purpose: this case report delineates the intricacies and challenges encountered in cataract surgery in ehlers-danlos syndrome type VI presenting with advanced keratoglobus (KG), severe cataract and brittle cornea. observations: despite meticulous planning and intraoperative precautions, including phacoemulsification with reduced intraocular pressure (low bottle height), the patient experienced corneal ruptures necessitating a shift to extra capsular cataract extraction (ECCE). postoperative management involved corneal suturing and vigilant follow-up. conclusions and Importance: cataract surgery in patients with brittle cornea poses significant challenges due to extreme corneal fragility. exhaustive pre-operative assessment, careful intraoperative techniques, and vigilant postoperative care are paramount for successful outcomes in these complex cases.

Maurino, V., Aiello, F., Matarazzo, F. (2024). Cataract surgery complications in a patient with brittle cornea syndrome and Ehlers-Danlos syndrome type six: A case report. AMERICAN JOURNAL OF OPHTHALMOLOGY. CASE REPORTS, 36 [10.1016/j.ajoc.2024.102120].

Cataract surgery complications in a patient with brittle cornea syndrome and Ehlers-Danlos syndrome type six: A case report

Maurino V.;Aiello F.;
2024-01-01

Abstract

purpose: this case report delineates the intricacies and challenges encountered in cataract surgery in ehlers-danlos syndrome type VI presenting with advanced keratoglobus (KG), severe cataract and brittle cornea. observations: despite meticulous planning and intraoperative precautions, including phacoemulsification with reduced intraocular pressure (low bottle height), the patient experienced corneal ruptures necessitating a shift to extra capsular cataract extraction (ECCE). postoperative management involved corneal suturing and vigilant follow-up. conclusions and Importance: cataract surgery in patients with brittle cornea poses significant challenges due to extreme corneal fragility. exhaustive pre-operative assessment, careful intraoperative techniques, and vigilant postoperative care are paramount for successful outcomes in these complex cases.
2024
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/30
English
Brittle cornea syndrome
Cataract surgery
Ehlers-Danlos syndrome
Intraoperative complications
Keratoglobus
Postoperative management
Maurino, V., Aiello, F., Matarazzo, F. (2024). Cataract surgery complications in a patient with brittle cornea syndrome and Ehlers-Danlos syndrome type six: A case report. AMERICAN JOURNAL OF OPHTHALMOLOGY. CASE REPORTS, 36 [10.1016/j.ajoc.2024.102120].
Maurino, V; Aiello, F; Matarazzo, F
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/377943
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