Automated vitrector-assisted iridectomy and phacoemulsification in eyes with coexisting cataract and adherent leucomas

Abstract

To describe a surgical technique as an alternative to allograft corneal transplantation for management of cases with cataract and corneal opacity. Seven eyes of seven patients with adherent leucomas and cataract underwent phacoemulsification with intraocular lens (IOL) implantation. An automated vitrector was used to release the adherent leucoma and create an optical iridectomy at the start of surgery. Phacoemulsification with IOL implantation was performed in all eyes. The release of the iris adherence along with creation of an optical iridectomy improved visualization during phacoemulsification. Phacoemulsification and IOL implantation could be performed successfully in all seven eyes. The median best-corrected visual acuity (BCVA) improved from 1/60 (range: (light perception) 6/36) preoperatively to 6/18 (range: 6/36-6/12) at last follow-up (average: 41 days). This surgical technique is a viable option in cases with partial corneal opacification with coexisting cataract.