Case Reports
doi: 10.1016/j.jcrs.2007.07.021.
Cataract surgery and anterior megalophthalmos: custom intraocular lens and special considerations
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- PMID: 18053921
- DOI: 10.1016/j.jcrs.2007.07.021
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Case Reports
Cataract surgery and anterior megalophthalmos: custom intraocular lens and special considerations
J Cataract Refract Surg.
2007 Dec.
Abstract
We report a patient who presented with anterior megalophthalmos: corneal diameter of nearly 17.0 mm, anterior chamber depth of 7.0 mm, mild lens subluxation, and nuclear sclerotic cataract. Surgical management consisted of a scleral tunnel incision, capsule staining, a predetermined capsulorhexis size, microcoaxial phacoemulsification with torsional ultrasound, and implantation of a custom IOL to ensure endocapsular fixation. Special consideration must be given to the patient with a very large anterior segment.
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