Abstract

Study Design: Observational studyPurpose: To study clinical presentation and management of Microspherophakia patients.Method:3 yrs Clinical profile & management laser/surgical/medical assessed.Results:23 patient (46 eyes) 13Female &10male & mean age 26 yrs. 52% presented with low Vision &17.3%(4) pain. 26%(6) had family history . Mean refractive spherical correction – 12.2, 30.4%(14) had Glaucoma . 47.8%(22) had displaced lens. 27.2%(6) anterior dislocation needed early surgery. 36.3%(8) anterior 18.8% (4) Temporal ,9%(2)Nasal & 9%(2)inferior subluxation.38 (82.6)% had laser PI .Post-PI 26.3%(10) had reduced IOP , 42%(16) required AGM & 31.5% (12) required surgery. 77.7%(14) anterior and 22.2%(4) had parsplana lensectomy . Mean IOP pre op 16.6mmHg reduced to 15.6 , 12.3 &15.2 mmHg at 1,3&6 month &only 2 required AGM with none requiring glaucoma surgery.
Conclusion:Majority Microspherophakia patients needs laser PI & some require additional lensectomy for IOP control.