Delhi Journal of Ophthalmology

Spontaneous absorption of the lens: A case report

Prajakta Dandekar
Department of Ophthalmology, Graded Specialist, Military Hospital, Gwalior, Madhya Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Prajakta Dandekar
DNB (Ophthalmology)
Graded Specialist, Military Hospital, Gwalior, Madhya Pradesh, India

Received: 30-JUN-2020 Accepted: 22-JUL-2020 Published Online: 12-MAR-2021

Spontaneous absorption of the natural lens is rare. A fifty-six-year-old lady came to the Eye Dept with a chief complaint of gradual, painless and progressive diminution of vision in the left eye since last ten years. Undilated anterior segment examination revealed a mature cataract, and on dilatation an opaque calcified anterior lens capsule in the centre and translucent capsule with calcified spots in the peripheral part was visible. Neodymium-doped Yttrium Aluminum Garnet (Nd YAG) laser capsulotomy of the anterior capsule allowed us to examine the posterior segment. No nucleus or lens particle found in the posterior segment. Ultrasound B scan also revealed absent nucleus. After anterior vitrectomy, we implanted IOL through a 6mm scleral tunnel. Postoperatively, the patient's vision improved to 6/6. Unrecognised capsular tears with unnoticed ocular inflammation can lead to spontaneous lens absorption as in our case evident from the capsular calcification.

Keywords :Spontaneous, Absorption, Lens, Intraocular lens

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