Case report: Biometry in air-filled eye following retinal surgery

Abstract

A 70-year-old male patient presented with vitreous hemorrhage in his right eye, for which he was advised for pars plana vitrectomy and endolaser. During the surgery, there was inadvertent contact with the crystalline lens with one of the intraocular instruments. This was reported as an intraocular complication. Postoperatively, cataract was developed in his right eye due to lens touch. An early cataract surgery was planned. A scan was done in phakic eye on day three after first surgery, which showed axial length 28.7 mm. On the postoperative day 10, axial length was 22.25 mm using contact method. Surgery was delayed for 4–5 days due to this. No A Scan machine has software for axial length and correct lens power calculation in air-filled eyes following retinal surgeries. A scan machine does not have information or software to calculate intraocular lens power in air-filled eyes after retinal surgery. This information will be helpful in planning early cataract surgeries if required after retinal surgery.

Keywords

• axial length
• cataract
• complication
• lens touch
• phacoemulsification
• vitrectomy