|Year : 2022 | Volume
| Issue : 1 | Page : 315
Cobweb in the eye: Pseudophakia in microspherophakia
Rohit Rao, Charudutt Kalamkar, Amrita Mukherjee, Jayesh Patil, Aarti Jain
Ganesh Vinayak Eye Hospital, Pachpedi Naka, Raipur, Chattisgarh, India
|Date of Web Publication||07-Jan-2022|
Dr. Aarti Jain
Shree Ganesh Vinayak Eye Hospital, Pachpedi Naka, Raipur, Chattisgarh - 491 002
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Rao R, Kalamkar C, Mukherjee A, Patil J, Jain A. Cobweb in the eye: Pseudophakia in microspherophakia. Indian J Ophthalmol Case Rep 2022;2:315
|How to cite this URL:|
Rao R, Kalamkar C, Mukherjee A, Patil J, Jain A. Cobweb in the eye: Pseudophakia in microspherophakia. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 19];2:315. Available from: https://www.ijoreports.in/text.asp?2022/2/1/315/334851
A young female with microspherophakia, underwent right eye (RE) lensectomy with vitrectomy with scleral fixated intraocular lens (SFIOL) and left eye (LE) cataract surgery with three-piece intraocular lens (IOL) in the sulcus. On slit-lamp, the RE showed stable SFIOL [Figure 1]a. The LE showed 360° stretched zonules, anterior capsular phimosis, crumpled capsular bag with Elschnig pearls, and centered three-piece IOL in the sulcus [Figure 1]b.
|Figure 1: Slit-lamp image: (a) The right eye shows well-centered scleral fixated IOL (b) The left eye shows crumbled and withered bag with anterior capsular phimosis (black arrow). The zonules are stretched and pulled due to the capsular shrinkage, deficient inferiorly (black star). Early Elschnig pearl posterior capsular opacification is evident (black arrowheads). Three-piece IOL placed in the sulcus is well-centered.|
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In cases of microspherophakia, depending upon the zonular stability, IOL can be placed in a bag, sulcus, or SFIOL can be performed. The capsular shrinkage and IOL subluxation are documented, can be prevented by implanting a capsular tension ring or segment.,,
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| References|| |
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