DOCSLIB.ORG

Spontaneous Rupture of the Anterior Capsule of a Hypermature Lens

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Spontaneous Rupture of the Anterior Capsule of a Hypermature Lens 127 SINGAPORE MEDICAL JOURNAL Vol. 4, No. 3. September, 1963. SPONTANEOUS RUPTURE OF THE ANTERIOR CAPSULE OF A HYPERMATURE LENS By Arthur Lim Siew Ming, F.R.C.S. (Eng.), D.O. (Lond.) (Department of Ophthalmology, General Hospital, Singapore) As early as 1764, Morgagni, the famous She was admitted for removal of the nucleus, anatomist wrote in his book "The seats and and was given local steroids and i % pilocar- causes of disease" about hypermature cataracts pine eye drops to the left eye every 6 hours. in the elderly. This is a type of hypermature The eye was examined daily and no change cataract which is still known by his name-the or increased tension was seen. Morgagnian cataract. On 24th. January, the nucleus was removed In 1900, Gifford described four cases of hy- through a superior limbal section with a von permature cataract resulting in "spontaneous Greafe's cataract knife extending for about 3 cure". Of these, only one retained vision and of the circumference of the limbus, after a pre - the other three were blinded by secondary glau- placed suture was inserted. coma. Since this description there were scatter- A small peripheral iridotomy was done and ed reports in the ophthalmic literature of spon- the nucleus of the lens removed without diffi- taneous rupture of the anterior capsule of the culty with a vectis, which was inserted behind hypermature cataract, with expulsion of the the nucleus and lifted it gently against the pos- contents of the lens into the anterior chamber. terior surface of the cornea in order to However, lens induced uveitis and secondary manoeuvre it out through the section. The pre - glaucoma due to hypermaturity gained some placed suture was tied and air was injected into prominence in recent reports. the anterior chamber. In 1948, Sugar reported three cases of glau- The post -operative period was uneventful. coma following rupture of the lens capsule. In On the 4th. February, a right simple intra - 1953 Hubbersty and Gourlay described 4 cases capsular extraction of the lens with peripheral of rupture of the anterior lens capsule, 3 of iridotomy and the use of alpha-chymotrypsin which presented as psuedo-hypopyon with was done without difficulty. Except for a mild raised intraocular tension as a result of the flow striate keratitis which persisted for three days, of liquified cortex into the anterior chamber, the post operative period was uneventful. She and one with the nucleus expelled into the bot- was discharged on the 15th. February. tom of the anterior chamber. On the 19th. March, a refraction was done and the findings were as follows : CASE REPORT right: +4.50 dioptres sphere = 6/9 B. B., a Malay female, age 50 years was first +4.00 dioptres cylinder, 165° seen at the Ophthalmic Department, General Hospital, on the 18th. January 1963 with a his- left : +7.00 dioptres sphere = count- tory of defective vision of her left eye associa- +2.50 dioptres cylinder, 175° ing ted with discomfort for 2 weeks. fingers at 3 On examination she had visual acuity of V. metres. R., hand movements V.L. perception of light. The cause of defective vision of her left eye Her right eye was normal with good projec- was found to be due to simple (primary) optic tion of light except for a dense almost matured atrophy of unknown etiology. cataract. DISCUSSION Her left eye was slightly congested and ten- Hypermaturity of cataracts will probably be- der. The anterior capsule of the lens was rup- come a progressively important problem be- tured and the nucleus was seen suspended at cause of our aging population. Although pre- the pupil (figures I to iii). The tension was nor- ventable, it was not infrequently seen : often mal. Slit lamp microscopy showed a few cells it was due to neglect and sometimes the deli- in the anterior chamber and no other abnor- berate refusal by an elderly patient to have an mality. operation because the other eye is seeing well. SEPTEMBER, 1963 128 Hypermaturity leads to a variety of compli- to prevent the frequent refusal for further cations which are often severe and result in operation after the vision of one eye has been blindness. These include spontaneous disloca- restored. The author does not consider this the tion of the lens, glaucoma due to intumescence answer to the problem as simultaneous opera- of the lens, lens induced uveitis or phacolytic tions expose the patient to the danger of post- glaucoma due probably to minute leak of the operative complications occurring in both eyes lens capsule, a definite anterior rupture of the together with possible disastrous results. lens capsule resulting in pseudo-hypopyon of Once cortical material or the nucleus being expelled the stage of hypermaturity is reached, ìt becomes into the anterior chamber. Rarely, such a hy- necessary