Vaz Fabio Marques, Osher Robert H
Hospital do Olho de Rio Preto and the Hospital de Olhos Jose Eutropio Salvador, Brazil.
J Cataract Refract Surg. 2007 Dec;33(12):2147-50. doi: 10.1016/j.jcrs.2007.07.021.
We report a patient who presented with anterior megalophthalmos: corneal diameter of nearly 17.0 mm, anterior chamber depth of 7.0 mm, mild lens subluxation, and nuclear sclerotic cataract. Surgical management consisted of a scleral tunnel incision, capsule staining, a predetermined capsulorhexis size, microcoaxial phacoemulsification with torsional ultrasound, and implantation of a custom IOL to ensure endocapsular fixation. Special consideration must be given to the patient with a very large anterior segment.
角膜直径近17.0毫米,前房深度7.0毫米,晶状体轻度半脱位,以及核性硬化性白内障。手术治疗包括巩膜隧道切口、囊膜染色、预定的撕囊大小、使用扭转超声的微同轴超声乳化术,以及植入定制人工晶状体以确保囊袋内固定。对于前段非常大的患者必须给予特别考虑。