Indonesian Journal of Case Reports
Vol. 1 No. 1 (2023): August 2023

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

Imelda, Eva (Unknown)
Jannah, Raudhatul (Unknown)
Jannah, Siti Rain (Unknown)
Adev, Sarra Mutiara (Unknown)
Toshniwal, Navneet Shamsundar (Unknown)



Article Info

Publish Date
21 Aug 2023

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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Journal Info

Abbrev

ijcr

Publisher

Subject

Health Professions Medicine & Pharmacology Neuroscience Public Health

Description

The journal aims to present challenging and stimulating cases in an educational format, enabling readers to engage as if they are actively collaborating with caring clinician scientists in patient management. Topics of this journal includes, but not limited to Exploration of new diseases and their ...