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Clin Exp Optom. 2002 Sep;85(5):294-9.


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Department of Optometry and Radiography, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China.


Microspherophakia is present when the crystalline lens is small and relatively spherical with increased antero-posterior thickness. Clinical findings for a patient with idiopathic bilateral microspherophakia are described. The patient was moderately myopic with slightly reduced visual acuity. The anterior chambers (R: 1.57 and L: 1.37 mm) were shallow compared with normals (3.46 to 3.80 mm) and the crystalline lenses were thicker (R: 4.77 and L: 4.89 mm) than normal (3.3 to 3.96 mm) with steeper than normal anterior (radii of curvature R: 6.2 and L: 6.3 mm) and posterior (R: 6.3 and L: 5.6 mm) surfaces. Microspherophakia may be associated with various syndromes and there is a strong possibility of glaucoma, particularly if the small lens is displaced.

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