Challenges in Hypermature Senile Cataract with Intracapsular Cataract Extraction for Wide Zonular Dehiscence: A Case Study

Authors

  • Eva Imelda Department of Ophthalmology, General Hospital Dr. Zainoel Abidin, Banda Aceh 23126, Indonesia; Department of Ophthalmology, School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia
  • Raudhatul Jannah School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia
  • Siti Rain Jannah School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia
  • Sarra Mutiara Adev Medical Programme, Faculty of Medicine Universitas Brawijaya, Malang 65145, Indonesia
  • Navneet Shamsundar Toshniwal Director Navneet Hospital, Solapur, Maharashtra, India

DOI:

https://doi.org/10.60084/ijcr.v1i1.70

Keywords:

Senile cataract, Hypermature stage, Zonular dehiscence, ICCE

Abstract

A cataract is a condition characterized by clouding of the eye's lens. Senile cataracts progress through four stages: incipient, immature, mature, and hypermature. These stages are determined by the degree of lens cloudiness and the extent of lens mass involvement. In the hypermature stage, the entire lens capsule becomes wrinkled, and its contents become either solid and wrinkled or soft and liquid. An 83-year-old female patient presented to the Department of Ophthalmology at RSUD dr. Zainoel Abidin Banda Aceh with a gradual decrease in vision over the past four years. Ophthalmological examination using a slit lamp revealed cloudiness throughout the lens mass, a brownish-white lens color, wrinkling of the anterior capsule, and visible zonular dehiscence at approximately 90 degrees. The patient's left eye pressure measured 23 mmHg. A surgical plan for Intracapsular Cataract Extraction (ICCE) was made. Despite the surgery, the patient's visual function remained poor. Consequently, a second surgery for IOL insertion was scheduled six weeks after the initial procedure. The patient's visual function is anticipated to improve following the second IOL insertion surgery.

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Published

2023-08-21

How to Cite

Imelda, E., Jannah, R., Jannah, S. R. ., Adev, S. M., & Toshniwal, N. S. (2023). Challenges in Hypermature Senile Cataract with Intracapsular Cataract Extraction for Wide Zonular Dehiscence: A Case Study. Indonesian Journal of Case Reports, 1(1), 10–14. https://doi.org/10.60084/ijcr.v1i1.70

Issue

Vol. 1 No. 1 (2023): August 2023

Section

Articles

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Copyright (c) 2023 Eva Imelda, Raudhatul Jannah, Siti Rain Jannah, Sarra Mutiara Adev, Navneet Shamsundar Toshniwal

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