Clear lens extraction and intraocular lens implantation in a case of microspherophakia with secondary angle closure glaucoma

Bhattacharjee, Harsha; Bhattacharjee, Kasturi; Medhi, Jnanankar; Dasgupta, Sushobhan

doi:10.4103/0301-4738.58477

Cited by 21 publications

(8 citation statements)

References 7 publications

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“…Angle-supported anterior chamber lenses (ACIOL) and iris-enclavated lenses [ 10 ] are commonly used. Posterior chamber IOL (PCIOL) with/without capsule tension rings (CTR) [ 11 ] and scleral-fixated IOL (SFIOL) [ 12 ] have also been described in various case reports. However, the usage of CTR depends on the degree of subluxation.…”

Section: Discussionmentioning

confidence: 99%

An innovative alternative for spherophakia

Madhivanan¹,

Nivean²,

Raja³

2021

GMS Ophthalmology Cases; 11:Doc07

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Section: Discussionmentioning

confidence: 99%

An innovative alternative for spherophakia

Madhivanan¹,

Nivean²,

Raja³

2021

GMS Ophthalmology Cases; 11:Doc07

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“…Moreover, phacodonesis typically persists after surgery unless a sclerally fixed capsule tension ring is used, which requires more time and surgical skills. [ 10 ] In this study, an automated anterior vitreorrhexis and lensectomy were performed in all cases to avoid these surgical challenges. The removal of lens matter was performed by automated aspiration, without the vitrectomy function, to maintain the posterior capsule integrity as much as possible, with the aim of reducing the risk of intraoperative loss of lens matter into the vitreous cavity and adding more stability to the IOL after its implantation.…”

Section: Discussionmentioning

confidence: 99%

Retropupillary iris-claw intraocular lens for the surgical correction of aphakia in cases with microspherophakia

Fouda

Aswad

Ibrahim

et al. 2016

Indian J Ophthalmol

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Purpose:This study aimed to evaluate the safety and efficacy of retropupillary fixation of an iris-claw intraocular lens (IOL; Verisyse polymethyl methacrylate IOL, Abbott Medical Optics [AMO], Netherlands) for the surgical correction of aphakia in microspherophakic eyes without sufficient capsular support.Design:This was a prospective, interventional, noncomparative case series.Methods:This interventional case series comprised 17 eyes of 9 microspherophakic patients. Retropupillary fixation of the Verisyse iris-claw IOL (AMO) was performed in all cases. The surgical time was measured. Corrected distance visual acuity, astigmatism, intraocular pressure (IOP), tissue reaction, pigment dispersion, and stability of the IOL were studied 1 day, 3 days, 1 week, 2 weeks, 1 month, and 6 months postoperatively.Results:Eight patients had familial microspherophakia and one patient had Marfan's syndrome. Eighty-two percent of the cases achieved a visual acuity of 0.3 or better. There was no significant postoperative inflammatory reaction. Transient elevation of IOP was recorded in two cases in the 1st week only. One IOL developed disengagement of one of the haptics from the iris and was successfully re-engaged. All the other IOLs were well centered and stable. The mean surgical time was 18.0 ± 4.5 min.Conclusions:Retropupillary fixation of an iris-claw IOL is a safe and effective procedure that provides early visual recovery. It is also a time-saving method for correcting aphakia in microspherophakic eyes without sufficient capsular support.

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“…[ 7 ] A capsular tension ring probably reduces the risk of capsular shrinkage and IOL subluxation and has been described as being beneficial in microspherophakia;[ 15 ] A PCIOL, in addition to a capsular tension ring, has been successfully implanted in such cases. [ 15 ] Other surgical interventions described for microspherophakia are phacoemulsification with acrylic lens implantation;[ 3 7 16 ] in addition, iris hooks to stabilize the capsular bag have been used. [ 7 ] Pars plana lensectomy with implantation of a SFIOL[ 14 ] and phacoemulsification with removal of the capsular bag and implantation of an anterior chamber IOL have also been described.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 2 ] Surgical interventions described include pars plana lensectomy with scleral-fixated intraocular lens (SFIOL)[ 1 ] implantation, phacoemulsification with removal of the capsular bag and anterior chamber IOL implantation,[ 1 ] lenticular aspiration with posterior chamber (PC) IOL implantation[ 2 ] and phacoemulsification with acrylic lens implantation. [ 3 ] In microspherophakia with subluxation and raised intraocular pressure (IOP), additional glaucoma surgery[ 1 4 5 6 ] is indicated.…”

mentioning

confidence: 99%

Scleral- fixated intraocular lens implantation in microspherophakia

Subbiah

Thomas

Jesudasan

2014

Indian J Ophthalmol

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Background:In microspherophakia, abnormal laxity of the lenticular zonules leads to development of a spherical lens and possible subluxation. We evaluated long-term results of lens removal with scleral-fixated intraocular lens (SFIOL) implantation in microspherophakia.Materials and Methods:Case series. SF IOLs were implanted in four consecutive patients with bilateral microspherophakia (eight eyes [three with pupillary block and secondary glaucoma who underwent immediate surgery and five with only subluxation who underwent elective surgery]). Post-operative best-corrected visual acuity (BCVA), intraocular pressure (IOP) and lens position were evaluated periodically from day 1 to 18 months.Results:All patients were females (mean age 28 ± 7.03 years). In group 1 eyes (three eyes that presented with pupillary block), the mean BCVA improved from 0.008 decimals (preoperative) to 0.50 decimals (final post-operative visit); in group 2 eyes (the other five eyes), the mean BCVA improved from 0.12 ± 0.21 decimals to 0.73 ± 0.14 decimals. The preoperative mean IOP (54.53 ± 7.33 mmHg) in group 1 eyes was significantly (P = 0.03) higher than that (16 ± 4.30 mm Hg) in group 2 eyes. At final post-operative visit, the mean IOP (11.67 ± 2.88 mmHg) in group 1 eyes was not significantly different from that in group 2 eyes (13.0 ± 3.08 mmHg). All SFIOLs were well- centred at the final visit. None of the patients encountered any peroperative or postoperative complications.Conclusions:SFIOLs may be an option for surgical management of microspherophakia.

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Clear lens extraction and intraocular lens implantation in a case of microspherophakia with secondary angle closure glaucoma

Cited by 21 publications

References 7 publications

An innovative alternative for spherophakia

An innovative alternative for spherophakia

Retropupillary iris-claw intraocular lens for the surgical correction of aphakia in cases with microspherophakia

Scleral- fixated intraocular lens implantation in microspherophakia

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