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Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2

BACKGROUND: Cases of cataract surgery without penetrating keratoplasty in patients with Peters’ anomaly are very rare. We report a case of Peters’ anomaly type 2 with tilted lens due to synechia between the lens and iris that was treated with cataract surgery without penetrating keratoplasty. CASE P...

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Autores principales: Nishide, Tadayuki, Nakanishi, Misako, Hayakawa, Natsuki, Kimura, Ikuko, Mizuki, Nobuhisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806668/
https://www.ncbi.nlm.nih.gov/pubmed/24163681
http://dx.doi.org/10.1159/000354611
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author Nishide, Tadayuki
Nakanishi, Misako
Hayakawa, Natsuki
Kimura, Ikuko
Mizuki, Nobuhisa
author_facet Nishide, Tadayuki
Nakanishi, Misako
Hayakawa, Natsuki
Kimura, Ikuko
Mizuki, Nobuhisa
author_sort Nishide, Tadayuki
collection PubMed
description BACKGROUND: Cases of cataract surgery without penetrating keratoplasty in patients with Peters’ anomaly are very rare. We report a case of Peters’ anomaly type 2 with tilted lens due to synechia between the lens and iris that was treated with cataract surgery without penetrating keratoplasty. CASE PRESENTATION: A 16-year-old girl had Peters’ anomaly in both eyes. Corneal opacity was severe in the left eye due to high-grade dysgenesis of the anterior segment. In the right eye, corneal opacity had spread from the center of the cornea to the inferotemporal side, and there was synechia between the iris and corneal endothelium from the inferonasal side to the inferotemporal side. Opacity was observed in the anterior pole of the lens, and there was synechia between the anterior iris and the lens. Ultrasound biomicroscopy (UBM) revealed that the lens was tilted because of synechia. The tilted lens induced astigmatism, which reduced visual acuity to 20/250, in conjunction with a cataract. Cataract surgery was performed; the synechia between the lens capsule and the iris was severed, an intraocular lens was inserted, and the tilt was repaired. UBM was used postoperatively to confirm that the lens capsule synechia had been corrected and that the intraocular lens was not tilted. As a result, visual acuity improved to 20/100; glaucoma and expansion of corneal opacity were not observed. CONCLUSIONS: Severing of the synechia between the cataract and iris, during cataract surgery, in a patient with Peters’ anomaly type 2 resulted in favorable postoperative visual acuity.
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spelling pubmed-38066682013-10-25 Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2 Nishide, Tadayuki Nakanishi, Misako Hayakawa, Natsuki Kimura, Ikuko Mizuki, Nobuhisa Case Rep Ophthalmol Published online: September, 2013 BACKGROUND: Cases of cataract surgery without penetrating keratoplasty in patients with Peters’ anomaly are very rare. We report a case of Peters’ anomaly type 2 with tilted lens due to synechia between the lens and iris that was treated with cataract surgery without penetrating keratoplasty. CASE PRESENTATION: A 16-year-old girl had Peters’ anomaly in both eyes. Corneal opacity was severe in the left eye due to high-grade dysgenesis of the anterior segment. In the right eye, corneal opacity had spread from the center of the cornea to the inferotemporal side, and there was synechia between the iris and corneal endothelium from the inferonasal side to the inferotemporal side. Opacity was observed in the anterior pole of the lens, and there was synechia between the anterior iris and the lens. Ultrasound biomicroscopy (UBM) revealed that the lens was tilted because of synechia. The tilted lens induced astigmatism, which reduced visual acuity to 20/250, in conjunction with a cataract. Cataract surgery was performed; the synechia between the lens capsule and the iris was severed, an intraocular lens was inserted, and the tilt was repaired. UBM was used postoperatively to confirm that the lens capsule synechia had been corrected and that the intraocular lens was not tilted. As a result, visual acuity improved to 20/100; glaucoma and expansion of corneal opacity were not observed. CONCLUSIONS: Severing of the synechia between the cataract and iris, during cataract surgery, in a patient with Peters’ anomaly type 2 resulted in favorable postoperative visual acuity. S. Karger AG 2013-09-26 /pmc/articles/PMC3806668/ /pubmed/24163681 http://dx.doi.org/10.1159/000354611 Text en Copyright © 2013 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: September, 2013
Nishide, Tadayuki
Nakanishi, Misako
Hayakawa, Natsuki
Kimura, Ikuko
Mizuki, Nobuhisa
Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2
title Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2
title_full Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2
title_fullStr Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2
title_full_unstemmed Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2
title_short Cataract Surgery for Tilted Lens in Peters’ Anomaly Type 2
title_sort cataract surgery for tilted lens in peters’ anomaly type 2
topic Published online: September, 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806668/
https://www.ncbi.nlm.nih.gov/pubmed/24163681
http://dx.doi.org/10.1159/000354611
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