A clinical case of a surgical treatment of complicated cataract in a patient with Hall–Hittner syndrome

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Abstract

Background: Variants of the CHD7 gene found in the OMIM 608892 genomic material are present in 83–95% of patients suffering from the CHARGE syndrome. The aim of this report is to evaluate the clinical and functional results of cataract phacoemulsification with implantation of a toric intraocular lens in a patient with a very rare pathology — Hall–Hittner syndrome. Clinical case description: Under observation was patient V., who successfully underwent cataract phacoemulsification on the right eye with implantation of an intraocular lens for complicated cataract against the background of combined congenital eye pathology confirmed by the diagnostic data before and after the surgery. The optimal visual functions were reached after the successful surgical treatment. The patient was subjectively satisfied with the restored visual functions in the right eye. Conclusion: The clinical case demonstrates a successful implementation of cataract phacoemulsification with implantation of a toric intraocular lens in a patient diagnosed with complicated cataract against the background of combined congenital eye pathology, which suggests the possibility of a surgical treatment for such patients.

About the authors

Yulia V. Grigoryeva

The S. Fyodorov Eye Microsurgery Federal State Institution

Email: prostoboss2202@bk.ru
ORCID iD: 0000-0001-5075-0772

MD

Russian Federation, 59A, Beskudnikovsky blvd, Moscow 127486

Sergey U. Kopaev

The S. Fyodorov Eye Microsurgery Federal State Institution

Email: kopayevsu@yahoo.com
ORCID iD: 0000-0001-5085-6788

MD, PhD, Professor

Russian Federation, 59A, Beskudnikovsky blvd, Moscow, 127486

Maria R. Obraztsova

The S. Fyodorov Eye Microsurgery Federal State Institution

Email: obraztsova.maria@mail.ru
ORCID iD: 0000-0002-9933-9754

Graduate Student

Russian Federation, 59A, Beskudnikovsky blvd, Moscow, 127486

Kristina G. Khliyan

The S. Fyodorov Eye Microsurgery Federal State Institution

Author for correspondence.
Email: kristy-ribka@mail.ru
ORCID iD: 0000-0002-5814-3368

Graduate Student

Russian Federation, 59A, Beskudnikovsky blvd, Moscow, 127486

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Biomicroscopy: а — right eye (OD); б — left eye (OS).

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3. Fig. 2. Keratotopogram of the right eye (OD): irregularity of the corneal surface.

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4. Fig. 3. B-scan of the right eye (OD): changes in the posterior pole by the type of coloboma of the choroid and optic disc.

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5. Fig. 4. Coloboma of the choroid.

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Copyright (c) 2022 Grigoryeva Y.V., Kopaev S.U., Obraztsova M.R., Khliyan K.G.

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