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Microspherophakia
Jun 29 2023 by Ethan K Sobol, MD
A 23-year-old male with no past medical history presented with elevated intraocular pressure in the right eye secondary to pupillary block, unresponsive to maximum medical therapy. In the right eye, there was zonular laxity, as well as a spherical appearance of the crystalline lens with a small horizontal diameter and an elongated anteroposterior diameter in both eyes. A diagnosis of microspherophakia was made, and the patient was scheduled for pars plana vitrectomy and lensectomy of the right eye. The image shows a small spherical lens with a clearly visible lens equator, immediately prior to surgical removal.
Condition/keywords: lensectomy, microspherophakia, pars plana vitrectomy (PPV), pupillary block, secondary glaucoma