Ravi DharBhandari

Nepal

Abstract

Introduction:

Glaucoma surgery in nanophthalmos has an extremely high complication rate with disastrous visual results. After trabeculectomy there are high chanses for choroidal effusion and hypotony.

Objective:

To determine the reduction of intra ocular pressure, after clear lens extraction in patient with Nanophthalmos.

Methods/ Results:

In this case report, we treated two eyes of one patient with nanophthalmos with Glaucoma, with clear lens extraction and posterior intraocular lens (IOL) implantation. After clear lens extraction inter ocular pressure decreased significantly.

Conclusion:

It is difficult to perform glaucoma surgeryinNanophthalmos. Clear lens extraction with IOL implantation helps in deepening the anterior chamber which results in opening of the angle due to which there is an increased outflow of fluid from anterior chamber and thereby reducing IOP and saving sight of the patient with less complication.

Consent:

Patient consent was taken to publish this case.