Abstract

As early as 1764, Morgagni, the famous anatomist wrote in his book “The seats and causes of disease” about hypermature cataracts in the elderly [1]. This is a type of hypermature cataract which is still known by his name-the Morgagnian cataract. A morgagnian cataract is a hypermature cataract in which total liquefaction of the cortex allows nucleus to sink inferiorly [2]. Spontaneous anterior capsular opening in form of capsulorrhexis is an extremely rare presentation in morgagnian cataract and in it, pupillary block glaucoma usually occurs due to intumescence of lens [3]. We report an extremely rare case of spontaneous anterior capsular opening (God made capsulorrhexis) in morgagnian cataract resulting in expulsion of morgagnian nucleus which was caught and suspended at the pupil causing pupillary block glaucoma.

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