AI Article Synopsis

  • The early development of lens opacities and lens subluxation significantly contribute to vision loss in patients with anterior megalophthalmos (AM), making cataract surgery more complex due to anatomical challenges.
  • Postoperative complications commonly include intraocular lens dislocation, and patients with AM are also prone to a specific vitreoretinopathy that increases the risk of retinal detachment.
  • The case study discusses a 36-year-old man with bilateral AM, previously misdiagnosed, who experienced vision loss due to lens subluxation and required both lens removal and vitrectomy to prevent retinal detachment, followed by implantation of an iris-claw lens.

Article Abstract

The early development of lens opacities and lens subluxation are the most common causes of vision loss in patients with anterior megalophthalmos (AM). Cataract surgery in such patients is challenging, however, because of anatomical abnormalities. Intraocular lens dislocation is the most common postoperative complication. Patients with AM also seem to be affected by a type of vitreoretinopathy that predisposes them to retinal detachment. We here present the case of a 36-year-old man with bilateral AM misdiagnosed as simple megalocornea. He had a history of amaurosis in the right eye due to retinal detachment. He presented with vision loss in the left eye due to lens subluxation. Following the removal of the subluxated lens, it was deemed necessary to perform a vitrectomy in order to prevent retinal detachment. Seven months after surgery, an Artisan Aphakia iris-claw lens was implanted in the anterior chamber. Fifteen months of follow-up data are provided.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5301089PMC
http://dx.doi.org/10.1159/000456068DOI Listing

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