Author/Authors :
GALVIS, Virgilio Centro Oftalmológico Virgilio Galvis, Colombia , GALVIS, Virgilio Fundación Oftalmológica de Santander FOSCAL, Colombia , GALVIS, Virgilio Universidad Autónoma de Bucaramanga (UNAB), Colombia , TELLO, Alejandro Centro Oftalmológico Virgilio Galvis, Colombia , TELLO, Alejandro Fundación Oftalmológica de Santander FOSCAL, Colombia , TELLO, Alejandro Universidad Autónoma de Bucaramanga (UNAB), Colombia , RANGEL, Carlos M. Fundación Oftalmológica de Santander FOSCAL, Colombia , RANGEL, Carlos M. Universidad Industrial de Santander, Colombia
Abstract :
Anterior megalophthalmos is characterized by megalocornea associated with a very broad anterior chamber and ciliary ring elongation. It is also called X-linked megalocornea. It is accompanied by early development of cataracts, zonular anomalies, and, rarely, vitreoretinal disorders. Subluxation of a cataract can occur in cataract surgery because of zonular weakness. In addition, in most patients, standard intraocular lens (IOL) decentration is a risk because of the enlarged sulcus and capsular bag. These unique circumstances make cataract surgery challenging. To date, several approaches have been developed. Implantation of a retropupillary iris-claw aphakic intraocular lens may be a good option because it is easier than suturing the IOL and can have better and more stable anatomic and visual outcomes, compared to other techniques.
Keywords :
Iris , claw intraocular lens , megalocornea , megalophthalmos
