Artisan aphakic lens for cataract surgery in anterior megalophthalmos

Virgilio Galvis, Alejandro Tello, Giuseppe Miotto, Carlos M. Rangel

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

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.

Original languageEnglish
Pages (from-to)428-433
Number of pages6
JournalCase Reports in Ophthalmology
Volume3
Issue number3
DOIs
StatePublished - 2012

Keywords

  • Iris-claw intraocular lens
  • Megalocornea
  • Megalophthalmos

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