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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.