to remove the lens as soon as permature cataract is cured spontaneously by possible. The author stresses that the time required gradual absorption without complications, pro- for a cataract to develop to hyperma- turity bably as a result of minute posterior capsular varies considerably and since the stage of ruptures. maturity merges into hypermaturity without any change in its symptoms, too often the pa- Anterior rupture of the capsule with expul- tient with hypermature lens presents only after sion of the lens matter is rare. Only a few cases complications have become established. It fol- have been reported in the ophthalmic literature. lows that the only effective way to prevent these The clinical picture after rupture depends large- complications is to anticipate the complications ly on the site and the size of the rupture, and and to remove the lens early. In fact, as early the contents of the lens. A rupture of the an- as 1900, Gifford stressed the importance of pre- terior capsule of a hypermature intumescent or vention of hypermaturity of cataracts by early Margognian cataract will result in the milky treatment. homogenous fluid cortical matter with nume- rous cholesterol crystals flowing into the ante- TREATMENT rior chamber often a causing secondary glau- Despite the knowledge of the dangers of hy- coma. It presents with the signs and symptoms permature cataracts, time and again this of acute im- congestive glaucoma, with pain, con- portant problem presents to the ophthalmolo- gestion, headache, and raised intraocular ten- gists. The treatment depends largely on whether sion. It also presents a pseudo-hypopyon. The there is an associated complication. diagnosis is generally not difficult, although it may appear superficially to be an intraocular 1. Hypermaturity without infection with hypopyon. A paracentesis is complication often useful not only for diagnostic purposes, The lens should be removed as soon as pos- but also for lowering the raised tension. sible. The method of extraction is usually intra - capsular, but is partly dependent on the type A rupture of the anterior capsule of a hyper - of hypermaturity. mature cataract where the liquified cortex has been absorbed leaving only a shrunken nucleus i. Intumescent cataract. This has to be dif- will result in expulsion of the nucleus into the ferentiated from intumescence due to a anterior chamber. In a report of four cases, maturing cataract. In both cases the an- Hubbersty and Gourlay (1953) described one terior chamber is narrowed as a result such case. of increase in size of the lens. In the former the cortex is a homogenous This case report is of particular interest not white fluid with no iris shadow, com- only because it is rare for hypermature catar- pared to the irregular radial opacities acts to present with rupture of the anterior cap- of the latter, usually with an iris sha- sule resulting in the expulsion of the nucleus dow. into the anterior chamber, but also because ii. Morgagnian cataract. The cortical there is no in sub- record the ophthalmic literature stance has liquified and the of an small nu- expelled nucleus being caught and sus- cleus has sunk to the bottom pended at the pupil! of the lens. Its appearance varies depending Since Hypermaturity of a cataract is often a on the amount of liquified cortex and cause of serious complications and is prevent- this in turn is probably related to the able by early operation, it is emphasised that degree of capsule permeability. it becomes the duty of ophthalmologists to take iii. The hypermature cataract with shrunken deliberate steps to prevent cataracts from reach- nucleus. This is due to absoption of the ing that stage. Duthie has advocated operating liquified cortex, leaving a hard shrunk- on both cataracts simultaneously in these cases, en disciform nucleus. I29 SINGAPORE MEDICAL JOURNAL SCLERA SUSPENSORY LIGAMENT IRIS ANTERIOR CHAMBER CORNEA NUCLEUS OF LENS CAPSULE OF LENS Fig. 1. i Fig. 2. Fig. 3. Figures I 3 show the nucleus of the lens being suspended at the pupil. SEPTEMBER, 1963 130 Of these, the intumescent cataract is probably are best left alone and in anterior dislocations. the commonest. As already stated it is impor- there is no choice except to remove the lens. tant to exclude intumescence due to a maturing at once. cataract. In the latter, the suspensory ligament When i. often strong, as compared to the former the capsule is ruptured anteriorly and a pseudo-hypopyon liquified where it is weak and intracapsular extraction of cortical mate- rial floods the anterior chamber, a performed without difficulty. However, the paracentesis. sec- should be done urgently to lower the raised tion should be fully 180° and because of the tension and to remove the lens material. Alter- tenseness of the capsule, it is generally not pos- natively a small limbal section may be neces- sible to grip the capsule with intracupsular for- sary to enable the removal of the nucleus, ceps.
