|Year : 2021 | Volume
| Issue : 4 | Page : 867
Amber Amar Bhayana, Sudarshan Kumar Khokhar, Tavishi Singhal, Priyanka Prasad, Shakha Gupta
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
|Date of Web Publication||09-Oct-2021|
Dr, Amber Amar Bhayana
Department of Ophthalmology, Dr R P Centre, AIIMS, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Bhayana AA, Khokhar SK, Singhal T, Prasad P, Gupta S. Inter-irido-lenticular lensectomy. Indian J Ophthalmol Case Rep 2021;1:867
A 10-month-old child (suspected anterior segment dysgenesis) with buphthalmias and congenital cataract was planned for cataract surgery [Figure 1]a. Two stab entries were made about 150° apart at the limbus with the blade entering the large space between the iris and lens [Figure 1]b. Lensectomy was done using irrigation and vitrector [Figure 1]c. The child was left aphakic [Figure 1]d. The intraocular pressures post-operatively were normal on topical betaxolol. In this case, we used an iris bombe and membranous cataract to our advantage making use of the large space between them for the surgery. We propose this as a surgical alternative to pars plana lensectomy in such cases.
|Figure 1: (a) Ultrasound biomicroscopy (UBM) showing iris bombe, iridocorneal adhesions and membranous cataract, arrow shows fibrotic iridocorneal adhesion; (b) incision making through cornea, arrow shows white scarred iridocorneal adhesion, any attempt to separate the two has a very high chance of stripping off the endothelium, and hence, was avoided; (c) vitrector and irrigation in the sub-iris plane performing lensectomy; (d) procedure completed. Area marked by “*”in (a) represents the three-dimensional space where the irrigator and vitrector were introduced and the entire surgery completed|
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| References|| |
Khokhar SK, Pillay G, Dhull C, Agarwal E, Mahabir M, Aggarwal P. Pediatric cataract. Indian J Ophthalmol 2017;65:1340-9.
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