Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos
Identifieur interne : 002591 ( Main/Merge ); précédent : 002590; suivant : 002592Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos
Auteurs : Virgilio Galvis [Colombie] ; Alejandro Tello [Colombie] ; Giuseppe Miotto [Colombie] ; Carlos M. Rangel [Colombie]Source :
- Case Reports in Ophthalmology [ 1663-2699 ] ; 2012.
Abstract
A 44-year-old man with anterior megalophthalmos arrived at the clinic presenting a cataract in the right eye. The corneal diameter was 13 mm. Iridodonesis and phacodonesis were evident during slit lamp examination. Anterior chamber depth was 5.89 mm, and the diameter of the capsular bag was approximately 14.45 mm. Due to the large capsular bag, a standard posterior chamber intraocular lens was considered inadequate because of potential instability. Phacoemulsification and an implantation of an iris-claw lens (Artisan for aphakia®, Ophtec) in the posterior chamber were performed with good results. In the fourth postoperative month, uncorrected distance visual acuity was 20/30, and 20/20 was achieved with +0.75 −1.25 × 10°. We consider retropupillary aphakic iris-claw intraocular lenses to be a worthwhile option in these cases of megalophthalmos and cataract, since instability is avoided and the procedure is less challenging than suturing the lens.
Url:
DOI: 10.1159/000346074
PubMed: 23341820
PubMed Central: 3551436
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Rangel</name><affiliation wicri:level="1"><nlm:aff id="aff2">Fundación Oftalmológica de Santander/Clinica Ardila Lulle (FOSCAL), Floridablanca, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Fundación Oftalmológica de Santander/Clinica Ardila Lulle (FOSCAL), Floridablanca</wicri:regionArea><wicri:noRegion>Floridablanca</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Ophthalmology</title><idno type="eISSN">1663-2699</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 44-year-old man with anterior megalophthalmos arrived at the clinic presenting a cataract in the right eye. The corneal diameter was 13 mm. Iridodonesis and phacodonesis were evident during slit lamp examination. Anterior chamber depth was 5.89 mm, and the diameter of the capsular bag was approximately 14.45 mm. Due to the large capsular bag, a standard posterior chamber intraocular lens was considered inadequate because of potential instability. Phacoemulsification and an implantation of an iris-claw lens (Artisan for aphakia<sup>®</sup>, Ophtec) in the posterior chamber were performed with good results. In the fourth postoperative month, uncorrected distance visual acuity was 20/30, and 20/20 was achieved with +0.75 −1.25 × 10°. We consider retropupillary aphakic iris-claw intraocular lenses to be a worthwhile option in these cases of megalophthalmos and cataract, since instability is avoided and the procedure is less challenging than suturing the lens.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wright, Re" uniqKey="Wright R">RE Wright</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meire, Fm" uniqKey="Meire F">FM Meire</name></author><author><name sortKey="Delleman, Jw" uniqKey="Delleman J">JW Delleman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ho, Cl" uniqKey="Ho C">CL Ho</name></author><author><name sortKey="Walton, Ds" uniqKey="Walton D">DS Walton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Neumann, Ac" uniqKey="Neumann A">AC Neumann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kwitko, S" 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