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Updated: May 16, 2026
05:05
Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
[Cataract surgery in nanophthalmic eyes]
D Pahor1, T Gracner, B Gracner
1Department of Ophthalmology, University Clinical Centre Maribor, Maribor, Slovenia. d.pahor@sb-mb.si
Klinische Monatsblatter Fur Augenheilkunde
|November 23, 2012
Summary
This study found nanophthalmos in 0.18% of cataract patients, with no major surgical complications. Careful preoperative assessment and mannitol solution are key for managing nanophthalmic eyes during cataract surgery.
Area of Science:
- Ophthalmology
- Medical Imaging
- Surgical Complications
Context:
- Nanophthalmos, characterized by a small eye with a thick sclera, presents unique challenges in cataract surgery.
- Understanding the prevalence and surgical outcomes in nanophthalmic eyes is crucial for patient safety and effective treatment.
Purpose:
- To determine the prevalence of nanophthalmos in cataract patients.
- To evaluate intraoperative and postoperative complications in nanophthalmic eyes undergoing cataract surgery.
Summary:
- A retrospective review of 3287 cataract surgeries identified six nanophthalmic eyes (0.18%) with axial length <20mm and scleral thickness >1.7mm.
- These eyes exhibited significant hyperopia (average +7.87D) and shallow anterior chambers.
- No intraoperative complications occurred; only mild iritis was noted postoperatively in two eyes, with no further issues during 3-month follow-up.
Impact:
- The study highlights the low prevalence of nanophthalmos but emphasizes the need for meticulous surgical planning.
- Preoperative evaluation of scleral thickness and use of intravenous mannitol are critical for managing increased vitreous pressure and preventing complications.
- Experienced surgeons can achieve favorable outcomes in nanophthalmic eyes with appropriate precautions.
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