DR. APEKSHA KATARIA

DR. SHREYA SHAH, DR. MEHUL SHAH

Abstract

INTRODUCTION- MICROSPHEROPHAKIA IS A RARE CONGENITAL ANOMALY OF CRYSTALLINE LENS MARKED BY REDUCED EQUITORIAL DIAMETER AND INCREASED ANTEROPOSTERIOR DIAMETER PRIMARILY DUE WEAK ZONULES.

CASE PRESENTATION- A 13 YEAR OLD PRESENTED WITH COMPLAINTS OF PROGRESSIVE DIMINISHED VISION IN BOTH EYES SINCE THE LAST 6 MONTHS.GROSS EXAMINATION OF THE CHILD SHOWED SIGNS OF MARFANS SYNDROME.THE IOP WAS 40.2 MMHG IN RE AND 34.4 MMHG IN LE. ANTERIOR SEGMENT SHOWED BUPHTHALMOS WITH THINNING AND BLUISH DISCOLOURATION OF SCLERA,MICROSPHEROPHAKIA WITH WEAK ZONULES.ON DETAILED HISTORY TAKING, HIS YOUNGER SISTER 10 YEAR ALSO HAD COMPLAINTS OF DIMINISHED VISION. PREVALENCE OF MICROSPHEROPHAKIA WITH MARFANS AMONG THESE SIBLINGS WAS 66.66%.

CONCLUSION- THOROUGH HISTORY TAKING AND CLINICAL EVALUATION CAN LEAD TO EARLY DIAGNOSIS AND MANAGEMENT LEADING TO IMPROVED VISUAL OUTCOME