Phacoemulsification in anterior megalophthalmos: rhexis fixation technique for intraocular lens centration

Int Ophthalmol. 2014 Apr;34(2):279-84. doi: 10.1007/s10792-013-9784-9. Epub 2013 May 23.

Abstract

We describe phacoemulsification in both eyes of a patient with anterior megalophthalmos. Surgery in such cases can be challenging because of a deep anterior chamber, enlarged ciliary ring, weakened zonules, and large capsular bag. Phacoemulsification performed through a scleral tunnel resulted in a stable wound. We report the use of anterior optic capture technique (optic within the capsulorhexis margin, haptics in the sulcus) for successful intraocular lens implant centration.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anterior Chamber / abnormalities*
  • Capsulorhexis
  • Eye Abnormalities / surgery*
  • Humans
  • Lens Implantation, Intraocular / methods*
  • Male
  • Phacoemulsification / methods*
  • Suture Techniques*
  • Treatment Outcome
  • Vision Disorders / surgery