Volume : VIII, Issue : I, January - 2019

Phacoemulsification of a brown cataract in a case of microcornea with coloboma.

Dr. Y. Umesh, Dr. Girish S. Budhrani

Abstract :

 

Cataract surgery in eyes with microcornea is associated with frequent complications such as

corneal edema, posterior capsular rent, and risk of unplanned aphakia. We describe a surgical technique for the creation of surgical incisions during phacoemulsification in an eye with Nuclear sclerosis grade4(LOCSIII) associated with microcornea and typical coloboma. Surgery was done using the scleral pocket incision for phacoemulsification and posterior chamber IOL was placed This scleral pocket incision was tangential to the limbus and created approximately 2.5 mm behind limbus through which phacoemulsification probe was inserted. Because of the posterior placement of incision, the anterior chamber crowding was minimized. There was no incidence of port–site peripheral corneal edema. Mean best–corrected visual acuity improved from perception of light and accurate projection of rays to 1.20 LogMAR. Posterior incision placement during phacoemulsification in microcornea helps achieve favorable postoperative outcomes in contrast to outcomes using clear corneal approach described in literature.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

PHACOEMULSIFICATION OF A BROWN CATARACT IN A CASE OF MICROCORNEA WITH COLOBOMA., Dr. Y. Umesh, Dr. Girish S. Budhrani INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-1 | January-2019

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