|Year : 2023 | Volume
| Issue : 2 | Page : 610
“Double Scroll” sign in a man aged 60 years after closed globe injury
Amber A Bhayana1, Kunika Tanwar2, Shashi Vashisht2
1 Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
2 Department of Ophthalmology, ESIC Medical College and Hospital, Faridabad, Haryana, India
|Date of Web Publication||28-Apr-2023|
Amber A Bhayana
Dr. Rajendra Prasad Centre, AIIMS, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Bhayana AA, Tanwar K, Vashisht S. “Double Scroll” sign in a man aged 60 years after closed globe injury. Indian J Ophthalmol Case Rep 2023;3:610
|How to cite this URL:|
Bhayana AA, Tanwar K, Vashisht S. “Double Scroll” sign in a man aged 60 years after closed globe injury. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 2];3:610. Available from: https://www.ijoreports.in/text.asp?2023/3/2/610/375032
A 60-year-old otherwise healthy male was found to have posttraumatic aphakia (ruptured lens with absorbed posteriorly dislocated lens matter). The anterior and posterior capsular remnants were found to have rolled over themselves giving the appearance of an interconnected double scroll on slit-lamp oblique illumination [Figure 1]a and [Figure 1]b. Scrolling indicates loss of vitreous adhesion to the posterior capsule (like free rolled flap of giant retinal tear); anterior capsule always having a scrolling tendency on account of no vitreous adhesion. The subject was successfully rehabilitated with capsulectomy and implanting an anterior chamber intraocular lens; anterior vitrectomy was not required during the surgery.
|Figure 1: (a) oblique illumination showing “double scroll” of anterior and posterior capsules; (b) retroillumination showing the folded anterior and posterior capsules|
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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 The patients understand that their names and initial s will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Bhayana AA, Prasad P, Venkatesh P. Scroll sign in a man aged 50 years after a closed globe injury. JAMA Ophthalmol 2022;140:e222664. doi: 10.1001/jamaophthalmol. 2022.2664.