Abstract
Long anterior zonules [LAZ] are zonules having anomalous anterior insertion on the lens capsule, thus reducing the size of zonule-free zone. This article describes a diabetic elderly female who presented to us for cataract surgery. Examination showed presence of bilateral persistent pupillary membrane [PPM] along with long anterior zonules. Association of PPM with LAZ has been established in literature but bilateral PPM-LAZ association is a unique finding. The article also illustrates different phenotypes of LAZ and their clinical associations. LAZ eyes have propensity for sight threatening diseases like glaucoma, retinal diseases etc. Hence, a thorough ocular examination is warranted.
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