Internal lenticonus is a very rare morphologic abnormality of crystalline lens which has been reported in only several cases in the literature. We herein reported the clinical characteristics and surgical findings of the anterior internal lenticonus accompanied by congenital nuclear cataract. Cataract extraction accompanied with intraocular lens implantation was uneventfully performed, and a good visual outcome was achieved in this case. Viral infection during embryonal and fetal period might account for the formation of the anterior internal lenticonus and congenital nuclear cataract in our case.
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- The case details a 38-year-old patient with Alport syndrome, who has experienced ocular issues and systemic problems since a kidney transplant at age 15.
- The patient sought treatment for severe refractive error that could not be corrected with glasses, with visual acuity of 0.6 in the right eye and 0.7 in the left eye.
- Following eye examinations, the patient underwent cataract surgery with a toric intraocular lens, encountering challenges such as a fragile lens capsule and persistent higher cylinder diopters post-surgery.
Atypical presentation of peripheral posterior lenticonus and role of multi-modal ocular imaging in its diagnosis and management.
BMJ Case Rep
February 2021
Ophthalmology, All India Institute of Medical Sciences, New Delhi, India
A 6-year-old systemically healthy child presented with visual acuity of 1/60, N18 oculusdextrus (OD), and 6/18, N6 oculus sinister (OS). Slit-lamp biomicroscopy revealed suspicious bilateral inferotemporal pigmented ciliary body (CB) tumour, protruding posterior capsule and temporal posterior subcapsular cataract oculus uterque. Anterior segment optical coherence tomography, ultrasonography, ultrasonic biomicroscopy and Scheimpflug imaging revealed protruding posterior capsule and cortex abutting but not arising from CB suggestive of peripheral pigmented posterior lenticonus with hypermetropia (axial length 20.
View Article and Find Full Text PDFAutofluorescence and spectral domain OCT findings in Alport syndrome.
Retin Cases Brief Rep
January 2015
*Department of Ophthalmology, California Pacific Medical Center, San Francisco, California; and †West Coast Retina Medical Group, San Francisco, California.
Purpose: The purpose of this study was to report novel autofluorescence and spectral domain optic coherence tomography findings in a case of Alport syndrome.
Methods: Case report and literature review.
Results: A 30-year-old woman with a history of Alport syndrome presented with a full-thickness macular hole in her right eye and evidence of vitreofoveal traction in her asymptomatic left eye.
[Internal astigmatism with other ocular lesions].
J Fr Ophtalmol
April 2012
Institut Hedi Rais d'ophtalmologie de Tunis, boulevard 9 avril, Bab Saadoun Tunis, Tunisie.
Astigmatism is a refractive defect whose origin is not always purely corneal, and is sometimes the result of corneal, crystalline lens or mixte contributions. The aim of our study is to report, through two cases, ocular lesions associated with a lenticular astigmatism and their evolution after treatment. In the first observation, it is a 25-year-old patient with a unilateral extra corneal astigmatism within the framework of the "tilted disc syndrome" associated with bilateral myopia.
View Article and Find Full Text PDFAnterior internal lenticonus accompanied by congenital nuclear cataract.
Chin Med J (Engl)
December 2011
Eye Center, Zhejiang Provincial People's Hospital, Hangzhou 310009, Zhejiang, China.
Internal lenticonus is a very rare morphologic abnormality of crystalline lens which has been reported in only several cases in the literature. We herein reported the clinical characteristics and surgical findings of the anterior internal lenticonus accompanied by congenital nuclear cataract. Cataract extraction accompanied with intraocular lens implantation was uneventfully performed, and a good visual outcome was achieved in this case.
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