Load more

Recommended publications
  • ISSN: 2320-5407 Int
    ISSN: 2320-5407 Int. J. Adv. Res. 6(9), 979-984 Journal Homepage: - www.journalijar.com Article DOI: 10.21474/IJAR01/7759 DOI URL: http://dx.doi.org/10.21474/IJAR01/7759 RESEARCH ARTICLE CORNEAL ALTERATION IN EYES WITH PSEUDOEXFOLIATION SYNDROME. Dr. Tania Sadiq1, Prof. Dr. Syed Tariq Qureshi2, Dr. Arshi Nazir3 and Dr Anshulee Sood4. 1. Postgraduate Scholar, Department of ophthalmology government medical college, srinagar. 2. Professor and Head, Department of ophthalmology government medical college, srinagar. 3. Registrar, Department of ophthalmology government medical college, srinagar. 4. Fellow, Department of ophthalmology government medical college, srinagar. …………………………………………………………………………………………………….... Manuscript Info Abstract ……………………. ……………………………………………………………… Manuscript History Background: Pseudoexfoliation syndrome (PXS) is an age-related systemic microfibrillopathy, caused by gradual deposition of Received: 24 July 2018 extracellular grey and white material over various tissues .In Final Accepted: 30 August 2018 pseudoexfoliation eyes, corneal endothelial changes are Published: September 2018 noted.Objective of Our study was to find corneal alterations among Keywords:- patients of Pseudoexfoliation syndrome of Kashmir region. Corneal Endothelium, Corneal Material And Methods:After obtaining the ethical clearance from the Endothelial cell density,Central Corneal institutional ethical committee,150 patients withPseudoexfoliation Thickness, , Pseudoexfoliation . were included in our Descriptive(Observational )study. Thorough ocular evaluation was done and corneal changes were noted including corneal endothelial cell density and Central corneal thickness using NON CONTACT specular microscope .Appropriate statistical tests were used for analyzing data. Results:Pseudoexfoliation was predominantly seen in males . Mean Central corneal thickness in Pseudoexfoliation with glaucoma eyes was(509.6+13.73μ) which was lower when compared with mean central corneal thickness in Pseudoexfoliation without glaucoma eyes (523.5+17.15 μ).
    [Show full text]
  • A Case of Dense Pigment Deposition of the Posterior Lens Capsule Igor Šivec Trampuž
    Trampuž BMC Ophthalmology (2020) 20:458 https://doi.org/10.1186/s12886-020-01728-y CASE REPORT Open Access A case of dense pigment deposition of the posterior lens capsule Igor Šivec Trampuž Abstract Background: Pigment dispersion syndrome (PDS) is a well-known entity which can lead to pigmentary glaucoma (PG). This case report presents a rare presentation of PG with bilateral dense pigment deposits of the posterior lens capsule. Case presentation: A 72-year-old male came for his first appointment due to an asymmetric worsening of visual acuity. The examination showed unilaterally severely increased intraocular pressure, bilateral dense pigment deposition of the posterior lens capsule, and a shallow unilateral optic disk excavation. Gonioscopy revealed moderate pigmentation of the angle and a concave configuration of the peripheral iris in both eyes. The standard slit lamp examination showed no transillumination defects of either iris. Optical coherence tomography showed retinal nerve fiber layer (RNFL) thinning in the peripapillary and macular regions. An antiglaucoma medication was prescribed with a good lowering effect. Conclusion: Pigment deposition of the posterior lens capsule, which has been rarely reported, is a possible important sign of PDS or PG. Keywords: Pigmentary dispersion syndrome, Pigmentary glaucoma, Retinal nerve fiber layer, Intraocular pressure, Deposits, Posterior lens capsule, Optic neuropathy Background have been described [2, 8]. PDS typically affects myopic Pigment dispersion syndrome (PDS) is a relatively rare patients between 20 and 40 years of age and can be seen and peculiar entity that can lead to a secondary elevation equally distributed between men and women [2, 9, 10]. of intraocular pressure (IOP) and cause pigmentary glau- It is reported that it affects Caucasians more often than coma (PG).
