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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2018  |  Volume : 66  |  Issue : 10  |  Page : 1472-1473

Posterior lentiglobus


Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication24-Sep-2018

Correspondence Address:
Dr. Jagat Ram
Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_637_18

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How to cite this article:
Gupta PC, Jinagal J, Ram J. Posterior lentiglobus. Indian J Ophthalmol 2018;66:1472-3

How to cite this URL:
Gupta PC, Jinagal J, Ram J. Posterior lentiglobus. Indian J Ophthalmol [serial online] 2018 [cited 2019 Dec 13];66:1472-3. Available from: http://www.ijo.in/text.asp?2018/66/10/1472/242024



The parents of a 1-year-old boy came with the complaint of inward deviation of his left eye for the past 2 months. The child was able to fix and follow light with either eye. The other eye had been operated for cataract few months back. The patient had esophoria with right eye dominance along with bilateral inferior oblique overaction (left > right). Ocular examination revealed a posterior lentiglobus associated with congenital cataract [Figure 1]. There was no evidence of any systemic abnormality. Posterior lentiglobus is a developmental anomaly of the lens in which the posterior portion of the lens bulges posteriorly[1] in a globular shape simulating an egg. Etiology is obscure, though it can present as the only ocular abnormality or in association with persistent fetal vasculature,[2] morning glory syndrome,[3] or Alport syndrome.[4] Management included “slow-motion” phacoaspiration (i.e., decreased fluidic parameters of vacuum, aspiration flow rate, and bottle height) with posterior capsulotomy and anterior vitrectomy. Postoperatively [Figure 2], the visual axis was parallel with glasses [Figure 3]. The refractive error in the right eye was +2.00DS0.50DC × 90 and in the left eye was +4.00 DS with a +3.00 DS near-vision add in each eye. The patient was prescribed executive bifocals with the near-vision segment bisecting the pupil, along with part-time occlusion therapy of the right eye as a part of amblyopia management.
Figure 1: Ocular examination demonstrating posterior lentiglobus simulating an egg

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Figure 2: Postoperative slit-lamp photograph of the left eye showing clear visual axis

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Figure 3: Child with parallel visual axis

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Ophthalmologists must be aware of the diagnosis and surgical treatment of posterior lentiglobus as it may result in dense amblyopia from form-vision deprivation, which may be resistant to occlusion therapy even after surgery.

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.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Yang GY, Liu LQ, Liu CL. Surgical treatment and pathologic analysis of posterior lentiglobus with cataract. Int J Ophthalmol 2011;4:572-4.  Back to cited text no. 1
    
2.
Abdel-Hafez G, Wilson ME, Trivedi RH. Progression of a unilateral posterior lentiglobus associated with a persistent fetal vasculature stalk. J AAPOS 2010;14:81-2.  Back to cited text no. 2
    
3.
Cao XG, Li XX, Bao YZ. Morning glory syndrome associated with posterior lenticonus. Open Neurol J 2009;3:45-7.  Back to cited text no. 3
    
4.
Al-Mahmood AM, Al-Swailem SA, Al-Khalaf A, Al-Binali GY. Progressive posterior lenticonus in a patient with alport syndrome. Middle East Afr J Ophthalmol 2010;17:379-81.  Back to cited text no. 4
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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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