3018: bilateral anterior segment dysgenesis
Navigating cataract surgery in the setting of bilateral anterior segment dysgenesis presents a true 10/10 surgical challenge due to highly irregular anterior anatomy, altered corneal optics, and severely compromised visualization. Cases like this test a surgeon’s full technical repertoire, demanding meticulous pre-operative planning, custom incision placement, and adaptable intraoperative maneuvers to overcome dysplastic iris architecture and peripheral corneal opacities. Using retro-endo-illumination via the pars plana allows for safe completion of the phacoemulsification and stable IOL fixation. Watch the video to see how careful surgical execution and patient intraoperative adjustments turn a daunting anatomical challenge into a successful outcome. What specific surgical modifications or visualization aids do you employ when faced with severe anterior segment malformations? Please comment your strategies below.
