z-logo
open-access-imgOpen Access
Extended-depth spectral-domain optical coherence tomography imaging of the crystalline lens in Weill-Marchesani-like syndrome
Author(s) -
Florence Cabot,
Marco Ruggeri,
Hady Saheb,
Jean Marie Parel,
Richard K. Parrish
Publication year - 2014
Publication title -
jcrs online case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 3
ISSN - 2214-1677
DOI - 10.1016/j.jcro.2014.09.003
Subject(s) - medicine , optical coherence tomography , lens (geology) , ophthalmology , gonioscopy , glaucoma , refractive error , optics , eye disease , physics
A 26-year-old woman presented with signs and symptoms of acute angle-closure glaucoma (ACG) in her left eye. Extended-depth spectral-domain optical coherence tomography (SD-OCT) was performed to biometrically assess the anterior chamber depth and crystalline lens conformation. Extended-depth SD-OCT imaging of the crystalline lens showed bilateral spherophakia without dislocation. Neither eye manifested a highly myopic refractive error despite spherophakia. Unanticipated conformation of the anterior and posterior lenticular curvatures, increased thickness of the crystalline lenses, and short axial lengths explained the lack of a highly myopic refractive error. These findings demonstrated a lens-related cause of the ACG. The use of extended-depth SD-OCT supported the diagnosis of subclinical Weill-Marchesani syndrome in a patient without other commonly associated findings and provided a better understanding of the mechanism of angle closure in this patient.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.
Having issues? You can contact us here