Phacoemulsification and foldable intraocular lens implantation in microcoria cataract

Objective To explore the surgical techniques and the clinical effects of phacoemulsification and foldable posterior chamber intraocular lens(IOL) implantation in microcoria cataract.Methods 23 cases(30 eyes) of microcoria cataract were performed with phacoemulsification and fodable posterior chamber IOL implantation by both hands through sclerocorneal incision after manual pupilloplasty and continuous circular capsulorhexis(CCC).Results The visual acuity was improved significantly after operation.Following 3 to 12 months,the visual acuity in 24 eyes were≥0.3(80.0%) and all the pupils became normal or almost-normal.Corneal edema,fibrous exudation in the anterior chamber and posterior capsule rupture were the major complications of the surgery.Conclusion The patients who have underwent phacoemulsification with multifocal IOL implantation in microcoria cataract can restore physiological round pupils without severe side effects by using appropriate magnification strategy and skilled surgical technique.