Postoperative visual rehabilitation was done with aphakic glasses. The child underwent microscope integrated intraoperative optical coherence tomography guided intralenticular lens aspiration with optical iridectomy in the left eye. Ectopia pupillae is a congenital eye malformation in which the pupils are displaced from their normal central position. Hence a diagnosis of ectopia lentis et pupillae with left eye spontaneous anterior dislocation of the lens along with corneal decompensation was made. Ectopic pupil Rupture of sphincter, pupil Code Type-1 Excludes: Congenital deformity of pupil - instead, use code Q13.2- ICD-10-CM Alphabetical Index References for 'H21.56 - Pupillary abnormalities' The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H21.56. Congenital defects, such as aniridia, iris coloboma, congenital ectopic pupils, persistent pupillary membrane, polycoria, congenital heterochromia, iridocorneal endothelial (ICE) syndrome, and other developmental anomalies of the anterior segment, producer anisocoria, which usually presents in childhood. Ultrasound examination of the left eye was normal. NIH GARD Information: Ectopia pupillae This information is provided by the National Institutes of Health (NIH) Genetic and Rare Diseases Information Center (GARD). Left eye revealed central corneal oedema with descemet scarring, anteriorly dislocated clear crystalline lens with lenticulo-corneal touch. Physiologic (also known as simple or essential) anisocoria is the most common cause of unequal pupil sizes, affecting up to 20. An injury or lesion in either pathway may result in changes in pupil size. Slit lamp examination of the right eye revealed corectopia, aphakia in the pupillary area, temporally subluxated clear crystalline lens, persistent pupillary membrane, irido-hyaloidal adhesion and poorly dilating pupil. Generally, anisocoria is caused by impaired dilation (a sympathetic response) or impaired constriction (a parasympathetic response) of pupils. Ectopia lentis is the dislocation or displacement of the natural crystalline lens. Visual acuity was finger counting at 1 m and finger counting close to face in the right and left eyes, respectively. Her parents reported poor vision in both eyes for 4 years. IOP was 18mmHg and no complications were detected.A 7-year-old girl presented with watering and redness in the left eye for 2 months. Even in the first postoperative day his refraction was +1(-2,00x20) and uncorrected distance visual acuity UDVA was 10/20 whereas corrected distance visual acuity CDVA was 16/20. 3 THE ABNORMAL PUPIL Congenital and Acquired Abnormalities of the Pupillary Shape and Number : Ectopic pupil : This implies a pupil located at a location. Horizontal nystagmus can be seen in severely affected babies before one month of age. Microphthalmia and corneal opacities may also be present. ![]() ![]() Then the left eye was implanted posterior chamber VTICMO13.7 Staar Toric ICL. Ectopic pupils, lack of well-defined pupillary collarettes, remnants of the fetal vascular stalk, and shallowing of the anterior chamber have been noted in several patients. expansion ring for femtosecond laser-assisted cataract surgery in patients with cataracts complicated by insufficient mydriasis and an ectopic pupil. His visual acuity was 18/20 in right eye and counting fingers from 2 meters in left eye without correction. ( krek-tp-) Eccentric location of the pupil so that it is not in the center of the iris. Some birth defects of the iris can cause the pupil to have an irregular, fixed shape. He came to me after 18 years from his last operation with the intend of a good vision without glasses or contact lenses. Four years after this operation he had to go bilateral strabismus surgery for divergent strabismus probably due to low vision. The lens often becomes cataractous at an early age and a. I examined a 36 year old pseudophakic male patient with ectopic pupil, high myopia and astigmatism in left eye at December 2017, He had an ophtalmic surgery history before he came to me, First one had an extracapsular cataract extraction and PMMA iol implantation into his left eye in 14 years old hence blunt eye trauma. The ectopic pupil makes the prescribing and fitting of spectacles and contact lenses difficult owing to the oblique visual axis. ICL Implantation in A Long Standing and Challenging Pseudophakic Ametropia
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