Performing a simultaneous prophylactic sclerostomy with phacoemulsification reduces complication rates in nanophthalmic eyes with cataract, according to a study carried out at Aravind Eye Hospital, Madurai, India.
In nanophthalmic eyes, which have a very short anterior segment and a thick sclera, cataract surgery is a challenge. The sudden decrease in pressure and the pressure differential between the anterior and posterior segments might lead to positive vitreous pressure. Complications such as iritis, uveal effusion, corneal decompensation, retinal detachment, zonular rupture, cystoid
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