This case outlines the phacoemulsification technique used to overcome the challenge of the hyperdeep anterior chamber, weak zonules, abnormal anterior capsule, and large capsular bag. Key steps included trypan blue staining of the anterior capsule, a large capsulorhexis, prolapse of the nucleus into the anterior chamber with phacoemulsification anterior to the capsulorhexis, and a posterior chamber-placed iris-clip intraocular lens. Successful visual rehabilitation is achievable in these anatomically challenging eyes.
From the Royal Brisbane Hospital (Lee, Hann), the University of Queensland (Lee), Brisbane, Australia, and the University of Toronto (Braga-Mele), Toronto, Ontario, Canada
Reprint requests to Graham A. Lee, MD, MBBS, FRANZCO, City Eye Centre, 135 Wickham Terrace, Brisbane, Queensland 4000, Australia.
Presented in part at the Australian Cataract and Refractive Surgeons Meeting, 2005, Queenstown, New Zealand.
No author has a financial or proprietary interest in any material or method mentioned.
Drs. Peter Shah, Diana Conrad, Mark Loane, Kevin Vandeleur, Tony Maloof, and Lawrence Lee provided advice on management of this case.
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