Chattannavar Goura, Lasrado Adeline Shona, Kekunnaya Ramesh
Jasti V Ramanamma Children's Eye Care Centre, Child Sight Institute, L. V. Prasad Eye Institute, Hyderabad, Telangana, India.
Centre for Technology Innovation, L V Prasad Eye Institute Network, Hyderabad, Telangana, India.
Taiwan J Ophthalmol. 2024 Nov 11;15(3):419-427. doi: 10.4103/tjo.TJO-D-24-00034. eCollection 2025 Jul-Sep.
The purpose is to highlight the surgical modifications that are undertaken for a safe cataract surgery when associated with anterior segment dysmorphology. Surgical modifications that are undertaken in a case of congenital cataract complicated with congenital anterior segment dysmorphology such as microcornea, congenital corneal opacity, aniridia, anterior and posterior lenticonus of the lens, and persistent fetal vasculature are described. Careful preoperative assessment is crucial to anticipate and plan for intraoperative and postoperative challenges that may arise during cataract surgery in the presence of anterior segment dysmorphology. Surgical adjustments in cataract surgery when associated with anterior segment dysmorphology should be tailored to each individual case and the surgeon's expertise.
目的是强调在伴有眼前节形态异常时为安全进行白内障手术而采取的手术改良措施。描述了在先天性白内障合并先天性眼前节形态异常（如小角膜、先天性角膜混浊、无虹膜、晶状体前后圆锥、永存原始玻璃体增生症）的病例中所采取的手术改良措施。仔细的术前评估对于预测和规划在存在眼前节形态异常的白内障手术过程中可能出现的术中及术后挑战至关重要。当与眼前节形态异常相关时，白内障手术的手术调整应根据每个病例和外科医生的专业知识进行量身定制。
