Lunar lenses - Acquired lens colobomas

J Postgrad Med. 2023 Jan-Mar;69(1):41-42. doi: 10.4103/jpgm.jpgm_1145_21.

Abstract

Acquired lens colobomas secondary to ocular surgeries are scarcely described in the literature. We describe two cases of acquired lens coloboma in two infants with glaucoma who underwent ocular surgery. The coloboma in the first case was likely because of direct trauma to the lens zonules during an optical iridectomy with a vitrectomy cutter, resulting in localized loss of zonules and consequently localized lens coloboma. The coloboma in the second case was noticed during examination under anesthesia after scleral buckling and cryopexy for retinal detachment. The cause for coloboma development in this case could be disruption of the lens zonules because of stretching of the globe after scleral buckle surgery or because of injury to zonules during scleral buckling and the cryopexy procedure.

Keywords: Acquired lens coloboma; cryopexy; optical iridectomy.

MeSH terms

  • Choroid
  • Coloboma* / complications
  • Coloboma* / surgery
  • Humans
  • Retinal Detachment* / complications
  • Retinal Detachment* / surgery
  • Retrospective Studies
  • Scleral Buckling / adverse effects
  • Scleral Buckling / methods
  • Vitrectomy / adverse effects