Indian Journal of Ophthalmology (Jan 2011)

Application of ultrasound biomicro-scopy in the planning of cataract surgery in anterior megalophthalmos

  • Mohammad Ali Zare,
  • Bahram Eshraghi,
  • Mohammad Yaser Kiarudi,
  • Ebrahim Azaripour Masoule

DOI
https://doi.org/10.4103/0301-4738.83625
Journal volume & issue
Vol. 59, no. 5
pp. 400 – 402

Abstract

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Anterior megalophthalmos, a rare hereditary disorder, is macrocornea (horizontal corneal diameter more than 13 mm) in association with enlarged lens-iris diaphragm and ciliary ring. One of the major challenging issues in the cataract surgery of these patients is preventing intraocular lens (IOL) malposition, because of probable large capsular bag. Several approaches have been selected by previous surgeons, such as, custom-made anterior chamber IOLs. In this study, we show a normal capsular bag diameter despite ciliary ring enlargement, with application of ultrasound biomicroscopy (UMB). We suggest that in cases of anterior megalophthalmos without phacodonesis, UBM could measure the actual size of the capsular bag and obviate the need for further procedures.

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