PMC9022142_01
Left eye examination under general anesthesia - central corneal leukoma, anterior dislocated and opacified lens, corneo-lenticular adhesions
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F1
Examination of the affected eye under general anesthesia revealed a central leukoma with cornea-lenticular adhesions, anterior lens dislocation and opacification, and a bright red reflex (Fig. 1). 
Conventional B-mode ultrasonography - Attached retina, vitreous degenerative echoes
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F2
Conventional B-mode ultrasonography showed an apparently healthy optic nerve and attached retina, with degenerative vitreous echoes (Fig. 2). 
Making a breach in the anterior capsule with vitreous cutter
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F3
We made a breach in the anterior capsule at 8 o'clock with a 23-gauge vitreous cutter (Fig. 3) and performed hydro-dissection and hydro-delineation to create multiple cleavage plans within the lens.
"In the bag" lens aspiration using manual irrigation-aspiration
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F4
Adhesions' removal using intraocular forceps
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F5
When no masses were present in the anterior chamber, we were able to cut the adhesions between the cornea and the lens and gently extract them with an intraocular forceps (Fig. 5). 
Postoperative aspect - central leukoma, aphakia, free peri-leukoma visual axis
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F6
A subconjunctival injection of dexamethasone was given at the end of the surgery (Fig. 6). 