Abstract
Two children with unilateral posterior lenticonus and cataract underwent lens matter aspiration with implantation of a 3-piece intraocular lens. Posterior capsular defect (PCD) was suspected on preoperative slitlamp examination, which was supported by swept-source optical coherence tomography and subsequently confirmed intraoperatively. Based on the findings observed in these 2 cases, an inverse atoll sign for preoperative detection of a PCD is described.
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