Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos
Identifieur interne : 001853 ( Pmc/Checkpoint ); précédent : 001852; suivant : 001854Artisan 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
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:3551436Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos</title><author><name sortKey="Galvis, Virgilio" sort="Galvis, Virgilio" uniqKey="Galvis V" first="Virgilio" last="Galvis">Virgilio Galvis</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Centro Oftalmológico Virgilio Galvis, Floridablanca</wicri:regionArea><wicri:noRegion>Floridablanca</wicri:noRegion></affiliation><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><affiliation wicri:level="1"><nlm:aff id="aff3">Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga</wicri:regionArea><wicri:noRegion>Bucaramanga</wicri:noRegion></affiliation></author><author><name sortKey="Tello, Alejandro" sort="Tello, Alejandro" uniqKey="Tello A" first="Alejandro" last="Tello">Alejandro Tello</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Centro Oftalmológico Virgilio Galvis, Floridablanca</wicri:regionArea><wicri:noRegion>Floridablanca</wicri:noRegion></affiliation><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><affiliation wicri:level="1"><nlm:aff id="aff3">Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga</wicri:regionArea><wicri:noRegion>Bucaramanga</wicri:noRegion></affiliation></author><author><name sortKey="Miotto, Giuseppe" sort="Miotto, Giuseppe" uniqKey="Miotto G" first="Giuseppe" last="Miotto">Giuseppe Miotto</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Centro Oftalmológico Virgilio Galvis, Floridablanca</wicri:regionArea><wicri:noRegion>Floridablanca</wicri:noRegion></affiliation></author><author><name sortKey="Rangel, Carlos M" sort="Rangel, Carlos M" uniqKey="Rangel C" first="Carlos M." last="Rangel">Carlos M. 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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23341820</idno><idno type="pmc">3551436</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3551436</idno><idno type="RBID">PMC:3551436</idno><idno type="doi">10.1159/000346074</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000C75</idno><idno type="wicri:Area/Pmc/Curation">000C75</idno><idno type="wicri:Area/Pmc/Checkpoint">001853</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos</title><author><name sortKey="Galvis, Virgilio" sort="Galvis, Virgilio" uniqKey="Galvis V" first="Virgilio" last="Galvis">Virgilio Galvis</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Centro Oftalmológico Virgilio Galvis, Floridablanca</wicri:regionArea><wicri:noRegion>Floridablanca</wicri:noRegion></affiliation><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><affiliation wicri:level="1"><nlm:aff id="aff3">Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga</wicri:regionArea><wicri:noRegion>Bucaramanga</wicri:noRegion></affiliation></author><author><name sortKey="Tello, Alejandro" sort="Tello, Alejandro" uniqKey="Tello A" first="Alejandro" last="Tello">Alejandro Tello</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Centro Oftalmológico Virgilio Galvis, Floridablanca</wicri:regionArea><wicri:noRegion>Floridablanca</wicri:noRegion></affiliation><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><affiliation wicri:level="1"><nlm:aff id="aff3">Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga</wicri:regionArea><wicri:noRegion>Bucaramanga</wicri:noRegion></affiliation></author><author><name sortKey="Miotto, Giuseppe" sort="Miotto, Giuseppe" uniqKey="Miotto G" first="Giuseppe" last="Miotto">Giuseppe Miotto</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Centro Oftalmológico Virgilio Galvis, Floridablanca</wicri:regionArea><wicri:noRegion>Floridablanca</wicri:noRegion></affiliation></author><author><name sortKey="Rangel, Carlos M" sort="Rangel, Carlos M" uniqKey="Rangel C" first="Carlos M." last="Rangel">Carlos M. 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" uniqKey="Kwitko S">S Kwitko</name></author><author><name sortKey="Belfort Junior, R" uniqKey="Belfort Junior R">R Belfort Júnior</name></author><author><name sortKey="Omi, Ca" uniqKey="Omi C">CA Omi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dua, Hs" uniqKey="Dua H">HS Dua</name></author><author><name sortKey="Azuara Blanco, A" uniqKey="Azuara Blanco A">A Azuara-Blanco</name></author><author><name sortKey="Pillai, Ct" uniqKey="Pillai C">CT Pillai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Javadi, Ma" uniqKey="Javadi M">MA Javadi</name></author><author><name sortKey="Jafarinasab, Mr" uniqKey="Jafarinasab M">MR Jafarinasab</name></author><author><name sortKey="Mirdehghan, Sa" uniqKey="Mirdehghan S">SA Mirdehghan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Sanctis, U" uniqKey="De Sanctis U">U de Sanctis</name></author><author><name sortKey="Grignolo, Fm" uniqKey="Grignolo F">FM Grignolo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sharan, S" uniqKey="Sharan S">S Sharan</name></author><author><name sortKey="Billson, Fa" uniqKey="Billson F">FA Billson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Basti, S" uniqKey="Basti S">S Basti</name></author><author><name sortKey="Koch, Dd" uniqKey="Koch D">DD Koch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tsai, Ck" uniqKey="Tsai C">CK Tsai</name></author><author><name sortKey="Lai, Ic" uniqKey="Lai I">IC Lai</name></author><author><name sortKey="Kuo, Hk" uniqKey="Kuo