Frontiers in medicine · 2026
Clinical management of nanophthalmos combined with cataract: a case series.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Zhu Huiyu, Sun Cun, Xiao Renyue, Song Zhi, Shu Xinjie, Gong Yu, Li Jiawen
Аннотация
OBJECTIVES: To explore the clinical characteristics, surgical challenges, and management strategies for nanophthalmos combined with cataract.
CASE PRESENTATION: We report three adult patients with nanophthalmos, all presenting with extremely short axial lengths (Case 1: OD 14.83 mm, OS 14.54 mm; Case 2: OD 16.27 mm; Case 3: OD 15.19 mm, OS 15.00 mm) complicated by varying degrees of cataracts and other ocular complications. All three patients underwent phacoemulsification cataract extraction with intraocular lens implantation following admission.
CONCLUSION: Patients with nanophthalmos face higher risks during cataract surgery compared to the general population, with a greater likelihood of postoperative complications such as uveal effusion syndrome, choroidal detachment, and a fibrotic membrane on the anterior IOL surface. Thorough perioperative assessment, meticulous surgical technique, individualized complication management, and long-term follow-up are critical to improving outcomes.
CASE PRESENTATION: We report three adult patients with nanophthalmos, all presenting with extremely short axial lengths (Case 1: OD 14.83 mm, OS 14.54 mm; Case 2: OD 16.27 mm; Case 3: OD 15.19 mm, OS 15.00 mm) complicated by varying degrees of cataracts and other ocular complications. All three patients underwent phacoemulsification cataract extraction with intraocular lens implantation following admission.
CONCLUSION: Patients with nanophthalmos face higher risks during cataract surgery compared to the general population, with a greater likelihood of postoperative complications such as uveal effusion syndrome, choroidal detachment, and a fibrotic membrane on the anterior IOL surface. Thorough perioperative assessment, meticulous surgical technique, individualized complication management, and long-term follow-up are critical to improving outcomes.