Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment
The early development of lens opacities and lens subluxation are the most common causes of vision loss in patients with anterior megalophthalmos (AM). Cataract surgery in such patients is challenging, however, because of anatomical abnormalities. Intraocular lens dislocation is the most common posto...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2017-01-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/456068 |
| _version_ | 1818272001907752960 |
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| author | María Carmen Guixeres Esteve Augusto Octavio Pardo Saiz Lucía Martínez-Costa Samuel González-Ocampo Dorta Pedro Sanz Solana |
| author_facet | María Carmen Guixeres Esteve Augusto Octavio Pardo Saiz Lucía Martínez-Costa Samuel González-Ocampo Dorta Pedro Sanz Solana |
| author_sort | María Carmen Guixeres Esteve |
| collection | DOAJ |
| description | The early development of lens opacities and lens subluxation are the most common causes of vision loss in patients with anterior megalophthalmos (AM). Cataract surgery in such patients is challenging, however, because of anatomical abnormalities. Intraocular lens dislocation is the most common postoperative complication. Patients with AM also seem to be affected by a type of vitreoretinopathy that predisposes them to retinal detachment. We here present the case of a 36-year-old man with bilateral AM misdiagnosed as simple megalocornea. He had a history of amaurosis in the right eye due to retinal detachment. He presented with vision loss in the left eye due to lens subluxation. Following the removal of the subluxated lens, it was deemed necessary to perform a vitrectomy in order to prevent retinal detachment. Seven months after surgery, an Artisan® Aphakia iris-claw lens was implanted in the anterior chamber. Fifteen months of follow-up data are provided. |
| first_indexed | 2024-12-12T21:35:08Z |
| format | Article |
| id | doaj.art-eb8feb09d85b438aa0e3b26e32b82c8d |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-12T21:35:08Z |
| publishDate | 2017-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-eb8feb09d85b438aa0e3b26e32b82c8d2022-12-22T00:11:12ZengKarger PublishersCase Reports in Ophthalmology1663-26992017-01-0181616610.1159/000456068456068Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal DetachmentMaría Carmen Guixeres EsteveAugusto Octavio Pardo SaizLucía Martínez-CostaSamuel González-Ocampo DortaPedro Sanz SolanaThe early development of lens opacities and lens subluxation are the most common causes of vision loss in patients with anterior megalophthalmos (AM). Cataract surgery in such patients is challenging, however, because of anatomical abnormalities. Intraocular lens dislocation is the most common postoperative complication. Patients with AM also seem to be affected by a type of vitreoretinopathy that predisposes them to retinal detachment. We here present the case of a 36-year-old man with bilateral AM misdiagnosed as simple megalocornea. He had a history of amaurosis in the right eye due to retinal detachment. He presented with vision loss in the left eye due to lens subluxation. Following the removal of the subluxated lens, it was deemed necessary to perform a vitrectomy in order to prevent retinal detachment. Seven months after surgery, an Artisan® Aphakia iris-claw lens was implanted in the anterior chamber. Fifteen months of follow-up data are provided.http://www.karger.com/Article/FullText/456068Anterior megalophthalmosLens subluxationVitrectomyRetinal detachment |
| spellingShingle | María Carmen Guixeres Esteve Augusto Octavio Pardo Saiz Lucía Martínez-Costa Samuel González-Ocampo Dorta Pedro Sanz Solana Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment Case Reports in Ophthalmology Anterior megalophthalmos Lens subluxation Vitrectomy Retinal detachment |
| title | Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment |
| title_full | Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment |
| title_fullStr | Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment |
| title_full_unstemmed | Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment |
| title_short | Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment |
| title_sort | surgical management of a patient with anterior megalophthalmos lens subluxation and a high risk of retinal detachment |
| topic | Anterior megalophthalmos Lens subluxation Vitrectomy Retinal detachment |
| url | http://www.karger.com/Article/FullText/456068 |
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