H">HK Kuo</name></author><author><name sortKey="Teng, Mc" uniqKey="Teng M">MC Teng</name></author><author><name sortKey="Fang, Pc" uniqKey="Fang P">PC Fang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oetting, Ta" uniqKey="Oetting T">TA Oetting</name></author><author><name sortKey="Newsom, Th" uniqKey="Newsom T">TH Newsom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, G" uniqKey="Lee G">G Lee</name></author><author><name sortKey="Hann, J" uniqKey="Hann J">J Hann</name></author><author><name sortKey="Braga Mele, R" uniqKey="Braga Mele R">R Braga-Mele</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vaz, Fm" uniqKey="Vaz F">FM Vaz</name></author><author><name sortKey="Osher, Rh" uniqKey="Osher R">RH Osher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berry Brincat, A" uniqKey="Berry Brincat A">A Berry-Brincat</name></author><author><name sortKey="Chan, Tk" uniqKey="Chan T">TK Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Assia, Ei" uniqKey="Assia E">EI Assia</name></author><author><name sortKey="Segev, F" uniqKey="Segev F">F Segev</name></author><author><name sortKey="Michaeli, A" uniqKey="Michaeli A">A Michaeli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Welder, J" uniqKey="Welder J">J Welder</name></author><author><name sortKey="Oetting, Ta" uniqKey="Oetting T">TA Oetting</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zare, Ma" uniqKey="Zare M">MA Zare</name></author><author><name sortKey="Eshraghi, B" uniqKey="Eshraghi B">B Eshraghi</name></author><author><name sortKey="Kiarudi, My" uniqKey="Kiarudi M">MY Kiarudi</name></author><author><name sortKey="Masoule, Ea" uniqKey="Masoule E">EA Masoule</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="R Kas, M" uniqKey="R Kas M">M Rękas</name></author><author><name sortKey="Pawlik, R" uniqKey="Pawlik R">R Pawlik</name></author><author><name sortKey="Klu, A" uniqKey="Klu A">A Kluś</name></author><author><name sortKey="R Ycki, R" uniqKey="R Ycki R">R Różycki</name></author><author><name sortKey="Szaflik, Jp" uniqKey="Szaflik J">JP Szaflik</name></author><author><name sortKey="Oldak, M" uniqKey="Oldak M">M Ołdak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rijneveld, Wj" uniqKey="Rijneveld W">WJ Rijneveld</name></author><author><name sortKey="Beekhuis, Wh" uniqKey="Beekhuis W">WH Beekhuis</name></author><author><name sortKey="Hassman, Ef" uniqKey="Hassman E">EF Hassman</name></author><author><name sortKey="Dellaert, Mm" uniqKey="Dellaert M">MM Dellaert</name></author><author><name sortKey="Geerards, Aj" uniqKey="Geerards A">AJ Geerards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mohr, A" uniqKey="Mohr A">A Mohr</name></author><author><name sortKey="Hengerer, F" uniqKey="Hengerer F">F Hengerer</name></author><author><name sortKey="Eckardt, C" uniqKey="Eckardt C">C Eckardt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miller, Jj" uniqKey="Miller J">JJ Miller</name></author><author><name sortKey="Scott, Iu" uniqKey="Scott I">IU Scott</name></author><author><name sortKey="Flynn, Hw" uniqKey="Flynn H">HW Flynn</name></author><author><name sortKey="Smiddy, We" uniqKey="Smiddy W">WE Smiddy</name></author><author><name sortKey="Newton, J" uniqKey="Newton J">J Newton</name></author><author><name sortKey="Miller, D" uniqKey="Miller D">D Miller</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Ophthalmol</journal-id><journal-id journal-id-type="publisher-id">COP</journal-id><journal-title-group><journal-title>Case Reports in Ophthalmology</journal-title></journal-title-group><issn pub-type="epub">1663-2699</issn><publisher><publisher-name>S. Karger AG</publisher-name><publisher-loc>Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23341820</article-id><article-id pub-id-type="pmc">3551436</article-id><article-id pub-id-type="doi">10.1159/000346074</article-id><article-id pub-id-type="publisher-id">cop-0003-0428</article-id><article-categories><subj-group subj-group-type="heading"><subject>Published online: December, 2012</subject></subj-group></article-categories><title-group><article-title>Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Galvis</surname><given-names>Virgilio</given-names></name><xref ref-type="aff" rid="aff1"><sup>a</sup></xref><xref ref-type="aff" rid="aff2"><sup>b</sup></xref><xref ref-type="aff" rid="aff3"><sup>c</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tello</surname><given-names>Alejandro</given-names></name><xref ref-type="aff" rid="aff1"><sup>a</sup></xref><xref ref-type="aff" rid="aff2"><sup>b</sup></xref><xref ref-type="aff" rid="aff3"><sup>c</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Miotto</surname><given-names>Giuseppe</given-names></name><xref ref-type="aff" rid="aff1"><sup>a</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rangel</surname><given-names>Carlos M.</given-names></name><xref ref-type="aff" rid="aff2"><sup>b</sup></xref></contrib></contrib-group><aff id="aff1"><sup>a</sup>Centro Oftalmológico Virgilio Galvis, Floridablanca, Colombia</aff><aff id="aff2"><sup>b</sup>Fundación Oftalmológica de Santander/Clinica Ardila Lulle (FOSCAL), Floridablanca, Colombia</aff><aff id="aff3"><sup>c</sup>Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Colombia</aff><author-notes><corresp id="cor1">*Alejandro Tello, MD, Centro Medico Ardila Lulle, Piso 3, Modulo 7, Floridablanca (Colombia), E-Mail <email>alejandrotello@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><season>Sep-Dec</season><year>2012</year></pub-date><pub-date pub-type="epub"><day>19</day><month>12</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>12</month><year>2012</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>3</volume><issue>3</issue><fpage>428</fpage><lpage>433</lpage><permissions><copyright-statement>Copyright © 2012 by S. Karger AG, Basel</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">http://creativecommons.org/licenses/by-nc-nd/3.0/</ext-link>). