PMC3806668_01
a Preoperative photo of the anterior segment. Mild corneal opacity and lens opacity in the anterior pole are observed. The circle form of the pupillary margin is seen to be changing on the inferotemporal side. b Preoperative UBM image. The arrow shows severe inferotemporal synechia between the corneal endothelium and the iris. Corneal edema, overlying the synechia, is also apparent.
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PMC3806668_01_cop-0004-0134-g01.jpg
F1
In the right eye, the corneal opacity had spread from the center of the cornea to the inferotemporal side (fig. 1a), and a synechia was detected between the corneal epithelium and the iris from the inferonasal to the inferotemporal side. Additionally, preoperative changes were detected in the circle form of the inferotemporal pupillary margin, due to the synechia (fig. 1a). Ultrasound biomicroscopy (UBM) of the anterior segment revealed synechia between the anterior iris and the lens; an anterior deviation and tilting of the lens were also observed (fig. 1b).
a Photo of the anterior segment 6 months postoperatively. There is no expansion of the corneal opacity, and the pupil in the non-synechia area is cylindrical. b Postoperative UBM image. No synechiae are observed between the lens capsule and the iris, and the intraocular lens is parallel to the iris plane.
cop-0004-0134-g02.jpg
PMC3806668_01_cop-0004-0134-g02.jpg
F2
Six months postoperatively, there had not been any positional deviation of the intraocular lens, nor increase in corneal opacity (fig. 2a); UBM did not reveal any positional deviation of the intraocular lens (fig. 2b).