Cataract surgery in patients with extremely elongated eyeball

Aim – to evaluate the specific features of the phacoemulsification and IOL implantation, as well as clinical and functional outcomes in patients with extremely elongated eyeball.

Clinical cases. Two female patients were observed. Patient 1: 67 years, diagnosed OU complicated cataract, high myopia, moderate amblyopia, primary open-angle glaucoma 3A. Visual acuity at admission vis OD = 0.001 n.c.; vis OS = 0.04 sph +2.00 D cyl -2.50 D ax 105° = 0.1. Patient 2: 68 years, diagnosed OU complicated cataract, high hyperopia, moderate amblyopia, primary open-angle glaucoma 1A, operated. Visual acuity at admission OD = 0.01 sph +11.00 D cyl +1.50 D ax 110° = 0.2; OS = 0.01 sph +11.00 D cyl +1.00 D ax 105 = 0.1. The phacoemulsification and implantation of Asphina IOL (Carl Zeiss Meditec AG, Germany) was performed in both patients: on the right eye of patient 1 and on the left eye of patient 2.

Results. A month after the operation, patient 1 had the uncorrected visual acuity Vis OD = 0.15, patient 2 had visual acuity Vis OS = 0.04 sph (+) 11.0 D = 0.2. Both patients were subjectively satisfied with the obtained visual functions.