Case Reports

Management of inferior zonular dialysis with cataract dislocation into anterior chamber

Case Report Details

First Author: C.Kranemann CANADA

Co Author(s):                        

Abstract Details

Purpose:

To report the careful use of viscoelastic substance and Femtosecond laser in the management of a traumatic cataract partially dislocated into the AC

Setting:

refractive clinic

Report of Case:

A 67 yo female presented with a cataract dislocated partially into the inferior AC with cornea/lens contact. This persisted in the supine position. She also had clinically significant corneal astigmatism verified on topography in the affected eye only. She underwent femtosecond assisted laser cataract surgery. Prior to the Femtosecond portion viscoelastic substance was injected into the AC reforming it and pushing the anterior capsule into the iris plane. The femtosecond portion was completed without complications. During the lens removal 2 retractors were used inferiorly to stabilize the capsular bag. Prior to IOL placement a CTR was inserted and the zonular dialysis was limited to 5 clock hours inferiorly and due to strong remaining zonules superiorly no scleral fixation was required. A toric IOL was placed and postop the UCDVA was 20/20 with residual cylinder of 0.25 at week 1 and month 3.

Conclusion/Take Home Message:

The use of femtosecond laser cataract surgery can be combined with the judicious use of viscoelastic substance and might assist in the management of dislocated cataracts.

Financial Disclosure:

None