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on <ext-link ext-link-type="uri" xlink:href="http://www.karger.com">http://www.karger.com</ext-link> and the terms of this license are included in any shared versions.</license-p></license></permissions><abstract><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></abstract><kwd-group><title>Key words</title><kwd>Iris-claw intraocular lens</kwd><kwd>Megalocornea</kwd><kwd>Megalophthalmos</kwd></kwd-group><counts><fig-count count="1"></fig-count><table-count count="1"></table-count><ref-count count="22"></ref-count><page-count count="6"></page-count></counts></article-meta></front><body><sec id="sec1_1"><title>Introduction</title><p>Seefelder initially described anterior megalophthalmos in 1914, as cited by Wright [<xref ref-type="bibr" rid="B1">1</xref>]. It is characterized by megalocornea which is associated with a very deep anterior chamber and ciliary ring elongation [<xref ref-type="bibr" rid="B1">1</xref>]. It is also known as X-linked megalocornea since it is almost always an X-linked recessive condition [<xref ref-type="bibr" rid="B2">2</xref>]. Frequently, it is accompanied by the early development of cataracts and zonular anomalies [<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>]. Cataract surgery involves the risk of subluxation of the cataract as a result of zonular weakness. In addition, there is a risk of a standard intraocular lens (IOL) decentration if the IOL is implanted in the sulcus or capsular bag, because of their large diameters. Cataract surgeons must be aware of these unique circumstances when performing surgery on these cases. Treatments such as the implantation of a retropupillary iris-claw aphakic intraocular lens may yield better outcomes.</p></sec><sec id="sec1_2"><title>Case Report</title><p>A 44-year-old man presented complaining of reduced visual acuity in his right eye. Uncorrected visual acuity (UCVA) in the right eye was 20/400 and best corrected visual acuity (BCVA) was 20/200, with a refraction of plano −2.00 × 10°. In the left eye, UCVA was 20/80 and BCVA 20/25 with a refraction of +1.50 −3.00 × 0°. Upon examination, both eyes showed evidence of megalocornea, with a corneal diameter of 13 mm, mild endothelial pigment, very deep anterior chambers, wide-open angles with pigment, iridodonesis, and phacodonesis. No iris transillumination defects were visible. In the right eye, there was posterior subcapsular opacity, in addition to a nuclear and cortical cataract with evidence of one quadrant zonular dialysis (<bold>fig. <xref ref-type="fig" rid="F1">1</xref></bold>). In the left eye, an incipient cortical and nuclear cataract was observed. Intraocular pressure was 10 mm Hg in both eyes. The cup-to-disc ratio was 0.2 in both eyes, and the retina was within normal limits.</p><p>Additional tests were performed in the right eye. The results were: ultrasonic pachymetry, 508 µm, endothelial cell count, 2,183 cells/mm<sup>2</sup>, and axial length by partial coherence interferometry (IOL Master), 24.59 mm. Corneal tomography (Orbscan IIz) showed no signs of ectasia (Sim K 43.5 × 46.0 D). The anterior chamber depth measured by IOL Master was 5.89 mm. The diameter of the capsular bag by Visante OCT was approximately 14.45 mm (fig. <xref ref-type="fig" rid="F1">1</xref>).</p><p>Anterior megalophthalmos and cataract were diagnosed. We decided to perform phacoemulsification with implantation of an iris-claw lens (Artisan for aphakia<sup>®</sup>, Ophtec) in the posterior chamber. The calculation of intraocular lens power for emmetropia with our personalized A-constant for retropupillary iris-claw lens (117.5) was +18.00 D using the Haigis formula. Cataract phacoemulsification (divide and conquer), which was difficult technically because of the extreme depth of the anterior chamber, was performed by one of the authors using topical anesthesia (V.G.). The incision was widened to 6 mm (between 11 and 12:30 clock hours) and an aphakia Artisan<sup>®</sup> was fixed, upside down, to the posterior surface of the iris, leaving the posterior capsule untouched. The superior incision was closed with 3 interrupted sutures (fig. <xref ref-type="fig" rid="F1">1</xref>).</p><p>In the fourth postoperative month, uncorrected distance visual acuity was 20/30, and 20/20 was achieved with +0.75 −1.25 × 10°. The patient was very satisfied with the results.