Case of isolated bilateral coloboma of the lens

Abstract

A 52-year-old male presented with gradually progressive painless diminution of vision in both eyes since two years. There was no history of trauma, and family history was non-contributory. Ocular examination revealed a vision of 6/60 in both eyes improving to 6/36 with pinhole and bilateral colobomata of the crystalline lens along with nuclear cataract in both eyes. The edges of the colobomata were irregular and notched. The fundus examination was normal. A lens extraction was done by a temporal section small incision cataract surgery and an iris claw lens implanted after an automated vitrectomy. The post-operative vision was 6/18 improving to 6/6 in both eyes.

Keywords

• Cataract
• iris claw
• lens coloboma