Looking at this picture, we can see that the corneal diameter is very small compared to the size of the fixation ring. This is the first clue that this is a small eye, with a small anterior segment, a shallow anterior chamber, and a short axial length. The patient is highly hyperopic and wishes to achieve a plano outcome with cataract surgery. How is the cataract surgery different in a small eye compared to an average eye?
We present the full case shown from start to finish and we discuss the specific challenges in small eyes, including surgical maneuvers as well as IOL calculations.
Click below to learn from this video about cataract surgery in small eyes: