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Cyst in anterior chamber masquerading as anteriorly dislocated cataract

Poster Details

First Author: S.Das INDIA

Co Author(s):    M. Kurian   S. Nagappa           

Abstract Details



Purpose:

To show that even detailed slit lamp examination may sometimes prove to be erroneous in diagnosing anterior chamber cysts. Additional investigations are warranted even in seemingly straight forward cases

Setting:

Narayana Nethralaya, a tertiary eye care centre and postgraduate institute of ophthalmology

Methods:

A 62 year old female patient came to our hospital with a mass in the left anterior chamber. On slitlamp examinatin it looked exactly like a dislocated cataract with a brown nucleus. The mass was obstructing the view of the deeper structures. B-scan was done which revealed a mass contiguous from the anterior chamber to the region of the lens. As the cornea was showing signs of early decompensation, she underwent routine investigations and was taken up for surgery the next day. On the table the mass was found to be a cyst loosely attached to the iris, but not part of the iris. This was removed in toto with viscoexpression and the mature cataract found behind in was removed and a posterior chamber intraocular lens was fixed

Results:

Histopathological examination of the cyst was suggestive of viritis of unknown origin.It was not of iris origin. The patient had optic atrophy and the best corrected vision was 20/200

Conclusions:

Even in obvious cases it is possibly prudent to perform UBM and a careful B-scan to rule out other possible pathologies

Financial Disclosure:

NONE

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