This is a very small eye with an axial length of 20.4 mm and an anterior chamber depth of just 2 mm. The capsulorhexis still needs to be about 5 mm in diameter and in this small eye with modest dilation, it may look quite large compared to the pupil size. Our guest surgeon does a great job with this challenging case in a monocular patient. There are many important considerations in these very small eyes and the IOL calculations are just the beginning. In this case the surgeon used IOLcalc.com with the Ladas Super Formula 2.0 based on artificial intelligence and the patient achieved an outstanding visual result.
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