Abstract

A 24-year-old man presented with increasingly blurred vision in his right eye. He had previously been diagnosed with bilateral, subluxated crystalline lenses at age 3 years, with subsequent dense amblyopia in the left eye. Visual acuity was 20/40 in the right eye and less than 20/200 in the left eye. After pupil dilation, examination showed that the right lens had posterior subcapsular cataract and modest, inferior, subluxation. By contrast, the left crystalline lens was superiorly subluxated, by approximately 50%, with a dramatic view of the stretched lens zonules and areas of zonule deficiency (figure).

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