</p></sec><sec sec-type="discussion" id="sec1_3"><title>Discussion</title><p>In patients with corneal enlargement or evident bulging of the cornea, differential diagnoses include the following: megalocornea/megalophthalmos [<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>], congenital glaucoma and keratoglobus [<xref ref-type="bibr" rid="B3">3</xref>]. Megalocornea may present as simple isolated megalocornea with no additional ocular signs, or as anterior megalophthalmos, in which there are abnormalities of other anterior segment structures in addition to the cornea. The anterior chamber is very deep, and frequently, the ciliary ring and the capsular bag are enlarged [<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>]. Often, however, it seems that authors have had difficulty determining a clear line between the two conditions in published literature, and anterior megalophthalmos cases have been deemed megalocorneas [<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B19">19</xref>]. It is always necessary to rule out glaucoma by measuring the intraocular pressure. Corneal enlargement in congenital glaucoma is usually progressive and asymmetric. Frequently, symptoms like photophobia and tearing are present, along with a characteristic sign: horizontal or radial breaks in Descemet's membrane, which may be single or multiple (Haab's striae). Although usually symmetric, corneal enlargement in megalocornea/megalophthalmos may be asymmetric [<xref ref-type="bibr" rid="B3">3</xref>]. While in congenital or infantile glaucoma the axial length is elongated mostly due to an expansion of the posterior segment, in megalocornea/megalophthalmos the anterior chamber is enlarged at the expense of the posterior segment [<xref ref-type="bibr" rid="B2">2</xref>]. In megalocornea/ megalophthalmos posterior bowing of the iris is often, but not always, associated with iris transillumination, which is not seen in glaucoma. Keratoglobus is a corneal ectasia that causes, like megalocornea/megalophthalmos, bilateral bulging globoid corneas. Unlike megalocornea/megalophthalmos, where the corneas show normal curvature [<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B18">18</xref>] and normal or mildly decreased thickness [<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B16">16</xref>], in keratoglobus they are remarkably thin, and the enlargement of the corneal diameter is small [<xref ref-type="bibr" rid="B3">3</xref>].</p><p>In <bold>table <xref ref-type="table" rid="T1">1</xref></bold> we summarize the published cases of cataract extraction and IOL placement in patients with anterior megalophthalmos since 1984 [<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>]. As shown, different approaches have been used to avoid intraocular lens instability, including larger custom-made IOLs [<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B14">14</xref>] and IOL suturing techniques [<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>]. It has been published that in the long term, iris sutured IOLs may become loose in these eyes with anterior megalophthalmos [<xref ref-type="bibr" rid="B17">17</xref>]. When aphakic iris-claw lenses, currently known as Artisan<sup>®</sup> (Ophtec) or Verisyse<sup>®</sup> (Abbott Medical Optics Inc.), became more easily available in a wider range of countries, surgeons began using them in cases of anterior megalophthalmos by implanting them in the anterior [<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B17">17</xref>] or posterior chambers [<xref ref-type="bibr" rid="B13">13</xref>]. In agreement with other authors [<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B17">17</xref>], we believe that this type of lens is an excellent alternative for patients with anterior megalophthalmos and cataract. These lenses eliminate the difficulties associated with instability of standard lenses within an enlarged bag or ciliary sulcus [<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B15">15</xref>] or in an enlarged anterior chamber [<xref ref-type="bibr" rid="B7">7</xref>]. Furthermore, the technique is easier and faster than suturing an IOL to the iris [<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>]. Oetting and Newsom [<xref ref-type="bibr" rid="B12">12</xref>] implanted aphakic iris-claw lenses in the anterior chambers of two eyes in late secondary procedures. Lee et al. [<xref ref-type="bibr" rid="B13">13</xref>] fixed the lenses retropupillary in two eyes, according to the technique originally described by Rijneveld et al. [<xref ref-type="bibr" rid="B20">20</xref>] and then by Mohr et al. [<xref ref-type="bibr" rid="B21">21</xref>]. Both techniques, fixation in the anterior and posterior surfaces of the iris, have showed satisfactory results in the published cases of anterior megalophthalmos; however, refixation of the lens was required in one eye where the lens was placed in the anterior chamber [<xref ref-type="bibr" rid="B12">12</xref>]. Before operating on this patient, we found the description of Lee et al. [<xref ref-type="bibr" rid="B13">13</xref>] and considered the posterior chamber implantation of the iris-claw lens to be a very strong option. As such, similar to Lee et al. [<xref ref-type="bibr" rid="B13">13</xref>], we employed the retropupillary fixation technique, but unlike them, we performed the procedure using topical anesthesia. Other differences with Lee et al. [<xref ref-type="bibr" rid="B13">13</xref>] included that we made a superior incision, not a temporal one, and used a spatula, not enclavation needles as they did, for IOL fixation in the posterior surface of the iris through paracentesis incisions performed at the 3 and 9 o'clock positions. Using the superior incision and two side port entries, we avoided more inferior incisions, which may have a higher risk of anterior chamber contamination given the possibility that microorganisms could accumulate in the inferior tear lake that is in contact with an inferior side port site [<xref ref-type="bibr" rid="B22">22</xref>]. Usage of a spatula might make the enclavation step easier. In fact, in other retropupillary fixated aphakic iris-claw IOLs we have used a long spatula or a Bechert nucleus rotator to fixate both haptics entering through only one paracentesis, so that the surgeon does not have to switch hands during the maneuver.