International Medical Case Reports Journal (Oct 2020)
Hypermature Intumescent Cataract in Advanced Keratoglobus
Abstract
Bhupesh Singh,1 Sourabh Sharma,2 Neha Bharti,3 Richa Ranjan,3 Sudhank Bharti1 1Cornea Department, Bharti Eye Foundation and Hospital, New Delhi, India; 2Glaucoma Department, Bharti Eye Foundation and Hospital, New Delhi, India; 3Vitreoretina Department, Bharti Eye Foundation and Hospital, New Delhi, IndiaCorrespondence: Sourabh SharmaBharti Eye Foundation and Hospital, New Delhi, IndiaTel +91-9910790540Email [email protected]: We report a rare case of bilateral keratoglobus with hypermature intumescent cataract in a 55-year-old woman. Clinical examination and corneal topography confirmed generalized corneal bulging and global corneal thinning. A Pentacam® (Oculus Optikgerate, Wetzlar, Germany) demonstrated bilateral diffuse corneal thinning (368 μm in the right eye and 371 μm in the left eye). Phacoemulsification was performed in the right eye after thorough workup and modification of the surgical technique. This case report helps in better understanding of the challenges of cataract surgery and intraocular lens selection in a keratoglobus patient, and stresses the need for both thorough preoperative planning and intraoperative surgical modifications.Keywords: keratoglobus, intumescent cataract, corneal ectasia
