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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 8  |  Page : 1667

Rice granule epicapsular stars


1 Consultant, Glaucoma and Cataract Services, Sita Lakshmi Glaucoma Center, Hyderabad, India
2 Consultant, Cornea and Anterior Segment, Anand Eye Institute, Hyderabad, India
3 Head of Refractive Services, Anand Eye Institute, Hyderabad, India

Date of Web Publication24-Jul-2020

Correspondence Address:
Dr. Pasyanthi Balijepalli
Consultant, Glaucoma and Cataract Services, Sita Lakshmi Glaucoma Center, Anand Eye Institute, 7-147/1, Nagendranagar, Habsiguda, Hyderabad, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2406_19

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How to cite this article:
Balijepalli P, Srirampur A, Gadde AK. Rice granule epicapsular stars. Indian J Ophthalmol 2020;68:1667

How to cite this URL:
Balijepalli P, Srirampur A, Gadde AK. Rice granule epicapsular stars. Indian J Ophthalmol [serial online] 2020 [cited 2020 Aug 15];68:1667. Available from: http://www.ijo.in/text.asp?2020/68/8/1667/290446



A 32-year-old male presented with vision of 20/20 in both the eyes. Right eye showed pigmented deposits on the anterior capsule of the lens [Figure 1]a and [Figure 1]b resembling rice granules [Figure 1]c. As the deposits were not in the visual axis, patient was asked to follow-up regularly.
Figure 1: (a) Diffuse slitlamp illumination of right eye showing annular distribution of pigmented stars. (b) Magnified picture of the pigmented stars on the anterior capsule resembling rice granules. (c) Rice granules

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Persistent pupillary membrane (PPM) is a remnant of tunica vasculosa lentis and is of 3 types.[1],[2],[3]

Type-1 variants are membranes that are attached to iris. Type-2 variants are membranes with iridolenticular adhesions also termed the epicapsular pigmented stars with “chicken track” like deposits.[4] These are pigmented dendritic iris stromal melanocytes deposited on the anterior lens capsule either singly or in clumps.[5] Type-3 variants are membranes attached to cornea.

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.
Trattler WB, Keiser P, Friedman NJ. Review of Ophthalmology. 2nd ed. Philadelphia,.PA: Elsevier Inc; 2012. p. 105-278.  Back to cited text no. 1
    
2.
Gavriş M, Horge I, Avram E, Belicioiu R, Olteanu IA, Kedves H. Persistent pupillary membrane or accessory iris membrane. Rom J Ophthalmol 2015;59:184-7.  Back to cited text no. 2
    
3.
Duke-Elder WS. Vol. 3. St. Louis: C.V. Mosby Co; 1964. System of Ophthalmology. Part 1, 2; p. 195–201. 775-82.  Back to cited text no. 3
    
4.
Deshmukh S, Bhattacharjee H, Gupta K. Epicapsular stars. Indian J Ophthalmol 2018;66:1624-5.  Back to cited text no. 4
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5.
Indmedica – Indian Journal for the Practising Doctor. 2018. Available from: http://www.indmedica.com/journals.php?journalid=3&issueid=94&articleid=1283&action=article. [Last accessed on 2018 May 01].  Back to cited text no. 5
    


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