Abstract | BACKGROUND: OBJECTIVE: CASE: A 47-year-old female presented with bilateral secondary angle closure glaucoma with isolated microspherophakia, right subluxated lens and left operated trabeculectomy. The patient`s best corrected log mar visual acuity improved from 1.0 to 0.2 and intraocular pressure (IOP) decreased from 24.9mm of Hg to lower teens following lensectomy with scleral fixation of posterior chamber intraocular lens in the right eye. The left eye IOP remained in mid teens without medication in two year follow up. CONCLUSION: This case demonstrates that microspherophakia should be ruled out even in middle aged patients presenting as angle closure glaucoma. The possibility of thickened cornea must be kept in mind requiring an IOP correction. Lensectomy with scleral fixation of posterior chamber IOL provides a satisfactory recovery of visual acuity and IOP control. Though in this patient, the lens was held in position by posterior synechiae in the left eye, future stability of zonules needs to be monitored.
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Authors | K Ps Malik, R Goel, K Jain, S Nagpal, S Singh |
Journal | Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH
(Nepal J Ophthalmol)
2015 Jan-Jun
Vol. 7
Issue 1
Pg. 69-73
ISSN: 2072-6805 [Print] Nepal |
PMID | 26695610
(Publication Type: Case Reports, Journal Article)
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Copyright | © NEPjOPH. |
Topics |
- Cataract Extraction
- Corneal Diseases
(complications, diagnosis, surgery)
- Ectopia Lentis
(complications, diagnosis, surgery)
- Female
- Glaucoma
(complications, diagnosis, surgery)
- Glaucoma, Angle-Closure
(diagnosis, etiology, surgery)
- Humans
- Intraocular Pressure
(physiology)
- Iridectomy
- Iris
(abnormalities, surgery)
- Lens Implantation, Intraocular
- Lens Subluxation
(diagnosis, etiology, surgery)
- Lens, Crystalline
(surgery)
- Middle Aged
- Tonometry, Ocular
- Visual Acuity
(physiology)
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