    [Show full text]
  • May-Gradually Disappear. It Is Well Known That in the Case of Glaucoma The,Pigment of The
    Br J Ophthalmol: first published as 10.1136/bjo.32.7.423 on 1 July 1948. Downloaded from PROLIFERATION OF PIGMENT EPITHELIUM 423 00 been so often recommended for the lid-margin. They all lead too -easily to depressions or decubital ulcers, on the lid-margin- which are particularly disfiguring. The exact but not tight simple knotting is the safest way, according to our experience. CONTRIBUTION TO DATA ON SIGHT DISTURBANCES CAUSED BY PROLIFERATION OF PIGMENT EPITHELIUM* f (An unusual complication after cataract extraction) BY MAGDA RADN6OT BUDAPEST SIGHT disturbance of patients suffering from iridecyclitis and glaucoma may be caused by pigment deposits on the capsule of the lens. In the case of iridocyclitis, especially when enlargement of the pupil is not performed in time, granulated pigment is found some- copyright. tirnes on the place of the synechia posterior. This is a remainder of the pigment epithelium. Correspondingly a lack of pigment may arise in the iris. After a time the pigment on the capsule of lens may-gradually disappear. It is well known that in the case of glaucoma the,pigment of the iris may be scattered as this fact is mentioned as one of the causes http://bjo.bmj.com/ for glaucoma. In such cases lots of pigment may be observed partly on the posterior surface of the cornea partly on the capsule of lens. In eyes treated for a long time with pilocarpine, pigment cysts are developed, pictures of them can be seen in Vogt's atlas. Pupils constantly contracted with pilocarpine, if they are allowed to enlarge, or are enlarged if possible with tonogen (adrenaline) show a sur- prising amount of pigment deposited on the capsule of the lens.
    [Show full text]
  • The Structural Proteins of the Rabbit Eye Lens After X-Irradiation
    THE STRUCTURAL PROTEINS OF THE RABBIT EYE LENS AFTER X-IRRADIATION K.N.LIEM-THE THE STRUCTURAL PROTEINS OF THE RABBIT EYE LENS AFTER X-IRRADIATION PROMOTOR: DR. H.J.HOENDERS CO-PROMOTOR: PROF.DR. H. BLOEMENDAL. THE STRUCTURAL PROTEINS OF THE RABBIT EYE LENS AFTER X-IRRADIAT1ON PROEFSCHRIFT TER VERKRIJGING VAN DE GRAAD VAN DOCTOR IN DE WISKUNDE EN NATUURWETENSCHAPPEN AAN DE KATHOLIEKE UNIVERSITEIT TE NIJMEGEN, OP GEZAG VAN DE RECTOR MAGNIFICUS, PROF.MR. F.J.F.M. DUYNSTEE, VOLGE; S BESLUIT VAN HET COLLEGE VAN DECANEN IN HET OPENBAAR TE VERDEDIGEN OP DONDERDAG 17 APRIL 1975 DES NAMIDDAGS TE 2 UUR PRECIES door KI AM NIO LIEM-THE geboren te Soerabaya Druk: Offsetdrukkerij Faculteit der Wiskunde en Natuurwetenschappen Nijmegen S I I- 1.1 IN (J 1 N 1 Bij de isoleung v<ni crysidllines is het aan te bevelen urn ais eerste methode gebruik te maken van moleculaire /.even m plaats van ioneiiwisselaars. II Het woord "Inalin bodies" in leverbiOpten is een betere, meer algemene naamgeving dan de term Mallory bodies'. UI De door Honnell en Selander getrolcken conclusie dat bij zeeolifanten een uniforme homozygotie van de door hen genoemde loei aanwezig zou zijn, is onjuist. Mi. D..nnell en i? K Selander, Scicnce [84.90H-909 (1974) IV Het is onwaarschijnlijk dat de "fractie f' in konmginnegelei van de honingbij ( Royal jelK I een "crjongende werking heeft op de menselijke huid. De door Satoh verstrekte gegevens over de verdeling van lenseiwitten in de humane lens. kunnen slechts zeer globaal worden beschouwd. K Satoh. I \p. Cye RL-S.
