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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 167

Clinical application of Scheimpflug imaging in congenital lamellar cataract - An objective preoperative densitometry museum


1 Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
2 Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
3 Department of Paediatric Ophthalmology and Strabismus, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India

Date of Web Publication01-Apr-2021

Correspondence Address:
Dr. Prasanna V Ramesh
Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Trichy - 620 017, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3445_20

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How to cite this article:
Ramesh PV, Ramesh SV, Rajasekaran R, Ramesh MK. Clinical application of Scheimpflug imaging in congenital lamellar cataract - An objective preoperative densitometry museum. Indian J Ophthalmol Case Rep 2021;1:167

How to cite this URL:
Ramesh PV, Ramesh SV, Rajasekaran R, Ramesh MK. Clinical application of Scheimpflug imaging in congenital lamellar cataract - An objective preoperative densitometry museum. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Jul 29];1:167. Available from: https://www.ijoreports.in/text.asp?2021/1/2/167/312412



A 19-year-old male presented with defective vision in OD. Slit-lamp examination revealed zonular (lamellar) cataract in OD [Figure 1]a and [Figure 1]b and posterior chamber intraocular lens in OS. Lamellar cataract is the most common type of developmental cataract and its effect on vision depends on the density of its components, especially the nucleus.[1] Scheimpflug lens densitometry [Figure 1]c and [Figure 1]d and anterior segment optical coherence tomography [Figure 2] offers the best ability to objectively assess and quantify it. Customized phacoemulsification settings based on the densitometry assessment, rather than intraoperative adjustments yield lower phacoemulsification time, lower needle time, and better outcomes.[2]
Figure 1: (a and b) Slit-lamp photograph revealing the zonular cataract in OD. (c) Scheimpflug Imaging System revealing objective densitometry of the zonular cataract (red arrow). (d) Same Scheimpflug image in inverse contrast for better visualization of the lamellae (red arrow)

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Figure 2: (a-d) Anterior segment optical coherence tomography revealing the multiple line sections of the zonular cataract (yellow arrows)

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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 Top

1.
Gerth-Kahlert C, Michels R, Funk J, Gautschy U. Congenital lamellar cataract. JAMA Ophthalmol 2014;132:1122.  Back to cited text no. 1
    
2.
Grewal DS, Grewal SP. Clinical applications of Scheimpflug imaging in cataract surgery. Saudi J Ophthalmol 2012;26:25-32.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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