A systematic approach to the management of microspherophakia

Microspherophakia is a rare developmental abnormality of the crystalline lens with a myriad of ocular and systemic associations. Glaucoma is a serious complication associated with this disorder. Early identification of the disease, timely visual rehabilitation, and appropriate management of the lens...

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Published inIndian journal of ophthalmology Vol. 70; no. 7; pp. 2262 - 2271
Main Authors Venkataraman, Prasanna, Haripriya, Aravind, Mohan, Neethu, Rajendran, Anand
Format Journal Article
LanguageEnglish
Published Mumbai Wolters Kluwer India Pvt. Ltd 01.07.2022
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
capsular tension ring
Case reports
Cataracts
Decision making
ectopia lentis
Glaucoma
intraocular pressure
iris-fixated intraocular lens
Management
microspherophakia
peripheral iridotomy
pupillary block
Rehabilitation
Review
scleral-fixated intraocular lens
trabeculectomy
microspherophakia
peripheral iridotomy
intraocular pressure
Capsular Tension Ring
ectopia lentis
glaucoma
iris-fixated intraocular lens
scleral-fixated intraocular lens
trabeculectomy
pupillary block
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Summary:Microspherophakia is a rare developmental abnormality of the crystalline lens with a myriad of ocular and systemic associations. Glaucoma is a serious complication associated with this disorder. Early identification of the disease, timely visual rehabilitation, and appropriate management of the lens and glaucoma can help us prevent blindness from this condition. Multidisciplinary care with lifelong follow-up is recommended, as this typically affects the younger population. Current treatment protocols for this condition are mainly based on case reports and retrospective studies with shorter follow-up. Due to the rarity of this disease, designing a large randomized controlled trial to identify the merits and demerits of each management strategy is challenging. With cataract, glaucoma, and vitreoretinal specialists, each having their preferred way of managing microspherophakic lenses, we decided to do a comprehensive review of the existing literature to devise an integrated approach toward effective management of these patients. This review will collate all evidence and provide a very practical decision-making tree for its management.
Bibliography:ObjectType-Article-2
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ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_2888_21