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A pars plana approach for cataract surgery in posterior lenticonus
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, FL, USA.
Purpose:
To report the management and outcome of cataract surgery and intraocular lens placement in a child with unilateral posterior lenticonus.
Methods:
Case report. A 7-year-old boy with a best-corrected visual acuity of RE, 20/200, posterior lenticonus, and cataract underwent a pars plana lensectomy, vitrectomy, posterior chamber intraocular lens insertion into the ciliary sulcus, and central anterior capsulotomy.
Result:
At 2 years of follow-up, best-corrected visual acuity was RE, 20/40.
Conclusion:
This technique allowed complete removal of the opaque posterior lenticonus plaque while preserving the peripheral anterior capsule for sulcus fixation of the posterior chamber intraocular lens.