</p></sec><sec id="sec1_4"><title>Disclosure Statement</title><p>This work did not receive financial support from any source. The authors do not have any interests in the products mentioned in this article.</p></sec></body><back><ref-list><title>References</title><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wright</surname><given-names>RE</given-names></name></person-group><article-title>Megalophthalmus and microphthalmus</article-title><source>Br J Ophthalmol</source><year>1922</year><volume>6</volume><fpage>35</fpage><lpage>37</lpage><pub-id pub-id-type="pmid">18168168</pub-id></element-citation></ref><ref id="B2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meire</surname><given-names>FM</given-names></name><name><surname>Delleman</surname><given-names>JW</given-names></name></person-group><article-title>Biometry in X linked megalocornea: pathognomonic findings</article-title><source>Br J Ophthalmol</source><year>1994</year><volume>78</volume><fpage>781</fpage><lpage>785</lpage><pub-id pub-id-type="pmid">7803356</pub-id></element-citation></ref><ref id="B3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ho</surname><given-names>CL</given-names></name><name><surname>Walton</surname><given-names>DS</given-names></name></person-group><article-title>Primary megalocornea: clinical features for differentiation from infantile glaucoma</article-title><source>J Pediatr Ophthalmol Strabismus</source><year>2004</year><volume>41</volume><fpage>11</fpage><lpage>17</lpage><comment>quiz 46-47</comment><pub-id pub-id-type="pmid">14974829</pub-id></element-citation></ref><ref id="B4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Neumann</surname><given-names>AC</given-names></name></person-group><article-title>Anterior megalophthalmos and intraocular lens implantation</article-title><source>J Am Intraocul Implant Soc</source><year>1984</year><volume>10</volume><fpage>220</fpage><lpage>222</lpage><pub-id pub-id-type="pmid">6735890</pub-id></element-citation></ref><ref id="B5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kwitko</surname><given-names>S</given-names></name><name><surname>Belfort Júnior</surname><given-names>R</given-names></name><name><surname>Omi</surname><given-names>CA</given-names></name></person-group><article-title>Intraocular lens implantation in anterior megalophthalmus. Case report</article-title><source>Cornea</source><year>1991</year><volume>10</volume><fpage>539</fpage><lpage>541</lpage><pub-id pub-id-type="pmid">1782784</pub-id></element-citation></ref><ref id="B6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dua</surname><given-names>HS</given-names></name><name><surname>Azuara-Blanco</surname><given-names>A</given-names></name><name><surname>Pillai</surname><given-names>CT</given-names></name></person-group><article-title>Cataract extraction and intraocular lens implantation in anterior megalophthalmos</article-title><source>J Cataract Refract Surg</source><year>1999</year><volume>25</volume><fpage>716</fpage><lpage>719</lpage><pub-id pub-id-type="pmid">10330652</pub-id></element-citation></ref><ref id="B7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Javadi</surname><given-names>MA</given-names></name><name><surname>Jafarinasab</surname><given-names>MR</given-names></name><name><surname>Mirdehghan</surname><given-names>SA</given-names></name></person-group><article-title>Cataract surgery and intraocular lens implantation in anterior megalophthalmos</article-title><source>J Cataract Refract Surg</source><year>2000</year><volume>26</volume><fpage>1687</fpage><lpage>1690</lpage><pub-id pub-id-type="pmid">11084281</pub-id></element-citation></ref><ref id="B8"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>de Sanctis</surname><given-names>U</given-names></name><name><surname>Grignolo</surname><given-names>FM</given-names></name></person-group><article-title>Cataract extraction in X-linked megalocornea: a case report</article-title><source>Cornea</source><year>2004</year><volume>23</volume><fpage>533</fpage><lpage>535</lpage><pub-id pub-id-type="pmid">15220744</pub-id></element-citation></ref><ref id="B9"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sharan</surname><given-names>S</given-names></name><name><surname>Billson</surname><given-names>FA</given-names></name></person-group><article-title>Anterior megalophthalmos in a family with 3 female siblings</article-title><source>J Cataract Refract Surg</source><year>2005</year><volume>31</volume><fpage>1433</fpage><lpage>1436</lpage><pub-id pub-id-type="pmid">16105619</pub-id></element-citation></ref><ref id="B10"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Basti</surname><given-names>S</given-names></name><name><surname>Koch</surname><given-names>DD</given-names></name></person-group><article-title>Secondary peripheral iris suture fixation of an acrylic IOL in megalocornea</article-title><source>J Cataract Refract Surg</source><year>2005</year><volume>31</volume><fpage>7</fpage><comment>author reply 8</comment><pub-id pub-id-type="pmid">15721672</pub-id></element-citation></ref><ref