PMID: 15220744Jun 29, 2004Paper

Cataract extraction in X-linked megalocornea: a case report

Cornea
Ugo de Sanctis, Federico M Grignolo

Abstract

A case is described of a patient with X-linked megalocornea (XLM) who underwent bilateral consecutive phacoemulsification with posterior chamber intraocular lens (PC IOL) implantation. A 49-year-old man referred to us for cataract extraction was found to have XLM with mosaic corneal dystrophy. Pseudoexfoliation of the lens capsule was present in the right eye. Phacoemulsification was planned, and the Holladay II formula was used to calculate the IOL power. During phacoemulsification, anomalies of the capsule and zonule were observed bilaterally. At the last examination (follow-up 28 months OS, 13 months OD), best spectacle-corrected vision was 20/20 in both eyes, but the IOL was slightly decentered in the right eye. Corneal enlargement and mosaic dystrophy are obvious features of XLM. Anomalies involving the anterior structures of the eye and in particular the lens capsule and zonule are also frequent. Cataract extraction with phacoemulsification and PC IOL implantation can be successful, but special attention must be paid to both surgical technique and IOL selection.

References

Jan 1, 1988·Journal of Cataract and Refractive Surgery·J T HolladayR S Ruiz
Jan 1, 1994·Documenta Ophthalmologica. Advances in Ophthalmology·F M Meire
Mar 12, 1998·Journal of Cataract and Refractive Surgery·H van Vreeswijk, J H Pameyer

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Citations

Jan 24, 2013·Case Reports in Ophthalmology·Virgilio GalvisCarlos M Rangel
Mar 25, 2014·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Norman SaffraStuart Rappaport
Jul 26, 2011·Journal of Cataract and Refractive Surgery·Marek RękasMonika Ołdak
Dec 9, 2009·Journal of Cataract and Refractive Surgery·Ehud I AssiaAdi Michaeli
Dec 7, 2007·Journal of Cataract and Refractive Surgery·Fabio Marques Vaz, Robert H Osher
Jan 1, 2008·Journal of Cataract and Refractive Surgery·Antonella Berry-Brincat, Tin K J Chan
Jul 22, 2006·Journal of Cataract and Refractive Surgery·Graham A LeeRosa Braga-Mele
Apr 25, 2006·Journal of Cataract and Refractive Surgery·Thomas A Oetting, T Hunter Newsom
Apr 29, 2018·Journal of Cataract and Refractive Surgery·Marco MessinaHarminder S Dua
May 29, 2015·Cornea·Domenica MangialavoriVincenzo Scorcia
Jul 27, 2017·Medicine·Edyta Chlasta-TwardzikEdward Wylęgała
Oct 17, 2020·Vestnik oftalmologii·A A Kasyanov
Jun 12, 2021·Clinical & Experimental Ophthalmology·Aaron P C OngCharles N J McGhee

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