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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 302

High astigmatism in young female: Not always a keratoconus


Consultant in Cornea and Refractive Surgery, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Aditya Ghorpade
Aravind Eye Hospital, S.N High Road, Tirunelveli Junction, Tirunelveli - 627 001, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_697_21

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How to cite this article:
Ghorpade A, Venugopal A. High astigmatism in young female: Not always a keratoconus. Indian J Ophthalmol Case Rep 2022;2:302

How to cite this URL:
Ghorpade A, Venugopal A. High astigmatism in young female: Not always a keratoconus. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 19];2:302. Available from: https://www.ijoreports.in/text.asp?2022/2/1/302/334970



A 20-year-old female presented with a visual acuity of 6/9 with -4.00 D cylinder at 170° in the right eye and 6/6 in the left eye with -3.00 D cylinder at 15°. Pentacam was not suggestive of Keratoconus, but the Scheimpflug imaging showed lens tilt [Figure 1]a and [Figure 1]b. Hence, dilated slit-lamp examination was done, revealed clear lens with inferior lenticular coloboma from 5 o'clock to 7 o'clock [Figure 1]c and [Figure 1]d. Congenital isolated lenticular coloboma is characterized by absence of zonules, segmental notching, flattening, and contraction of the lens causing high astigmatism in our patient.[1] Hence, it is imperative for ophthalmologists to remember lenticular causes of astigmatism in young females.
Figure 1: Isolated bilateral lenticular coloboma. (a) Scheimpflug imaging showing lens tilt in the right eye. (b) Scheimpflug imaging showing lens tilt in the left eye. (c) Dilated slit-lamp examination right eye in retroillumination. (d) Dilated slit-lamp examination left eye in retroillumination

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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 The patients understand that their names and initial s will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Nil.

Conflicts of interest

There are no conflict of interest.



 
  References Top

1.
Kaweri L, Kurian M, Madhu S, Das S, Shetty R, Shetty B. Aberrometry changes following surgical management of isolated typical lens coloboma. JCRS Online Case Rep 2016;4:19-22.  Back to cited text no. 1
    


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