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| OPHTHALMIC IMAGE |
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| Year : 2021 | Volume
: 1
| Issue : 2 | Page : 166 |
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Bilateral preexisting posterior capsular dehiscence in an infant
Surbhi Khurana, Parul C Gupta, Jagat Ram
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| Date of Web Publication | 01-Apr-2021 |
Correspondence Address:
Dr. Jagat Ram
Department of Ophthalmology, PGIMER, Chandigarh - 160 012
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_3255_20
How to cite this article:
Khurana S, Gupta PC, Ram J. Bilateral preexisting posterior capsular dehiscence in an infant. Indian J Ophthalmol Case Rep 2021;1:166 |
An 8-month-old healthy infant was brought with the complaint of white reflex in both eyes (OU). Ocular examination revealed central, steady, and maintained fixation OU and congenital cataract, which was partially dislocated in anterior vitreous through a preexisting posterior capsular dehiscence (PCD) in both the eyes [Figure 1]a and [Figure 1]b. Bilateral PCD and posterior dislocation of the cataract was confirmed on anterior-segment optical coherence tomography [[Figure 1]c and [Figure 1]d, arrows], as well as B-scan ultrasonography. Such bilateral preexisting PCD in infants can be congenital, or in association with posterior lenticonus, lentiglobus, or posterior polar cataract.[1],[2],[3] The child underwent bilateral phacoaspiration with intraocular lens implantation and anterior vitrectomy. | Figure 1: (a and b) Anterior segment photograph showing a posteriorly dislocated cataract through a central posterior capsular dehiscence in the right and left eye respectively. (c and d) Anterior segment optical coherence tomography (Casia 2, Tomey, Germany) showing hyperreflective material in anterior vitreous (arrow), suggestive of posterior dislocation of cataract through a posterior capsular defect in the right and left eye, respectively
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | de Courten C, Faggioni R. Acute infantile leucocoria. Am J Ophthalmol 1990;109:612-3.  |
| 2. | Khokhar SK, Pillay G, Dhull C, Agarwal E, Mahabir M, Aggarwal P. Pediatric cataract. Indian J Ophthalmol 2017;65:1340-9. [ PUBMED] [Full text] |
| 3. | Vasavada AR, Praveen MR, Nath V, Dave K. Diagnosis and management of congenital cataract with preexisting posterior capsule defect. J Cataract Refract Surg 2004;30:403-8. |
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