A systematic approach to the management of microspherophakia

Microspherophakia is a rare developmental abnormality of the crystalline lens with a myriad of ocular and systemic associations. Glaucoma is a serious complication associated with this disorder. Early identification of the disease, timely visual rehabilitation, and appropriate management of the lens...

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Main Authors: Prasanna Venkataraman, Aravind Haripriya, Neethu Mohan, Anand Rajendran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2262;epage=2271;aulast=Venkataraman
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author Prasanna Venkataraman
Aravind Haripriya
Neethu Mohan
Anand Rajendran
author_facet Prasanna Venkataraman
Aravind Haripriya
Neethu Mohan
Anand Rajendran
author_sort Prasanna Venkataraman
collection DOAJ
description Microspherophakia is a rare developmental abnormality of the crystalline lens with a myriad of ocular and systemic associations. Glaucoma is a serious complication associated with this disorder. Early identification of the disease, timely visual rehabilitation, and appropriate management of the lens and glaucoma can help us prevent blindness from this condition. Multidisciplinary care with lifelong follow-up is recommended, as this typically affects the younger population. Current treatment protocols for this condition are mainly based on case reports and retrospective studies with shorter follow-up. Due to the rarity of this disease, designing a large randomized controlled trial to identify the merits and demerits of each management strategy is challenging. With cataract, glaucoma, and vitreoretinal specialists, each having their preferred way of managing microspherophakic lenses, we decided to do a comprehensive review of the existing literature to devise an integrated approach toward effective management of these patients. This review will collate all evidence and provide a very practical decision-making tree for its management.
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spelling doaj.art-2fc5be68d3844c5eba6ea68012cf6f572022-12-22T00:43:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017072262227110.4103/ijo.IJO_2888_21A systematic approach to the management of microspherophakiaPrasanna VenkataramanAravind HaripriyaNeethu MohanAnand RajendranMicrospherophakia is a rare developmental abnormality of the crystalline lens with a myriad of ocular and systemic associations. Glaucoma is a serious complication associated with this disorder. Early identification of the disease, timely visual rehabilitation, and appropriate management of the lens and glaucoma can help us prevent blindness from this condition. Multidisciplinary care with lifelong follow-up is recommended, as this typically affects the younger population. Current treatment protocols for this condition are mainly based on case reports and retrospective studies with shorter follow-up. Due to the rarity of this disease, designing a large randomized controlled trial to identify the merits and demerits of each management strategy is challenging. With cataract, glaucoma, and vitreoretinal specialists, each having their preferred way of managing microspherophakic lenses, we decided to do a comprehensive review of the existing literature to devise an integrated approach toward effective management of these patients. This review will collate all evidence and provide a very practical decision-making tree for its management.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2262;epage=2271;aulast=Venkataramancapsular tension ringectopia lentisglaucomaintraocular pressureiris-fixated intraocular lensmicrospherophakiaperipheral iridotomypupillary blockscleral-fixated intraocular lenstrabeculectomy
spellingShingle Prasanna Venkataraman
Aravind Haripriya
Neethu Mohan
Anand Rajendran
A systematic approach to the management of microspherophakia
Indian Journal of Ophthalmology
capsular tension ring
ectopia lentis
glaucoma
intraocular pressure
iris-fixated intraocular lens
microspherophakia
peripheral iridotomy
pupillary block
scleral-fixated intraocular lens
trabeculectomy
title A systematic approach to the management of microspherophakia
title_full A systematic approach to the management of microspherophakia
title_fullStr A systematic approach to the management of microspherophakia
title_full_unstemmed A systematic approach to the management of microspherophakia
title_short A systematic approach to the management of microspherophakia
title_sort systematic approach to the management of microspherophakia
topic capsular tension ring
ectopia lentis
glaucoma
intraocular pressure
iris-fixated intraocular lens
microspherophakia
peripheral iridotomy
pupillary block
scleral-fixated intraocular lens
trabeculectomy
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2262;epage=2271;aulast=Venkataraman
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