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Case Reports
. 2018 Mar;66(3):457-459.
doi: 10.4103/ijo.IJO_678_17.

Small lens for a big eye: Successful management of anterior megalophthalmos

Jyoti Himanshu Matalia  1 , Sushma Tejwani  1 , Vimal Krishna Rajput  1 , Himanshu Matalia  1
Affiliations
Case Reports

Small lens for a big eye: Successful management of anterior megalophthalmos

Jyoti Himanshu Matalia et al. Indian J Ophthalmol. 2018 Mar.

Abstract

We report a case of anterior megalophthalmos and complicated cataract, with apparently smaller lens in both eyes. The right eye had spontaneous retinal detachment. The child underwent cataract surgery in both the eyes with retinal detachment surgery in the right eye. Due to small size of the lenticular bag, a downsized customized intraocular lens (IOL) was implanted. Postoperatively, the IOL was well centered with ambulatory vision till 3 years of follow-up. This case describes this rare disorder and its association with apparently small-sized lens and discusses the course of its management, highlighting the visual rehabilitation with customization of IOLs.

Keywords: Anterior megalophthalmos; apparently small lens; downsized intraocular lens.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Slit lamp image of the right eye (a) and left eye (b) with iris showing corectopia and iris atrophy in the right eye and ectropion uvea and iris hole in both eyes
Figure 2
Figure 2
Slit lamp image of the left eye after dilatation with oblique illumination (a) and retroillumination (b) with lens showing posterior subcapsular with polar cataract with crenated edges
Figure 3
Figure 3
Slit lamp image of the left eye showing anterior capsular phimosis pre Nd: YAG laser (a) and postlaser treatment (b). Note that the Nd: YAG capsulotomy has been done for posterior capsular opacification (c) Retroillumination after Nd: YAG capsulotomy showing the opening in the posterior capsule
See this image and copyright information in PMC

Comment in

  • Commentary: One size does not fit all.
    Jethani J. Jethani J. Indian J Ophthalmol. 2018 Mar;66(3):460. doi: 10.4103/ijo.IJO_1209_17. Indian J Ophthalmol. 2018. PMID: 29480269 Free PMC article. No abstract available.

References

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Publication types

Supplementary concepts