Experience with manual small incision cataract surgery in the management of isolated bilateral microspherophakia

Abstract

Introduction: We report a case of isolated microspherophakia,managed by an anterior segment surgeon with good visual recovery. Case Description: A 36-year-old female who presented with complaints of defective vision was diagnosed with bilateral isolated microspherophakic lens with cataractous changes. She underwent manual small incision cataract surgery (SICS) uneventful, utilizing capsular tension ring within the bag placement of lens in one eye, whereas in the other eye, an iris fixation of the intraocular lens using sutures was done. Conclusion: In cases of MSP, clear lens extraction, phacoemulsification, and pars plana lensectomy have been described for lenticular myopia and cataract. However, we reiterate the use of simpler techniques like SICS, especially when challenged by advanced cataract or a resource-poor setting. We report a good visual recovery in our patient, substantiating that such complicated cases can be handled by an anterior segment surgeon even in such a challenging context.

Keywords

• complicated cataract
• microspherophakia
• small incision cataract surgery