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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 315

Cobweb in the eye: Pseudophakia in microspherophakia

Ganesh Vinayak Eye Hospital, Pachpedi Naka, Raipur, Chattisgarh, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Aarti Jain
Shree Ganesh Vinayak Eye Hospital, Pachpedi Naka, Raipur, Chattisgarh - 491 002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1041_21

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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 Aug 14];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.[1],[2],[3]

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Conflicts of interest

There are no conflicts of interest.

  References Top

Cionni RJ, Osher RH. Endocapsular ring approach to the subluxated cataractous lens. J Cataract Refract Surg 1995;21:245-9.  Back to cited text no. 1
Gimbel HV, Sun R, Heston JP. Management of zonular dialysis in phacoemulsification and IOL implantation using the capsular tension ring. Ophthalmic Surg Lasers 1997;28:273-81.  Back to cited text no. 2
Groessl SA, Anderson CJ. Capsular tension ring in a patient with Weill Marchesani syndrome. J Cataract Refract Surg 1998;24:1164-5.  Back to cited text no. 3


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