Microspherophakia

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File number: 115520


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    • By Ethan K Sobol, MD
      The Retina Group of Washington
      Co-author(s): Joshua Barnett, MD, PhD, Grady Memorial Hospital, Atlanta, GA
    • Uploaded on Jun 29, 2023.
    • Last modified by Joshua Friedman on Jun 30, 2023.
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    Appears in
    Microspherophakia
    Condition/keywords
    microspherophakia, secondary glaucoma, pupillary block, pars plana vitrectomy (PPV), lensectomy
    Description
    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.

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