This case study presents a detailed analysis of a successful surgical approach for treating bilateral cataracts in a patient with anterior megalophthalmos, a rare condition characterised by an abnormally large anterior chamber. The complexity of this case required a specialised technique, where extracapsular cataract extraction was performed, followed by the implantation of a standard posterior chamber intraocular lens (IOL).

To address the unique anatomical challenges, the IOL was sutured to the posterior surface of the iris and anterior capsule, ensuring stability and optimal positioning. Interestingly, different types of IOLs were used in each eye, necessitating surgical adjustments tailored to the specific characteristics of each lens. Despite these complexities, the procedure was completed without complications, and the patient experienced successful visual rehabilitation post-surgery.

This study underscores the adaptability of extracapsular cataract extraction techniques in complex ocular cases and highlights the importance of individualised surgical planning. The results affirm that this method, involving a posterior chamber IOL sutured to the posterior surface of the iris and anterior capsule, is a viable and effective option for patients with both cataract and anterior megalophthalmos.

For an in-depth exploration of the techniques and outcomes, the full study can be found in the Journal of Cataract and Refractive Surgery, Volume 25, Issue 5, published in May 1999, on pages 716-719.