The crystalline lens was subluxated and cataractous, with moderate zonular dehiscence and vitreous extension into the nasal anterior chamber. This injury resulted in a complete and spontaneously resolving hyphaema that left a permanent widely dilated pupil with an atrophic iris. Herein, we report an illustrative case of small-incision complex anterior segment reconstructive surgery involving phacoemulsification and a limited anterior vitrectomy with insertion of a sutured capsular tension ring segment (CTS), artificial iris segments, and an IOL.Ī 53-year-old white male presented with a longstanding history of a painless but visually compromised right eye (ie, count-finger vision) secondary to severe blunt trauma with an elastic bungee cord in 1989. With careful planning, complications may be minimized. Advances in viscoelastics, sutured capsular tension rings (CTRs) or segments, and phacodynamics now make such surgery possible. In the recent past, such cases were typically associated with a significant risk of intra- and postoperative complications. José Ignacio Barraquer: The Father of Refractive Surgeryįrom Keratomileusis to LASIK: A Short HistoryĪnterior segment surgery involving a cataract in eyes such as the case we present hereina fixed dilated pupil, significant lens subluxation, anterior capsular fibrosis, zonular dialysis, and vitreous prolapse into the anterior chamberposes a significant challenge. Torsional Ultrasound: What is its Impact After 1 Year on the Market?Ī Subluxated Traumatic Cataract With a Fixed Dilated PupilĬorneal Inlays: A Surgical Correction of Presbyopia
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