DR KRUTIKA BORIWAL

DR. MANPREET KAUR

Abstract

A 35 year old male presented with complaint of diminision of vision in both eyes since childhood with history of left eye cataract surgery with IOL implantation 5years back. The BCVA in both eyes was hand movement close to face with accurate PR in right eye and inaccurate PR in left eye. Bilateral nystagmus was present. On slit lamp examination, right eye had mature cataract with no visible iris. Left eye had diffuse corneal opacity with 360 degree pannus and limbal stem cell deficiency. Aniridia IOL was present. Fundus was not visible in either eye. Intraocular pressures were normal. Gonioscopy showed iris stump with pars plicata in all quadrants of right eye while no angle structures were visible in left eye due to pannus. On ultrasound B scan, hyperechoic low to medium amplitude spikes were noticed in the vitreous cavity. Based on these findings, a diagnosis of congenital aniridia was made.