A case of one-stage surgical treatment of corneal cataract and retinal detachment in a patient with irido-lenticular diaphragm

Currently, combined pathology of the organ of vision, including diseases of the anterior and posterior segments of the eye, is quite common. Surgeons prefer combined surgery, due to the fact that it is possible to perform the maximum required volume of surgical intervention in one-stage operation. Using a clinical example, the effectiveness and safety of simultaneous penetrating keratoplasty and transciliary vitrectomy in a patient with the presence of an irido-lenticular diaphragm (ILD) was assessed. In this clinical case, simultaneous penetrating keratoplasty and transciliary vitrectomy in a patient with ILD is an effective and quick way to solve the problem, since in addition to corneal graft disease, accompanied by corneal syndrome and its persistent opacification, there was tractional retinal detachment, which required vitreoretinal intervention. At the stage of surgery in the posterior segment, media transparency was achieved through the use of a temporary keratoprosthesis. The anatomical fit of the retina was fully achieved. Oxane HD silicone oil was chosen for tamponade, since there was a tractional retinal detachment in the lower parts and its removal was planned no earlier than after 12 months (the time necessary for the complete healing of the «donor» cornea). This is an optimal, effective and safe method of treatment, which allows to perform the entire required volume of surgical intervention in one stage, which is more comfortable for the surgeon and the patient. The patient’s rehabilitation time was significantly reduced. Keywords: corneal cataract, retinal detachment, irido-lenticular diaphragm, corneal transplant, microinvasive vitrectomy, combined operations