    [Show full text]
  • Simultaneous Mode a and Mode B Echobiometry of Senile Cataractous Eyes in Dogs
    Arq. Bras. Med. Vet. Zootec., v.62, n.1, p.42-46, 2010 Simultaneous mode A and mode B echobiometry of senile cataractous eyes in dogs [Ecobiometria simultânea em modos A e B de olhos acometidos por catarata senil, em cães ] B.C. Martins 1, F.S. Lima 2, J.L. Laus 1 1Faculdade de Ciências Agrárias e Veterinárias - UNESP Via de Acesso Prof. Paulo Donato Castellane, s/n 14884-900 – Jaboticabal, SP 2Aluno de pós-graduação - University of Florida – Gainesville, USA ABSTRACT The evaluation of lens by ultrasonography, previously to phacoemulsification, can offer relevant information, markedly such as aspects and dimensions, allowing design safer surgical strategies with enhanced outcomes. Within the contents of this research, the biometry was performed in lens of dogs with senile immature, mature, and diabetic cataracts, previously to phacoemulsification, using mode A and mode B ultrasonography, simultaneously. The values obtained for axial diameter of the eyes, anterior chamber, lens, and vitreous chamber were, respectively, 19.22mm, 2.35mm, 7.94mm, and 8.94mm. Diabetic cataractous lens were larger (8.90mm), compared to mature cataract (8.12mm). Lens with immature cataract were smaller in dimension than those with mature and diabetic cataracts. Keywords: dog, echobiometry, cataract RESUMO A avaliação da lente pela ultrassonografia, previamente à facoemulsificação, pode fornecer informações relevantes, notadamente, quanto ao seu aspecto e dimensões, que permitem delinear estratégias cirúrgicas mais seguras e com melhores resultados. Nesta pesquisa, realizou-se a biometria da lente de cães acometidos por catarata senil imatura, madura ou diabética, previamente à facoemulsificação, valendo-se da ultrassonografia em modo A e B, simultaneamente.
    [Show full text]
  • Question 1. Parts of the Sensory System. Functions. Question 2. Types of the Receptor Cells in Sensory Organs
    Controll questions 1. Parts of the sensory system. Functions. 2. Types of the receptor cells in sensory organs. 3. General structures of the eye. 4. Embryonic development of the eye. 5. Layers of the eyeball. Their tissues organization and functions. 6. Structure and functions of the lens. 7. Chambers of the eye. 8. Characteristic of the retina’s neurons. 9. Layers of the retina. 10. Structure and functions of blind and yellow maculae of the eye. 11. Structure and functions of the rods and cons. 12. Olfactory organ. Question 1. Parts of the sensory system. Functions. Information about the external and internal environment is conveyed to the central nervous system by sensory system. Sensory system consists of three part: 1) the peripheral part is represented by sensory organs that provide the perception of different irritations, such as sound, light waves and so on; 2) the middle part is represented by nerves, providing transmission of irritations to the brain; 3) the central part is represented by brain, containing different centers for the analysis of information. Question 2. Types of the receptor cells in sensory organs. Receptor cells are principle cells of the sense organs. There are three types of sensory cells: 1) Primary receptor cells (nerve-sensory), that are nerve cells developing from neural tube. They are present in visual and olfactory organs. 2) Secondary receptor cells (sensoepithelial). They are special epithelial cells developing from ectoderm. They are present in taste, vestibular or equilibrium and acoustic or hearing organs. 3) Neurons developing from neural tube and neural crests and forming sensory nerve endings.
