{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:10:02Z","timestamp":1756289402337,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,12]]},"abstract":"<jats:p>Anterior megalophthalmos and keratoglobus are characterised by corneal thinning and deep anterior chamber. They are clinically distinguished on the basis of normal to slightly decreased corneal thickness with a large corneal diameter (&gt;13\u2009mm) in case of anterior megalophthalmos, and marked limbus-to-limbus corneal thinning with globular protrusion in keratoglobus. To achieve and maintain a centred and stable intraocular lens (IOL) position in the bag is often difficult in cases of anterior megalophthalmos due to a too large diameter of the capsular bag and ciliary ring. We report a case of a 40-year-old man with features of anterior megalophthalmos with extremely thin cornea. He had spontaneous posterior dislocation of IOL and capsular tension ring (CTR) within the bag after initial successful cataract surgery. The dislocated complex could neither have been repositioned with scleral fixation due to large diameter of ciliary ring nor could it have been explanted through a clear corneal incision due to associated very thin cornea. We performed pars plana vitrectomy and separated the IOL-CTR complex inside the eye and explanted them separately through the sclerotomy, as is done for removal of intraocular foreign body. This avoided incision on the thin cornea. We conclude that this method can be very useful in a similar clinical situation but is complex enough to justify its use in routine cases.<\/jats:p>","DOI":"10.1136\/bcr-2018-224691","type":"journal-article","created":{"date-parts":[[2018,7,20]],"date-time":"2018-07-20T03:05:45Z","timestamp":1532055945000},"page":"bcr-2018-224691","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Trans-scleral explantation of posteriorly dislocated IOL-CTR complex in a case of anterior megalophthalmos with an unusually thin cornea"],"prefix":"10.1136","volume":"2018","author":[{"given":"Anil Babanrao","family":"Gangwe","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyavrat","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepshikha","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samrat","family":"Chatterjee","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,7,19]]},"reference":[{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.1","doi-asserted-by":"crossref","unstructured":"Wallang BS , Das S . Keratoglobus. Eye (Lond). 2013 27:1004\u201312.","DOI":"10.1038\/eye.2013.130"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.2","doi-asserted-by":"crossref","first-page":"32","DOI":"10.4103\/0301-4738.105052","article-title":"Scheimpflug imaging in anterior megalophthalmos","volume":"61","author":"Nemeth","year":"2013","journal-title":"Indian J Ophthalmol"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.3","doi-asserted-by":"crossref","first-page":"233","DOI":"10.4103\/0301-4738.156927","article-title":"Keratoglobus: An experience at a tertiary eye care center in India","volume":"63","author":"Rathi","year":"2015","journal-title":"Indian J Ophthalmol"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(00)00444-2"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.5","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/S0146-2776(84)80121-4","article-title":"Anterior megalophthalmos and intraocular lens implantation","volume":"10","author":"Neumann","year":"1984","journal-title":"J Am Intraocul Implant Soc"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.6","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1016\/j.jcrs.2005.12.143","article-title":"Phacoemulsification in anterior megalophthalmos","volume":"32","author":"Lee","year":"2006","journal-title":"J Cataract Refract Surg"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.7","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1159\/000346074","article-title":"Artisan aphakic lens for cataract surgery in anterior megalophthalmos","volume":"3","author":"Galvis","year":"2012","journal-title":"Case Rep Ophthalmol"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.8","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1016\/S0886-3350(99)00024-3","article-title":"Cataract extraction and intraocular lens implantation in anterior megalophthalmos","volume":"25","author":"Dua","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.9","doi-asserted-by":"crossref","first-page":"2147","DOI":"10.1016\/j.jcrs.2007.07.021","article-title":"Cataract surgery and anterior megalophthalmos: custom intraocular lens and special considerations","volume":"33","author":"Vaz","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.10","doi-asserted-by":"crossref","first-page":"876","DOI":"10.4103\/0301-4738.116451","article-title":"Surgical management of spontaneous in-the-bag intraocular lens and capsular tension ring complex dislocation","volume":"62","author":"Gunenc","year":"2014","journal-title":"Indian J Ophthalmol"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.06.053"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.12","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3390\/medicina49050037","article-title":"Possible predisposing factors for late intraocular lens dislocation after routine cataract surgery","volume":"49","author":"Kr\u0117p\u0161t\u0117","year":"2013","journal-title":"Medicina"},{"key":"2025082702293416000_2018.jul19_1.bcr-2018-224691.13","first-page":"101","article-title":"Cataract surgery in anterior megalophthalmos: a review","volume":"4","author":"Galvis","year":"2015","journal-title":"Med Hypothesis Discov Innov Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:29:42Z","timestamp":1756286982000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,19]]},"references-count":13,"alternative-id":["10.1136\/bcr-2018-224691"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224691","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,7,19]]}}}