Corneal edema with dislocated anterior polar cataract

PURPOSE: To report an unusual manifestation of anterior polar cataract. METHODS: Observational case report. A 35-year-old woman presented with localized inferior corneal edema associated with a white nodular lesion on the iris. The anterior lens capsule was deficient centrally with scrolled edges an...

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Bibliographic Details
Published in:American journal of ophthalmology 2002-03, Vol.133 (3), p.399-401
Main Authors: Shah, Urmi N, Garg, Prashant, Vemuganti, Geeta K
Format: Article
Language:English
Subjects:
Adult
Anterior Eye Segment - pathology
Biological and medical sciences
Cataract - complications
Cataract - diagnosis
Cataract Extraction
Collagen - analysis
Corneal Edema - diagnosis
Corneal Edema - etiology
Female
Humans
Lens diseases
Lens Subluxation - complications
Lens Subluxation - diagnosis
Medical sciences
Ophthalmology
Visual Acuity
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Summary:PURPOSE: To report an unusual manifestation of anterior polar cataract. METHODS: Observational case report. A 35-year-old woman presented with localized inferior corneal edema associated with a white nodular lesion on the iris. The anterior lens capsule was deficient centrally with scrolled edges and an underlying subcapsular opacity. The nodule was removed surgically and subjected for histopathologic examination. RESULTS: The histopathologic examination of the white nodular lesion showed parallel collagen fibers that were positive for collagen on the Masson trichrome stain. Correlating with clinical features, these findings were suggestive of dislocated anterior polar cataract. CONCLUSION: Anterior pyramidal cataract may dislocate spontaneously and present as an anterior chamber foreign body and may even lead to corneal endothelial cell loss.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(01)01324-1