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Sporadic zonular cataract found by scleral penetration

Authors
  • Lee, Chia-Yi1
  • Chen, Hung-Ta2
  • Hsueh, Yi-Jen3, 4
  • Chen, Hung-Chi3, 4, 5
  • James Meir, Yaa-Jyuhn6
  • Wu, Wei-Chi4, 5
  • 1 Department of Ophthalmology, Show Chwan Memorial Hospital, Changhua, Taiwan
  • 2 Department of Internal Medicine, Taipei City Hospital- Heping Branch, Taipei, Taiwan
  • 3 Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan
  • 4 Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Taiwan
  • 5 Department of Medicine, College of Medicine Chang Gung University, Taoyuan, Taiwan
  • 6 Department of Biomedical Sciences, College of Medicine Chang Gung University, Taiyuan, Taiwan
Type
Published Article
Journal
American Journal of Ophthalmology Case Reports
Publisher
Elsevier
Publication Date
May 06, 2021
Volume
22
Identifiers
DOI: 10.1016/j.ajoc.2021.101101
PMID: 34027227
PMCID: PMC8131396
Source
PubMed Central
Keywords
Disciplines
  • Case Report
License
Unknown

Abstract

Purpose To present a case of bilateral zonular cataract without visual deterioration. Observation A 41-year-old Taiwanese Han male presented with severe left ocular pain after being hit by iron filings while working. The iron dust was removed in a local hospital but due to a scleral laceration diagnosis he was referred to our hospital for further management. On examination, best-corrected visual acuity (BCVA) of 20/25 in the right eye and 20/200 in the left eye were obtained, while the before BCVA was 20/25 in the both eyes. The slit-lamp biomicroscopy demonstrated bilateral zonular cataract and left scleral full-thickness laceration with vitreous prolapse. The scleral suture procedure was then performed smoothly and the patient discharged three days later with BCVA in the left eye recovered to 20/30. Conclusion and Importance The bilateral zonular cataract without associated systemic disorder is a rare form, which may be found incidentally with no visual symptoms.

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