id="B11"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tsai</surname><given-names>CK</given-names></name><name><surname>Lai</surname><given-names>IC</given-names></name><name><surname>Kuo</surname><given-names>HK</given-names></name><name><surname>Teng</surname><given-names>MC</given-names></name><name><surname>Fang</surname><given-names>PC</given-names></name></person-group><article-title>Anterior megalophthalmos</article-title><source>Chang Gung Med J</source><year>2005</year><volume>28</volume><fpage>191</fpage><lpage>195</lpage><pub-id pub-id-type="pmid">15945327</pub-id></element-citation></ref><ref id="B12"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Oetting</surname><given-names>TA</given-names></name><name><surname>Newsom</surname><given-names>TH</given-names></name></person-group><article-title>Bilateral Artisan lens for aphakia and megalocornea: long-term follow-up</article-title><source>J Cataract Refract Surg</source><year>2006</year><volume>32</volume><fpage>526</fpage><lpage>528</lpage><pub-id pub-id-type="pmid">16631070</pub-id></element-citation></ref><ref id="B13"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>G</given-names></name><name><surname>Hann</surname><given-names>J</given-names></name><name><surname>Braga-Mele</surname><given-names>R</given-names></name></person-group><article-title>Phacoemulsification in anterior megalophthalmos</article-title><source>J Cataract Refract Surg</source><year>2006</year><volume>32</volume><fpage>1081</fpage><lpage>1084</lpage><pub-id pub-id-type="pmid">16857490</pub-id></element-citation></ref><ref id="B14"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vaz</surname><given-names>FM</given-names></name><name><surname>Osher</surname><given-names>RH</given-names></name></person-group><article-title>Cataract surgery and anterior megalophthalmos: custom intraocular lens and special considerations</article-title><source>J Cataract Refract Surg</source><year>2007</year><volume>33</volume><fpage>2147</fpage><lpage>2150</lpage><pub-id pub-id-type="pmid">18053921</pub-id></element-citation></ref><ref id="B15"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berry-Brincat</surname><given-names>A</given-names></name><name><surname>Chan</surname><given-names>TK</given-names></name></person-group><article-title>Megalocornea and bilateral developmental cataracts</article-title><source>J Cataract Refract Surg</source><year>2008</year><volume>34</volume><fpage>168</fpage><lpage>170</lpage><pub-id pub-id-type="pmid">18165100</pub-id></element-citation></ref><ref id="B16"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Assia</surname><given-names>EI</given-names></name><name><surname>Segev</surname><given-names>F</given-names></name><name><surname>Michaeli</surname><given-names>A</given-names></name></person-group><article-title>Cataract surgery in megalocornea: comparison of 2 surgical approaches in a single patient</article-title><source>J Cataract Refract Surg</source><year>2009</year><volume>35</volume><fpage>2042</fpage><lpage>2046</lpage><pub-id pub-id-type="pmid">19969205</pub-id></element-citation></ref><ref id="B17"><label>17</label><element-citation publication-type="other"><person-group person-group-type="author"><name><surname>Welder</surname><given-names>J</given-names></name><name><surname>Oetting</surname><given-names>TA</given-names></name></person-group><source>Megalocornea EyeRounds.org</source><comment>Sept. 16, 2010; available from: <ext-link ext-link-type="uri" xlink:href="http://www.EyeRounds.org/cases/121-megalocornea.htm">http://www.EyeRounds.org/cases/121-megalocornea.htm</ext-link>. Accessed October 19, 2012</comment></element-citation></ref><ref id="B18"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zare</surname><given-names>MA</given-names></name><name><surname>Eshraghi</surname><given-names>B</given-names></name><name><surname>Kiarudi</surname><given-names>MY</given-names></name><name><surname>Masoule</surname><given-names>EA</given-names></name></person-group><article-title>Application of ultrasound biomicroscopy in the planning of cataract surgery in anterior megalophthalmos</article-title><source>Indian J Ophthalmol</source><year>2011</year><volume>59</volume><fpage>400</fpage><lpage>402</lpage><pub-id pub-id-type="pmid">21836354</pub-id></element-citation></ref><ref id="B19"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rękas</surname><given-names>M</given-names></name><name><surname>Pawlik</surname><given-names>R</given-names></name><name><surname>Kluś</surname><given-names>A</given-names></name><name><surname>Różycki</surname><given-names>R</given-names></name><name><surname>Szaflik</surname><given-names>JP</given-names></name><name><surname>Ołdak</surname><given-names>M</given-names></name></person-group><article-title>Phacoemulsification with corneal astigmatism correction with the use of a toric intraocular lens in a case of megalocornea</article-title><source>J Cataract Refract Surg</source><year>2011</year><volume>37</volume><fpage>1546</fpage><lpage>1550</lpage><pub-id pub-id-type="pmid">21782100</pub-id></element-citation></ref><ref id="B20"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rijneveld</surname><given-names>WJ</given-names></name><name><surname>Beekhuis</surname><given-names>WH</given-names></name><name><surname>Hassman</surname><given-names>EF</given-names></name><name><surname>Dellaert</surname><given-names>MM</given-names></name><name><surname>Geerards</surname><given-names>AJ</given-names></name></person-group><article-title>Iris claw lens: anterior and posterior iris surface fixation in the absence of capsular support during penetrating keratoplasty</article-title><source>J Refract Corneal Surg</source><year>1994</year><volume>10</volume><fpage>14</fpage><lpage>19</lpage><pub-id pub-id-type="pmid">7517774</pub-id></element-citation></ref><ref id="B21"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mohr</surname><given-names>A</given-names></name><name><surname>Hengerer</surname><given-names>F</given-names></name><name><surname>Eckardt</surname><given-names>C</given-names></name></person-group><article-title>Retropupillary fixation of the iris claw lens in aphakia. 