Abstract
ABSTRACT A 3-year-old male presented with gradual, painless, and progressive vision loss in both eyes over several months. He followed the torchlight. Examination revealed normal pupillary reflexes, nystagmus, and inability to fixate. Slit-lamp examination showed a persistent pupillary membrane, aphakia, and an intact posterior capsule, with unremarkable fundus. There was no history of ocular surgery, infection, trauma, or birth complications. TORCH titers were negative. The mother denied seeing any white reflex in the eye. A diagnosis of spontaneous absorption of the lens was made. Temporary spectacles were prescribed following retinoscopy. The child subsequently underwent bilateral intraocular lens implantation with posterior capsulotomy and anterior vitrectomy, resulting in improved vision and increased playful behavior. Spontaneous absorption of the lens is a rare phenomenon and is a critical diagnosis to consider in pediatric ophthalmology. Comprehensive evaluation and early intervention can lead to excellent visual and developmental outcomes, improving the quality of life as demonstrated in this case.
Published Version
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