    [Show full text]
  • GLOSSARY of HISTOLOGICAL & MICRO-ANATOMICAL TERMS
    GLOSSARY of HISTOLOGICAL & MICRO-ANATOMICAL TERMS Abbreviations: ( ) plural form in brackets • A. Arabic abb. abbreviation • c. circa (= about) • F. French adj. adjective • G. Greek • Ge. German cf. compare • L. Latin dim. diminutive • NA. Nomina anatomica q.v. which see • OF. Old French A-band abb. of anisotropic band G. anisos = unequal + tropos = turning; meaning having not equal properties in every direction; transverse bands in living skeletal muscle which rotate the plane of polarised light, cf. I-band. Abbé, Ernst. 1840-1905. German physicist; mathematical analysis of optics as a basis for constructing better microscopes; devised oil immersion lens; Abbé condenser. absorption L. absorbere = to suck up. acervulus L. = sand, gritty; brain sand (cf. psammoma body). acetylcholine an ester of choline found in many tissue, synapses & neuromuscular junctions, where it is a neural transmitter. acetylcholinesterase enzyme at motor end-plate responsible for rapid destruction of acetylcholine, a neurotransmitter. acidophilic adj. L. acidus = sour + G. philein = to love; affinity for an acidic dye, such as eosin staining cytoplasmic proteins. acinus (-i) L. = a juicy berry, a grape; applied to small, rounded terminal secretory units of compound exocrine glands that have a small lumen (adj. acinar). acrosome G. akron = extremity + soma = body; head of spermatozoon. actin polymer protein filament found in the intracellular cytoskeleton, particularly in the thin (I-) bands of striated muscle. adenohypophysis G. ade = an acorn + hypophyses = an undergrowth; anterior lobe of hypophysis (cf. pituitary). adenoid G. " + -oeides = in form of; in the form of a gland, glandular; the pharyngeal tonsil. adipocyte L. adeps = fat (of an animal) + G. kytos = a container; cells responsible for storage and metabolism of lipids, found in white fat and brown fat.
    [Show full text]
  • A Study on the Visual Outcome in Patients with Lens Induced Glaucoma
    A DISSERTATION ON “A STUDY ON THE VISUAL OUTCOME IN PATIENTS WITH LENS INDUCED GLAUCOMA FOLLOWING SMALL INCISION CATARACT SURGERY” Submitted to THE TAMIL NADU DR. M. G. R. MEDICAL UNIVERSITY In partial fulfilment of the requirements For the award of degree of M.S. ( Branch III ) --- OPHTHALMOLOGY GOVERNMENT STANLEY MEDICAL COLLEGE & HOSPITAL THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY CHENNAI, TAMIL NADU MAY 2020 CERTIFICATE This is to certify that the study entitled “A STUDY ON THE VISUAL OUTCOME IN PATIENTS WITH LENS INDUCED GLAUCOMA FOLLOWING SMALL INCISION CATARACT SURGERY” is the result of original work carried out by DR. PANIMALAR R, under my supervision and guidance at GOVERNMENT STANLEY MEDICAL COLLEGE, CHENNAI. The thesis is submitted by the candidate in partial fulfilment of the requirements for the award of M.S Degree in Ophthalmology, course from 2017 to 2020 at Government Stanley Medical College, Chennai. PROF. DR. SHANTHIMALAR, M.D.,D.A., PROF.DR. THANGERANI RAAJASEHARAN,M.S.,D.O., Dean, Unit chief and H.O.D., Government Stanley Medical College, Department of Ophthalmology. Chennai - 600 001. Govt. Stanley Medical College , Chennai - 600 001. DECLARATION I hereby declare that this dissertation entitled “A STUDY ON THE VISUAL OUTCOME IN PATIENTS WITH LENS INDUCED GLAUCOMA FOLLOWING SMALL INCISION CATARACT SURGERY” is a bonafide and genuine research work carried out by me under the guidance of PROF.DR.THANGERANI RAAJASEHARAN,M.S.,D.O., Unit chief and Head of the Department, Department of Ophthalmology, Government Stanley Medical college and Hospital, Chennai – 600001. Date : Signature Place: Chennai Dr. Panimalar R ACKNOWLEDGEMENT I express my immense gratitude to The Dean, Prof.