1 year outcome of a new implantation technique</article-title><source>Ophthalmologe</source><year>2002</year><volume>99</volume><fpage>580</fpage><lpage>583</lpage><pub-id pub-id-type="pmid">12148307</pub-id></element-citation></ref><ref id="B22"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miller</surname><given-names>JJ</given-names></name><name><surname>Scott</surname><given-names>IU</given-names></name><name><surname>Flynn</surname><given-names>HW</given-names><suffix>Jr</suffix></name><name><surname>Smiddy</surname><given-names>WE</given-names></name><name><surname>Newton</surname><given-names>J</given-names></name><name><surname>Miller</surname><given-names>D</given-names></name></person-group><article-title>Acute-onset endophthalmitis after cataract surgery (2000-2004): incidence, clinical settings, and visual acuity outcomes after treatment</article-title><source>Am J Ophthalmol</source><year>2005</year><volume>139</volume><fpage>983</fpage><lpage>987</lpage><pub-id pub-id-type="pmid">15953426</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><p><bold>a, b</bold> Slit lamp examination: megalocornea, very deep anterior chamber and cataract. <bold>c</bold> Visante OCT. <bold>d</bold> Artisan aphakic IOL in the anterior chamber. <bold>e</bold> Enclavation of the first IOL haptic in the posterior iris. <bold>f</bold> Appearance on first postoperative day.</p></caption><graphic xlink:href="cop-0003-0428-g01"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Reported cases of cataract surgery and IOL implantation in anterior megalophthalmos</p></caption><table frame="hsides" rules="rows"><thead><tr valign="top"><th align="left" rowspan="1" colspan="1">First author, year</th><th align="left" rowspan="1" colspan="1">Case/eye</th><th align="left" rowspan="1" colspan="1">Surgical technique/IOL</th></tr></thead><tbody><tr valign="top"><td align="left" rowspan="2" colspan="1">Neumann, 1984 [<xref ref-type="bibr" rid="B4">4</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Neumann, 1984)</td><td align="left" rowspan="1" colspan="1">ECCE + IOL in sulcus: decentration. It was removed and a Medallion IOL sutured to iris. In the fellow eye: Medallion IOL sutured to iris</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Case 2 (Neumann, 1984)</td><td align="left" rowspan="1" colspan="1">ECCE + Medallion IOL sutured to iris</td></tr><tr valign="top"><td align="left" rowspan="2" colspan="1">Kwitko, 1991 [<xref ref-type="bibr" rid="B5">5</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Kwitko, 1991)</td><td align="left" rowspan="1" colspan="1">OD: ECCE + IOL (14 mm) in sulcus. 6 months POP: mild inferior decentration. 1 year POP: retinal detachment. OS: ECCE + IOL (14 mm) in sulcus. 1 year POP: mild superior decentration. 18 months POP: retinal detachment. Following retinopexy, IOL subluxation</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Case 2: OD (Kwitko, 1991)</td><td align="left" rowspan="1" colspan="1">OD: ECCE + IOL (18 mm). Good evolution</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Dua, 1999 [<xref ref-type="bibr" rid="B6">6</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Dua, 1999)</td><td align="left" rowspan="1" colspan="1">OU: ECCE + IOL sutured to iris and anterior capsule</td></tr><tr valign="top"><td align="left" rowspan="4" colspan="1">Javadi, 2000 [<xref ref-type="bibr" rid="B7">7</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Javadi, 2000)</td><td align="left" rowspan="1" colspan="1">OU: ECCE + standard IOL in the bag</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Case 2: OU (Javadi, 2000)</td><td align="left" rowspan="1" colspan="1">OD: ECCE + standard IOL in the bag (can-opener capsulotomy). Decentration. OS: ECCE+ standard IOL in the bag</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Case 3: OD (Javadi, 2000)</td><td align="left" rowspan="1" colspan="1">OD: ECC + LIO. Zonular dialysis, anterior vitrectomy and AC IOL. Significant pseudophacodonesis. Retinal detachment 3 months POP</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Case 4: OS (Javadi, 2000)</td><td align="left" rowspan="1" colspan="1">OS: phacoemulsification + standard IOL in the bag. Zonular dialysis</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">de Sanctis, 2004 [<xref ref-type="bibr" rid="B8">8</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (de Sanctis, 2004)</td><td align="left" rowspan="1" colspan="1">OD: phacoemulsification + foldable IOL + capsular tension ring. Zonular dialysis. Mild superior decentration. OS: phacoemulsification + foldable IOL</td></tr><tr valign="top"><td align="left" rowspan="3" colspan="1">Sharan, 2005 [<xref ref-type="bibr" rid="B9">9</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Sharan, 2005)</td><td align="left" rowspan="1" colspan="1">OD: ECCE + aphakia. OS: ECCE + aphakia. 