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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2256

Beware of the ominous folds


1 Consultant, Glaucoma and Cataract Services, Anand Eye Institute, Hyderabad, Telangana, India
2 Consultant, Cornea and Anterior Segment Services, Anand Eye Institute, Hyderabad, Telangana, India

Date of Web Publication23-Sep-2020

Correspondence Address:
Dr. Pasyanthi Balijepalli
Sita Lakshmi Glaucoma Center, Anand Eye Institute, Habsiguda, Hyderabad - 500 007, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_238_20

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How to cite this article:
Balijepalli P, Srirampur A. Beware of the ominous folds. Indian J Ophthalmol 2020;68:2256

How to cite this URL:
Balijepalli P, Srirampur A. Beware of the ominous folds. Indian J Ophthalmol [serial online] 2020 [cited 2020 Oct 31];68:2256. Available from: https://www.ijo.in/text.asp?2020/68/10/2256/295725



A 73-year-old man presented with Pseudoexfoliation cataract in his right eye. Nuclear sclerosis grade 2 with posterior subcapsular opacity (PSC) was noted with pseudoexfoliation material on the anterior lens capsule. Interestingly, the posterior capsule showed radiating folds superior and inferior to the PSC, seen during retro illumination [Figure 1]. During phacoemulsification, zonular weakness was noted. It is well known that posterior capsular folds can occur during cataract surgery due to lack of zonular stretch in cases with zonular weakness.[1] A diligent preoperative slit lamp evaluation can also identify such folds on the posterior capsule, which helps to prevent intraoperative complications like zonular dialysis.
Figure 1: Retro illumination photograph showing radiating folds on the posterior capsule superior and inferior to the posterior subcapsular opacity

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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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.
Mansour AM, Antonios RS, Ahmed II. Central cortical cleanup and zonular deficiency. ClinOphthalmol (Auckland, NZ) 2016;10:1919-23.  Back to cited text no. 1
    


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