Anterior Megalophthalmos Phacoemulsification and IOL Implantation

Aim: To demonstrate two techniques of achieving stable Intraocular lens fixation in patients with anterior megalophthalmos Methods: Video-based description of two cases of anterior megalophthalmos in which phacoemulsification was performed and a PCIOL was implanted, highlighting the difficulties in...

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Main Authors: Somasheila Murthy, Arjun Srirampur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-07-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.71
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author Somasheila Murthy
Arjun Srirampur
author_facet Somasheila Murthy
Arjun Srirampur
author_sort Somasheila Murthy
collection DOAJ
description Aim: To demonstrate two techniques of achieving stable Intraocular lens fixation in patients with anterior megalophthalmos Methods: Video-based description of two cases of anterior megalophthalmos in which phacoemulsification was performed and a PCIOL was implanted, highlighting the difficulties in cataract surgery in these cases. Results: In the first case with advanced megalophthalmos, the patient underwent phacoemulsification and the PCIOL was scleral-fixated. The second case had optic capture of the IOL within the anterior capsulorrhexis resulting in stable IOL. Conclusions: Phacoemulsification in anterior megalophthalmos requires careful planning to overcome hyper-deep anterior chamber, loose lens-zonular complex. In-the-bag insertion of standard posterior chamber IOL is unsatisfactory as it is likely to decenter and scleral fixation of IOL and optic capture of the IOL within the anterior capsulorrhexis are technically simple procedures which results in a stable IOL postoperatively.
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spelling doaj-art-607ec26a15a74ccfb328a0b63b1da44e2025-08-20T01:48:56ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842014-07-01251333410.7869/djo.71Anterior Megalophthalmos Phacoemulsification and IOL ImplantationSomasheila MurthyArjun SrirampurAim: To demonstrate two techniques of achieving stable Intraocular lens fixation in patients with anterior megalophthalmos Methods: Video-based description of two cases of anterior megalophthalmos in which phacoemulsification was performed and a PCIOL was implanted, highlighting the difficulties in cataract surgery in these cases. Results: In the first case with advanced megalophthalmos, the patient underwent phacoemulsification and the PCIOL was scleral-fixated. The second case had optic capture of the IOL within the anterior capsulorrhexis resulting in stable IOL. Conclusions: Phacoemulsification in anterior megalophthalmos requires careful planning to overcome hyper-deep anterior chamber, loose lens-zonular complex. In-the-bag insertion of standard posterior chamber IOL is unsatisfactory as it is likely to decenter and scleral fixation of IOL and optic capture of the IOL within the anterior capsulorrhexis are technically simple procedures which results in a stable IOL postoperatively.https://journals.lww.com/10.7869/djo.71megalophthalmoscataractphacoemulsification
spellingShingle Somasheila Murthy
Arjun Srirampur
Anterior Megalophthalmos Phacoemulsification and IOL Implantation
Delhi Journal of Ophthalmology
megalophthalmos
cataract
phacoemulsification
title Anterior Megalophthalmos Phacoemulsification and IOL Implantation
title_full Anterior Megalophthalmos Phacoemulsification and IOL Implantation
title_fullStr Anterior Megalophthalmos Phacoemulsification and IOL Implantation
title_full_unstemmed Anterior Megalophthalmos Phacoemulsification and IOL Implantation
title_short Anterior Megalophthalmos Phacoemulsification and IOL Implantation
title_sort anterior megalophthalmos phacoemulsification and iol implantation
topic megalophthalmos
cataract
phacoemulsification
url https://journals.lww.com/10.7869/djo.71
work_keys_str_mv AT somasheilamurthy anteriormegalophthalmosphacoemulsificationandiolimplantation
AT arjunsrirampur anteriormegalophthalmosphacoemulsificationandiolimplantation