
| title | Calculating intraocular lens power in anterior megalophthalmos: A case report |
| title_full | Calculating intraocular lens power in anterior megalophthalmos: A case report |
| title_fullStr | Calculating intraocular lens power in anterior megalophthalmos: A case report |
| title_full_unstemmed | Calculating intraocular lens power in anterior megalophthalmos: A case report |
| title_short | Calculating intraocular lens power in anterior megalophthalmos: A case report |
| title_sort | calculating intraocular lens power in anterior megalophthalmos a case report |
| topic | anterior megalophthalmos cataract intraocular lens IOL power calculation surgical technique |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.926792/full |
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