A Mirage of a dislocated lens in uveitis

Abstract

We present a very strange case of a 44-year-old diabetic lady who presented with what appeared to be a cataractous lens dislocated in the anterior chamber of her left eye, following weight bearing, a week prior to presentation. The possibility of this being the lens became doubtful on slit lamp examination, as keratic precipitates and flare was noted bilaterally. Her pupil was miosed rendering posterior segment view extremely difficult. Subconjunctival mydriacaine and dexamethasone were given along with topical steroids and cycloplegics, which allowed a better view of the pupillary area, revealing a hint of a nuclear sclerotic cataract, very well in its natural anatomical location. This is a rare presentation of exudate in anterior uveitis presenting as a lens-like mass, producing such an illusion, as to completely baffle doctors regarding its diagnosis. The mass-like exudate subsequently diminished with topical therapy, and disappeared in around a week’s time. Both eyes are quiet at a five months follow-up.

Association between Intraocular Pressure and Myopia Among Children Aged 7 to 16 years

“…Intraocular pressure is the only modifiable risk factor known to decrease the progression of this potentially blinding disease. 13 In the current study, 218 eyes were evaluated from the children OPD of Al-Shifa Trust Eye Hospital. 49.1% were female and 50.9% were male.…”