POSTERIOR LENTICONUS: WHEN SURGERY IS NOT NECESSARY
Published 2022
- 26th ESCRS Winter Meeting
Reference: P029
| Type: Abstracts
| DOI:
10.82333/hzna-cv57
Authors:
Hind Hamdani* 1
, Omar Nabih 1
, Naoual Mtalai 1
, Loubna El Maaloum 1
, Bouchra Allali 1
, Asmaa El Kettani 1
1Pediatric. ophtalmology,Hôpital 20 Août,Casablanca,Morocco
Purpose
Posterior lenticonus is a rare progressive disease.
It is a protrusion of the posterior lens capsule and cortex into the vitreous cavity.
It is usually a sporadic unilateral defect but a significant cause of unilateral infantile cataract.
Diagnosis is mainly clinical, difficult in asymptomatic patients, resulting in delayed diagnosis and subsequent amblyopia.
Treatment is usually surgical.
We report in this study the case of a young patient who did not require surgery.
Setting
Pediatric ophtalmology department, Hopital 20 Août 1953 Casablanca Morocco
Methods
We report the case of a patient with no previous history, who presented with decreased visual acuity in her left eye.
Results
A 10 year child who presented a decreased visual acuity in her left eye consulted at our facility. The ophthalmological examination of the right eye was strictly normal with a corrected visual acuity of 10/10. The examination of the left eye showed a corrected visual acuity of 3/10 with a posterior lenticonus and a slight capsular opacification which was not troublesome. The fundus was normal. The patient benefited from an optical correction under cycloplegia with total occlusion of the right eye for 18 weeks. The final visual acuity was 8/10 in the left eye, and 10/10 on the right eye.
Conclusion
In the case of a posterior lenticonus or any unilateral partial cataract, medical treatment should be attempted.
Once undertaken, close monitoring is necessary due to the risk of frequent relapse.
If the medical treatment fails, surgery should be considered.