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 Table of Contents    
CLINICAL QUIZ
Year : 2019  |  Volume : 12  |  Issue : 2  |  Page : 141  

The golden ring


Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication4-Jun-2019

Correspondence Address:
Dr. Jagat Ram
Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_172_2018

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How to cite this article:
Singh SR, Yangzes S, Ram J. The golden ring. Oman J Ophthalmol 2019;12:141

How to cite this URL:
Singh SR, Yangzes S, Ram J. The golden ring. Oman J Ophthalmol [serial online] 2019 [cited 2019 Aug 24];12:141. Available from: http://www.ojoonline.org/text.asp?2019/12/2/141/259688




   Case Presentation Top


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 Top


  1. What is the ocular diagnosis?


    1. Subluxated lens
    2. Microspherophakia
    3. Keratoconus
    4. Lenticonus


  2. Which of the following syndromes are most commonly associated with this abnormality?


    1. Marfan's syndrome
    2. Alport syndrome
    3. Weill–Marchesani syndrome
    4. Ehlers–Danlos syndrome


  3. What is the best surgical management for this patient?


    1. Clear lens extraction with intraocular lens implantation
    2. Laser-assisted in situ keratomileusis
    3. Penetrating keratoplasty
    4. Implantable Collamer Lens










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