|Year : 2019 | Volume
| Issue : 2 | Page : 141
The golden ring
Simar Rajan Singh, Sonam Yangzes, Jagat Ram
Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
|Date of Web Publication||4-Jun-2019|
Dr. Jagat Ram
Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Singh SR, Yangzes S, Ram J. The golden ring. Oman J Ophthalmol 2019;12:141
| Case Presentation|| |
Afemale in her mid-20s presented to the ophthalmologist with low vision in both eyes since childhood. On examination, she had a best-corrected visual acuity of 20/80 in the right eye with 17.00 Ds and 20/40 in the left eye with 14.00 Ds. Intraocular pressures were normal. On close inspection, both eyes [Figure 1] (Panel A – right eye, Panel B – left eye) had thick lenses with 360° golden ring around the lens on retroillumination. Posterior segment examination was unremarkable. Systemic examination revealed a short stature, brachydactyly, and joint stiffness.
|Figure 1: Anterior segment photograph in retroillumination of the right (Panel a) and left (Panel b) eyes of a patient demonstrating a round spherical lens with a golden ring|
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| Questions|| |
- What is the ocular diagnosis?
- Subluxated lens
- Which of the following syndromes are most commonly associated with this abnormality?
- Marfan's syndrome
- Alport syndrome
- Weill–Marchesani syndrome
- Ehlers–Danlos syndrome
- What is the best surgical management for this patient?
- Clear lens extraction with intraocular lens implantation
- Laser-assisted in situ keratomileusis
- Penetrating keratoplasty
- Implantable Collamer Lens