International Review of Ophthalmology ›› 2022, Vol. 46 ›› Issue (3): 211-215.doi: 10.3760/ cma.j.issn.1673-5803.2022.03.004

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Cataract surgery and IOL selection in anterior segment dysgeneses

Wen Yinuo1,  Jiang Yongxiang2   

  1. 1 The First Clinical Medical College, Wenzhou Medical University, Wenzhou 325035, China;2 Department of Ophthalmology, Eye and ENT Hospital of Fudan University; NHC Key Laboratory of Myopia ( Fudan University) ; Key Laboratory of Myopia, Chinese Academy of Medical Sciences; Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai 200031,China
  • Received:2022-02-15 Online:2022-06-22 Published:2022-06-22
  • Contact: Jiang Yongxiang, Email: yongxiang_ jiang@163.com
  • Supported by:
    National Natural Science Foundation of China (82070943); Shanghai Science and Technology Commission Scientific in Novation Action Plan(20Y11911000)

Abstract: Anterior segment dysgenesis (ASD) is a group of diseases involving a variety of anterior segment tissue abnormalities, such as cornea, iris, lens and anterior chamber angle. Due to the special clinical signs such as deep anterior chamber as well as zonular weakness, it is difficult to implement incision, capsulorhexis and phacoemulsification safely. The selection of appropriate intraocular lens (IOL) and operation modes are taken more attention. Iris-claw IOL implantation may be more suitable surgical way for ASD patients. It is worthy of further research and exploration on how to choose individualized surgery according to the different characteristics of capsular bag in cataract patients with ASD in order to obtain better surgical efficacy. (Int Rev Ophthalmol, 2022, 46: 211-215)

Key words: anterior segment dysgenese, cataract;intraocular lens, IOL diopter calculation