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Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report

Soemmering's ring and spontaneous lens absorption are two distinct conditions that are uncommon and unlikely to occur simultaneously. We report a case of a 67-year-old man who presented with blurred vision in his left eye and has had poor eyesight since birth. His right and left eye visual acui...

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Autores principales: Bin Mohammad Salmi, Muhammad Syamil, Mahmud, Mazaya Binti, Razali, Amirah Binti, MD Salleh, Rafidah Binti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9278658/
https://www.ncbi.nlm.nih.gov/pubmed/35844305
http://dx.doi.org/10.7759/cureus.25898
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author Bin Mohammad Salmi, Muhammad Syamil
Mahmud, Mazaya Binti
Razali, Amirah Binti
MD Salleh, Rafidah Binti
author_facet Bin Mohammad Salmi, Muhammad Syamil
Mahmud, Mazaya Binti
Razali, Amirah Binti
MD Salleh, Rafidah Binti
author_sort Bin Mohammad Salmi, Muhammad Syamil
collection PubMed
description Soemmering's ring and spontaneous lens absorption are two distinct conditions that are uncommon and unlikely to occur simultaneously. We report a case of a 67-year-old man who presented with blurred vision in his left eye and has had poor eyesight since birth. His right and left eye visual acuities were 6/7.5 and hand movement (HM), respectively. There was no relative afferent pupillary defect (RAPD). The right eye’s examination was unremarkable. The left eye revealed a spontaneous rupture of the anterior lens capsule with partially absorbed lens material and the presence of Soemmering's ring. There was no evidence of phacodonesis. The left fundus appeared slightly hazy, while the retina appeared flat. Extraction of the left eye lens was performed for the patient, and he was left aphakic. In this case, the patient's Soemmering's ring was linked to the ruptured anterior lens capsule followed by spontaneous partial absorption of lens material, which caused deposition of residual lens filaments near the equator of the capsule sac. In addition to ocular trauma, patients with congenital rubella infection of the eye, uveitis, and Morgagnian cataract have reported spontaneous absorption of lens material. The exact mechanism by which cataracts dissolve spontaneously is unlikely to be the same in all patients. This patient who has had an unsightly left eye since birth is presumed to have been born with an ocular infection complicated by amblyopia. The presence of both the Soemmering's ring and spontaneous lens absorption is unusual in this case. Early attention to the precious fellow eye is critical to ensure that the other unaffected eye maintains an adequate vision and allows independent patient mobility.
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spelling pubmed-92786582022-07-14 Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report Bin Mohammad Salmi, Muhammad Syamil Mahmud, Mazaya Binti Razali, Amirah Binti MD Salleh, Rafidah Binti Cureus Ophthalmology Soemmering's ring and spontaneous lens absorption are two distinct conditions that are uncommon and unlikely to occur simultaneously. We report a case of a 67-year-old man who presented with blurred vision in his left eye and has had poor eyesight since birth. His right and left eye visual acuities were 6/7.5 and hand movement (HM), respectively. There was no relative afferent pupillary defect (RAPD). The right eye’s examination was unremarkable. The left eye revealed a spontaneous rupture of the anterior lens capsule with partially absorbed lens material and the presence of Soemmering's ring. There was no evidence of phacodonesis. The left fundus appeared slightly hazy, while the retina appeared flat. Extraction of the left eye lens was performed for the patient, and he was left aphakic. In this case, the patient's Soemmering's ring was linked to the ruptured anterior lens capsule followed by spontaneous partial absorption of lens material, which caused deposition of residual lens filaments near the equator of the capsule sac. In addition to ocular trauma, patients with congenital rubella infection of the eye, uveitis, and Morgagnian cataract have reported spontaneous absorption of lens material. The exact mechanism by which cataracts dissolve spontaneously is unlikely to be the same in all patients. This patient who has had an unsightly left eye since birth is presumed to have been born with an ocular infection complicated by amblyopia. The presence of both the Soemmering's ring and spontaneous lens absorption is unusual in this case. Early attention to the precious fellow eye is critical to ensure that the other unaffected eye maintains an adequate vision and allows independent patient mobility. Cureus 2022-06-13 /pmc/articles/PMC9278658/ /pubmed/35844305 http://dx.doi.org/10.7759/cureus.25898 Text en Copyright © 2022, Bin Mohammad Salmi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Ophthalmology
Bin Mohammad Salmi, Muhammad Syamil
Mahmud, Mazaya Binti
Razali, Amirah Binti
MD Salleh, Rafidah Binti
Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report
title Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report
title_full Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report
title_fullStr Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report
title_full_unstemmed Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report
title_short Soemmering’s Ring in a Spontaneous Partially Absorbed Lens: A Case Report
title_sort soemmering’s ring in a spontaneous partially absorbed lens: a case report
topic Ophthalmology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9278658/
https://www.ncbi.nlm.nih.gov/pubmed/35844305
http://dx.doi.org/10.7759/cureus.25898
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