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Secondary congenital aphakia.

Catalina Ionescu, Dana Dascalescu, Miruna Cristea

    Romanian Journal of Ophthalmology
    |May 26, 2016
    PubMed
    Summary

    This case report details a child with congenital rubella syndrome who developed secondary congenital aphakia during cataract surgery. The condition required modified surgical steps, postponing intraocular lens implantation.

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    Area of Science:

    • Ophthalmology
    • Pediatric Medicine
    • Genetics

    Background:

    • Congenital rubella syndrome (CRS) is a complex condition with multisystemic effects.
    • Ocular manifestations of CRS include cataracts, microphthalmia, and glaucoma.
    • Secondary congenital aphakia is a rare condition characterized by the absence of the lens.

    Observation:

    • A 2-year-old patient with diagnosed CRS presented for cataract surgery.
    • Intraoperative findings revealed the absence of the lens cortex, leading to a diagnosis of secondary congenital aphakia.
    • Associated CRS features included sensorineural deafness, congenital heart disease, intellectual disability, microcephaly, and microphthalmia.

    Findings:

    • The patient was diagnosed with secondary congenital aphakia during cataract surgery.
    • Surgical management involved posterior capsulorhexis and anterior vitrectomy.
    • Intraocular lens implantation was deferred due to the aphakic state.

    Implications:

    • This case highlights the importance of intraoperative vigilance for unexpected findings in CRS patients.
    • Modified surgical techniques may be necessary for managing secondary congenital aphakia.
    • Delayed intraocular lens implantation is a viable strategy in such complex cases.