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CASE REPORT
Year : 2018  |  Volume : 11  |  Issue : 2  |  Page : 184-186

Anterior megalophthalmos: Is visual restoration possible?


1 Department of Ophthalmology, AFMC, Pune, Maharashtra, India
2 L V Prasad Eye Institute, Hyderabad, Telangana, India
3 L V Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Alok Sati
Department of Ophthalmology, AFMC, Pune - 411 040, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_165_2015

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We report two cases of anterior megalophthalmos with cataract. Both cases have megalocornea, cavernous anterior chamber, enlarged iris–lens diaphragm, and normal axial length. The vision was less due to cataract. To restore vision, phacoemulsification was performed in each eye in both cases. Intraoperatively, to overcome anatomical challenges, we made scleral tunnel incision, stained anterior capsule, and fixated intraocular lens (IOL) by different techniques. In the first case, IOL was fixated through the sclera, whereas in the second case, IOL stabilization was achieved by capturing the optic in anterior capsulorhexis margin and placing the haptics in sulcus. Successful vision was restored in both cases without pseudophacodonesis.


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