Case reportCataract surgery with intraocular lens implantation in 3 brothers with megalocornea: Long-term follow-upMessina, Marco MD; Ross, Andrew R. MD, MSc; Pocobelli, Giulio; Said, Dalia G. MD, FRCS; Dua, Harminder S. MD, FRCOphth, PhD*Author Information From Academic Ophthalmology, Division of Clinical Neuroscience, University of Nottingham and Department of Ophthalmology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom. *Corresponding author: Harminder Singh Dua, MD, FRCOphth, PhD, Department of Ophthalmology, QMC, Derby Road, Nottingham, NG7 2UH, United Kingdom. E-mail: [email protected] Submitted December 17, 2017; revised January 7, 2018; accepted January 9, 2018.Figure: First author: Marco Messina, MD Academic Ophthalmology, Division of Clinical Neuroscience, University of Nottingham and Department of Ophthalmology, Nottingham University Hospitals NHS Trust, Nottingham, United KingdomJournal of Cataract & Refractive Surgery: March 2018 - Volume 44 - Issue 3 - p 399-402 doi: 10.1016/j.jcrs.2018.01.020 Buy Metrics Abstract Cataract surgery in patients with megalocornea is challenging because of the large capsular bag in which a conventional intraocular lens (IOL) does not fit and the atrophic nature of the iris. We report the procedures and outcomes of cataract surgery in 6 eyes of 3 brothers with megalocornea. In 2 eyes, a posterior chamber IOL (PC IOL) was inserted and sutured to the iris with 10–0 nylon sutures. In the other 4 eyes, an iris-clip anterior chamber IOL (AC IOL) was inserted. In all cases, the postoperative corrected distance visual acuity (CDVA) was 6/6. In the PC IOL group, 1 IOL dislocated and was replaced with an iris-clip AC IOL. In the AC IOL group, 1 IOL subluxated and was reenclavated. In both eyes with dislocation, the CDVA improved to 6/6. © 2018 by Lippincott Williams & Wilkins, Inc.