    [Show full text]
  • A Clinical Study Pseudoexfoliat M.S.Ophtha
    A CLINICAL STUDY OF GLAUCOMA IN PSEUDOEXFOLIATION SYNDROME. Dissertation submitted to THE TAMILNADU Dr.M.G.R MEDICAL UNIVERSITY In partial fulfilment of the regulations for the award of the degree of M.S.OPHTHALMOLOGY BRANCH – III Thanjavur Medical College and Hospital The Tamilnadu Dr. M.G.R Medical University Chennai,India APRIL 2016 1 CERTIFICATE This is to certify that this Dissertation entitled “ A CLINICAL STUDY OF GLAUCOMA IN PSEUDOEXFOLIATION SYNDROME” is a bonafide original work done by Dr.P.ANURADHA , under my guidance and supervision in the Department of ophthalmology, Thanjavur Medical College, Thanjavur doing her Postgraduate course from 2013 -2016. Dr. M, SINGARAVELU M.D., DCH., Dr.J.GNANASELVAN M.S., D.O., The Dean, The Professor and HOD, Thanjavur Medical College, Department of Ophthalmology, Thanjavur – 613004. Thanjavur Medical College, Thanjavur – 613004. 2 CERTIFICATE This is to certify that this Dissertation entitled “ A CLINICAL STUDY OF GLAUCOMA IN PSEUDOEXFOLIATION SYNDROME” is a bonafide original work done by Dr.P.ANURADHA, under my guidance and supervision in the Department of Ophthalmology, Thanjavur Medical College, Thanjavur doing her Postgraduate course from 2013 -2016. Dr.J.GNANASELVAN M.S.,D.O., The Professor and HOD, Department of Ophthalmology, Thanjavur Medical College, Thanjavur – 613004. 3 DECLARATION I Dr.P.ANURADHA solemnly declare that this Dissertation “ A CLINICAL STUDY OF GLAUCOMA IN PSEUDOEXFOLIATION SYNDROME” is a bonafide record of work done by me in the Department of Ophthalmology, Thanjavur Medical College, and Hospital, Thanjavur under the Guidance and Supervision of my Professor Dr.J.GNANASELVAN M.S.,D.O., The Head of the Department, Department of Ophthalmology, Thanjavur Medical College, Thanjavur between 2013 and 2016.
    [Show full text]
  • Annular Pigment Band on the Posterior Capsule Following Blunt Ocular Trauma: a Case Report Aashish Anand* and Rosalind J Harrison
    BMC Ophthalmology BioMed Central Case report Open Access Annular pigment band on the posterior capsule following blunt ocular trauma: a case report Aashish Anand* and Rosalind J Harrison Address: Department of Ophthalmology, Queen's Hospital NHS Trust, Belvedere Road, Burton-on-Trent, DE130RB, UK Email: Aashish Anand* - [email protected]; Rosalind J Harrison - [email protected] * Corresponding author Published: 20 June 2005 Received: 08 December 2004 Accepted: 20 June 2005 BMC Ophthalmology 2005, 5:13 doi:10.1186/1471-2415-5-13 This article is available from: http://www.biomedcentral.com/1471-2415/5/13 © 2005 Anand and Harrison; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: To report an unusual case of annular pigment band on the posterior capsule following blunt ocular trauma. Case presentation: We describe an annular pigment band on the posterior capsule following blunt ocular trauma in a 28-year old male patient. Repeat examinations revealed no evidence of other signs of blunt ocular trauma or pigment dispersion syndrome in either eye. Conclusion: The annular pigment band in this case corresponds to the adherence of the hyaloideocapsulare ligament to the posterior capsule and reconfirms its rare visualization in the living eye. This finding may be an isolated sign of blunt ocular trauma and a compromised integrity of the vitreolenticular interface should be strongly suspected. We recommend careful documentation in context of future cataract surgery in these eyes.
