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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 327-329

An unusual case of Heimann–Bielschowsky phenomenon associated with mature cataract

1 Department of Ophthalmology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
2 Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India

Correspondence Address:
Pawan Prasher
Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_2929_22

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Heimann–Bielschowsky phenomenon (HBP) is an unusual condition with a low-frequency, coarse, vertical nystagmoid movement that develops after long-standing profound vision loss in an eye. We report a case of HBP in an eye with a mature senile cataract that resolved spontaneously after cataract surgery. A 50-year-old male presented with a mature senile cataract in his right eye, without any previous history of abnormal movements of either eye. The affected eye was only perceiving hand motions at 2 ft due to the mature cataract, along with an intermittent, slow, vertical nystagmoid movement. The evaluation was consistent with the diagnosis of HBP, and it was decided to proceed with cataract surgery and reassess postoperatively. The patient underwent uneventful cataract surgery with good visual outcome as well as spontaneous resolution of the HBP. To the best of our knowledge, this is the first case of HBP associated with senile cataract, which resolved after cataract surgery was performed.

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