ABSTRACT
Phacoemulsification with implantation of single-piece acrylic foldable intraocular lens (IOL) in a 19-year-old boy with microspherophakia, high myopia and angle closure glaucoma is described. The associated myopia and angle closure glaucoma was severely compromising the quality of life. Post-surgical visual recovery was 20/20 with sustained normal intraocular pressure. Management of such cases at times calls for innovations in current surgical technique.
Subject(s)
Capsulorhexis/methods , Diagnosis, Differential , Follow-Up Studies , Glaucoma, Angle-Closure/diagnosis , Glaucoma, Angle-Closure/etiology , Glaucoma, Angle-Closure/surgery , Gonioscopy , Humans , Intraocular Pressure , Lens Diseases/congenital , Lens Diseases/diagnosis , Lens Diseases/surgery , Lens Implantation, Intraocular/methods , Lens, Crystalline/abnormalities , Lens, Crystalline/surgery , Male , Phacoemulsification/methods , Visual Acuity , Young AdultABSTRACT
We describe a rare case of pupillary-iris-lens membrane with goniodysgenesis, a unilateral neurocristopathy. The membrane represents ectopic iris on the lens with abnormal iris stroma and anterior chamber angle from aberrant induction, migration or regression of neural crest cells. The membrane can be progressive. Catastrophic vision loss from angle closure can occur and may be controlled with surgery. This subject needed treatment for amblyopia.