    [Show full text]
  • Observing Implantable Collamer Lens Dislocation by Panoramic
    Eye (2015) 29, 499–504 & 2015 Macmillan Publishers Limited All rights reserved 0950-222X/15 www.nature.com/eye Observing M Shi, J Kong, X Li, Q Yan and J Zhang CLINICAL STUDY implantable collamer lens dislocation by panoramic ultrasound biomicroscopy Abstract Purpose Observetheimagecharacteristicsand foldable phakic intraocular lens designed to be dislocation of implantable collamer lenses (ICL) placed in the posterior chamber to correct high following their use to correct high myopia. myopia. Some postoperative complications such Methods A total of 127 patients (242 eyes); 64 as cataract and secondary glaucoma closely females (50.3%) and 63 males (49.7%) were correlate with the ICL position. Therefore the included in this retrospective study with ICL stability of the ICL position after surgery V4 implantation and mean spherical becomes the major concern in subjects equivalent À 9.08±2.04 diopters (D). undergoing ICL implantation. Notably, Panoramic ultrasound biomicroscopy (UBM) information regarding spontaneous abnormal was utilized to observe anterior segment positioning after ICL implantation is scarce. morphology and ICL location at various The purpose of this study is to observe ICL follow-up periods (1 week preoperative, positional changes after ICL implantation in Department of followed by 1, 3, 6, and yearly postoperative). high myopic eyes, capturing images with Ophthalmology, The Fourth Results Twenty-eight ICL eyes (11.2%) were panoramic ultrasound biomicroscopy (UBM) at Affiliated Hospital of China noted to have abnormal postoperative various postoperative periods to characterize Medical University, Eye Hospital of China Medical positioning. The central vault of 12 eyes was ICL decentration and dislocation. University, The Key too high with ICL decentration, mean central Laboratory of Lens in vault 1.14±0.39 mm; 10 eyes were too low but Liaoning Province, without ICL decentration, mean central vault Materials and methods Shenyang, China 0.13±0.11 mm.
    [Show full text]
  • Ophthalmology4 November, 1947
    Br J Ophthalmol: first published as 10.1136/bjo.31.11.649 on 1 November 1947. Downloaded from THE BRITISH JOURNAL OF OPHTHALMOLOGY4 NOVEMBER, 1947 COMMUNICATIONS copyright. A CONSIDERATION OF ANIRIDIA, WITH A PEDIGREE BY P. H. BEATTIE NORWICH http://bjo.bmj.com/ Introduction Two or three patients in the family which is the subject of this enquiry had been treated in Addenbrooke's Hospital, Cambridge. On enquiry it was found that the defect was common in various related sibships, and although the affected people were living in on October 2, 2021 by guest. Protected villages scattered through the fen country between Cambridge and Peterborough, it was thought worth'while to visit them all and record the condition of their eyes. In the future, members of such a family as this are less likely to remain domiciled in one locality, and an observer's task will be more difficult by virtue of the distances he will be obliged to cover to collect data from them all. The congenital abnormality shown in this particular family is a rare one. Few pedigrees of aniridia have been published in Br J Ophthalmol: first published as 10.1136/bjo.31.11.649 on 1 November 1947. Downloaded from 650 P. H. BEATTIE recent years. Many which are widely quoted in authoritative text- books are unreliable and have been constructed from second-hand reports. Many of the pedigrees collected by Julia Bell' are small and with little exact relevant detail. Julia Bell2 has appealed for the suppression of the most remarkable aniridia pedigree published, that of Risley3, in which aniridia is reported in 111 out of 119 relatives but it was confirmed in the case of one individual only.
    [Show full text]