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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 10  |  Page : 1728

Spontaneous dislocation of a morgagnian nucleus


Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication23-Sep-2019

Correspondence Address:
Dr. Surinder Singh Pandav
Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2119_18

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How to cite this article:
Dhingra D, Kaushik S, Pandav SS. Spontaneous dislocation of a morgagnian nucleus. Indian J Ophthalmol 2019;67:1728

How to cite this URL:
Dhingra D, Kaushik S, Pandav SS. Spontaneous dislocation of a morgagnian nucleus. Indian J Ophthalmol [serial online] 2019 [cited 2019 Oct 19];67:1728. Available from: http://www.ijo.in/text.asp?2019/67/10/1728/267424



Spontaneously dislocated small brown nucleus in the anterior chamber of a 75-year-old woman. Capsular bag remnants with calcific spots are visible in the pupillary area ([Figure 1], arrow). Morgagnian cataract, rarely seen in the present time, is a type of corticonuclear cataract with accelerated lens fiber dissolution and liquefaction of cortical matter and a small hard nucleus.[1] It usually presents as a small brown nucleus suspended in a white milky cortical fluid in the bag.[1],[2],[3],[4] This untreated Morgagnian cataract has progressed to total absorption of the liquefied cortex with capsular bag rupture and anterior dislocation of the nucleus.
Figure 1: Anterior segment photograph showing a small brown cataractous nucleus dislocated in the anterior chamber with crumpled capsular bag in the pupillary area with presence of calcific spots over capsular bag remnants (arrow)

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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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.
Sukhija J, Kaur S. Images in clinical medicine. Morgagnian cataract. N Engl J Med 2014;370:2326.  Back to cited text no. 1
    
2.
Ballen PH, Hughes WL. Spontaneous rupture of anterior capsule in hypermature (morgagnian type) cataract. Am J Ophthalmol 1955;39:403-5.  Back to cited text no. 2
    
3.
Goel N, Nagar M. Spontaneous rupture of the lens capsule in hypermature cataract: Presentations and outcomes. Br J Ophthalmol 2016;100:1081-6.  Back to cited text no. 3
    
4.
Hemalatha C, Norhafizah H, Shatriah I. Bilateral spontaneous rupture of anterior lens capsules in a middle-aged woman. Clin Ophthalmol 2012;6:1955-7.  Back to cited text no. 4
    


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