Revista Brasileira de Oftalmologia (Feb 2024)

Pigment deposits in the retrolental space of Berger: a rare feature of pigment dispersion syndrome?

  • João Ponces Ramalhão,
  • Miguel Afonso,
  • Carolina Abreu,
  • Ana Figueiredo,
  • Rita Reis,
  • Isabel Sampaio,
  • Maria João Menéres

DOI
https://doi.org/10.37039/1982.8551.20240005
Journal volume & issue
Vol. 83

Abstract

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ABSTRACT Pigment dispersion syndrome is associated with clinical features such as Krukenberg's spindles, trabecular pigmentation, Scheie's stripe and Zentmayer's ring. Another less common feature of this syndrome is retrolental pigment deposits due to anterior hyaloid detachment or a defect in the Wieger's ligament. We present two cases of pigment deposits on the posterior lens capsule. In both cases, there is bilateral dispersion of pigment throughout the anterior segment. The retrolental deposits are unilateral in the first case and bilateral in the second. Both patients report a history of ocular trauma. This is a possible important clinical sign of pigment dispersion syndrome, rarely described.

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