Oman Journal of Ophthalmology

CASE REPORT
Year
: 2016  |  Volume : 9  |  Issue : 3  |  Page : 157--159

Preclinical cataract masquerading as post-LASIK regression


Rohit Shetty, Nikhil Negalur, Mathew Kurian, Rushad Shroff 
 Cataract, Refractive and Cornea Services, Narayana Nethralaya, Bengaluru, Karnataka, India

Correspondence Address:
Rushad Shroff
121/C, Chord Road, 1st SQRSQ Block, Rajaji Nagar, Bengaluru 560 010, Karnataka
India

The purpose of this case report is to bring forth a rare clinical scenario where preclinical cataract mimics post-LASIK regression and to describe the role of aberrometry in detecting higher order aberrations (HOAs) and early lens changes. A 36-year-old female presented with blurring of vision since 1 year after having undergone an uneventful LASIK surgery 3 years prior. Corneal topography and aberrometry were within normal limits. Although the lens was morphologically normal on slit lamp examination, increased HOAs and lenticular density were detected. Since there were no cataractous changes, the patient was advised regular follow-up. A year later, the patient had developed lenticular changes along with a further increase in aberrations and worsening of scatter on densitometry. Increase in aberrations and lenticular density may serve as a marker for cataract development before clinically detectable lenticular changes. This report shows how preclinical cataract can mimic post-LASIK regression with a change in spherical and cylindrical power of the eye. This could result in patients undergoing re-correction in eyes where the primary pathology is in the lens.


How to cite this article:
Shetty R, Negalur N, Kurian M, Shroff R. Preclinical cataract masquerading as post-LASIK regression .Oman J Ophthalmol 2016;9:157-159


How to cite this URL:
Shetty R, Negalur N, Kurian M, Shroff R. Preclinical cataract masquerading as post-LASIK regression . Oman J Ophthalmol [serial online] 2016 [cited 2019 Jun 24 ];9:157-159
Available from: http://www.ojoonline.org/article.asp?issn=0974-620X;year=2016;volume=9;issue=3;spage=157;epage=159;aulast=Shetty;type=0