10 years later secondary implantation: sutured AC IOL</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Case 2: OU (Sharan, 2005)</td><td align="left" rowspan="1" colspan="1">OD: ECCE + aphakia. OS: ECCE + aphakia. 1 year later secondary implantation standard IOL: decentration. Explantation and iris sutured IOL</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Case 3: OU (Sharan, 2005)</td><td align="left" rowspan="1" colspan="1">OD: ECCE + aphakia. Secondary implantation: IOL (14 mm). OS: ECCE + IOL (14 mm)</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Basti, 2005 [<xref ref-type="bibr" rid="B10">10</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OD (Basti, 2005)</td><td align="left" rowspan="1" colspan="1">OD: sutured AC IOL. Decentration, instability. Explantation, and implantation of a posterior chamber IOL sutured to iris</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Tsai, 2005 [<xref ref-type="bibr" rid="B11">11</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OD (Tsai, 2005)</td><td align="left" rowspan="1" colspan="1">OD: phacoemulsification + standard IOL in the bag</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Oetting, 2006 [<xref ref-type="bibr" rid="B12">12</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Oetting, 2006)</td><td align="left" rowspan="1" colspan="1">OU: intracapsular extraction, aphakia. Late secondary implantation (20 years POP): iris-claw IOLs in AC. Refixation was required in OD</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Lee, 2006 [<xref ref-type="bibr" rid="B13">13</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Lee, 2006)</td><td align="left" rowspan="1" colspan="1">OS: pigmentary glaucoma. Previous trabeculectomy. Phacoemulsification + retropupillary iris-claw IOL. OD: phacoemulsification + retropupillary iris-claw IOL</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Vaz, 2007 [<xref ref-type="bibr" rid="B14">14</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Vaz, 2007)</td><td align="left" rowspan="1" colspan="1">OU: phacoemulsification + custom-made IOL (16 mm) in the bag</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Berry-Brincat, 2008 [<xref ref-type="bibr" rid="B15">15</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Berry-Brincat, 2008)</td><td align="left" rowspan="1" colspan="1">OU: phacoemulsification + 3-piece foldable IOL in the bag. Decentration</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Assia, 2009 [<xref ref-type="bibr" rid="B16">16</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Assia, 2009)</td><td align="left" rowspan="1" colspan="1">OU: phacoemulsification + 3-piece foldable IOL in the bag. OD: scleral wound leak requiring resuturing. Both eyes: hyperopic result (SRK/T formula was used)</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Welder, 2010 [<xref ref-type="bibr" rid="B17">17</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU (Welder, 2010)</td><td align="left" rowspan="1" colspan="1">OU: iris sutured IOLs. OS: late instability, explantation and iris-claw IOL in AC</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Zare, 2011 [<xref ref-type="bibr" rid="B18">18</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OS (Zare, 2011)</td><td align="left" rowspan="1" colspan="1">OS: phacoemulsification + standard IOL in the bag</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Rękas, 2011 [<xref ref-type="bibr" rid="B19">19</xref>]</td><td align="left" rowspan="1" colspan="1">Case 1: OU</td><td align="left" rowspan="1" colspan="1">OU: phacoemulsification + foldable IOL sutured to a capsular tension ring</td></tr><tr valign="top"><td align="left" rowspan="1" colspan="1">Galvis, 2012 (present case report)</td><td align="left" rowspan="1" colspan="1">Case 1: OD</td><td align="left" rowspan="1" colspan="1">OD: phacoemulsification + retropupillary iris-claw IOL</td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>Colombie</li></country></list><tree><country name="Colombie"><noRegion><name sortKey="Galvis, Virgilio" sort="Galvis, Virgilio" uniqKey="Galvis V" first="Virgilio" last="Galvis">Virgilio Galvis</name></noRegion><name sortKey="Galvis, Virgilio" sort="Galvis, Virgilio" uniqKey="Galvis V" first="Virgilio" last="Galvis">Virgilio Galvis</name><name sortKey="Galvis, Virgilio" sort="Galvis, Virgilio" uniqKey="Galvis V" first="Virgilio" last="Galvis">Virgilio Galvis</name><name sortKey="Miotto, Giuseppe" sort="Miotto, Giuseppe" uniqKey="Miotto G" first="Giuseppe" last="Miotto">Giuseppe Miotto</name><name sortKey="Rangel, Carlos M" sort="Rangel, Carlos M" uniqKey="Rangel C" first="Carlos M." last="Rangel">Carlos M. Rangel</name><name sortKey="Tello, Alejandro" sort="Tello, Alejandro" uniqKey="Tello A" first="Alejandro" last="Tello">Alejandro Tello</name><name sortKey="Tello, Alejandro" sort="Tello, Alejandro" uniqKey="Tello A" first="Alejandro" last="Tello">Alejandro Tello</name><name sortKey="Tello, Alejandro" sort="Tello, Alejandro" uniqKey="Tello A" first="Alejandro" last="Tello">Alejandro Tello</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001853 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 001853 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Ticri/CIDE
|area= HapticV1
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:3551436
|texte= Artisan Aphakic Lens for Cataract Surgery in Anterior Megalophthalmos
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:23341820" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |