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Nada N Alwohaibi, Mohanna Y Aljindan, Fatimah N AlRashidi Ophthalmology Department, King Fahad Hospital of the University, Khobar, Eastern Province, Kingdom of Saudi ArabiaCorrespondence: Nada N AlwohaibiOphthalmology Department, King Fahad Hospital of the University, 6464 – Ad Dammam 34274 – 3153, Khobar, Kingdom of Saudi ArabiaEmail Alwohaibinada@gmail.comMohanna Y AljindanOphthalmology Department, King Fahad Hospital of the University, Khobar, Kingdom of Saudi ArabiaEmail myaljindan@iau.edu.saAbstract: We are reporting a case of a 22-year-old lady with bilateral microphthalmia and microcornea, in which a modified technique for sutureless scleral fixated intraocular lens implantation provided a successful aphakic rehabilitation alternative with a good visual outcome and significant improvement in quality of life. Management of aphakia in microphthalmic eyes is challenging due to the anatomical abnormalities and limited literature on managing such cases. Visual rehabilitation for aphakia using contact lenses is limited by intolerance and poor lens fitting. Significant optical aberrations may limit aphakic spectacle use, further exacerbated in patients with nystagmus. Thus, secondary IOL implantation seems to be a reasonable rehabilitation alternative; however, it is surgically challenging in microphthalmic eyes.Keywords: microphthalmos, microcornea, scleral fixation, secondary intraocular lens, glued intraocular lens, Yamane technique |
