Indian Journal of Ophthalmology - Case Reports

: 2022  |  Volume : 2  |  Issue : 3  |  Page : 850-

Unilateral posterior lenticonus

Navya D Davara, Manish Bhagat 
 Brien Holden Institute of Optometry and Vision Sciences, L V Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Dr. Navya D Davara
L V Prasad Eye Institute, Banjara Hills, Road No: 2, Hyderabad, Telangana

How to cite this article:
Davara ND, Bhagat M. Unilateral posterior lenticonus.Indian J Ophthalmol Case Rep 2022;2:850-850

How to cite this URL:
Davara ND, Bhagat M. Unilateral posterior lenticonus. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Sep 26 ];2:850-850
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Full Text

A 10-year-old female patient presented to us with a complaint of gradual and progressive diminution of vision in the right eye for 2 years. Her personal and systemic history was not significant. Slit-lamp biomicroscopy revealed a classical oil droplet reflex in the right eye on retro-illumination [Figure 1] as well as a prominent protrusion of the central part of the posterior capsule as seen in the Scheimpflug image [Figure 2]. The patient was diagnosed to have unilateral posterior lenticonus and was further managed by cataract surgery with a good postoperative outcome.{Figure 1}{Figure 2}

Lenticonus is a cone-like protrusion in the anterior-posterior part of the crystalline lens. Posterior lenticonus is more common than the anterior.[1] It is often bilateral and usually associated with Alport syndrome.[2] Alport syndrome results in renal failure and hematuria and can be avoided by early diagnosis. However, in our case, the patient presented with unilateral lenticonus without any systemic or ocular associations.

Lenticonus can occur unilaterally as well. However, before labeling them as iatrogenic, it is important to screen these patients to rule out Alport or other systemic abnormalities.

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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


1Cheng KP, Hiles DA, Biglan AW, Pettapiece MC. Management of posterior lenticonus. J PediatrOphthalmol Strabismus 1991;28:143-9, discussion 150.
2Tiwari US, Aishwarya A, Kujur R. Bilateral combined anterior and posterior lenticonus in Alport's Syndrome. Rom J Ophthalmol 2018;62:228-30.