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Ophthalmic Images
December 14, 2017

Ultra-Wide-Field Imaging of Spontaneously Dislocated Aphakic Soemmering Ring

Author Affiliations
  • 1Department of Ophthalmology, Dongguk University, Ilsan Hospital, Goyang, South Korea
  • 2Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
JAMA Ophthalmol. 2017;135(12):e174767. doi:10.1001/jamaophthalmol.2017.4767

A Korean woman in her late 80s regularly followed up at our clinic for chronic open-angle glaucoma, myopic degeneration, and aphakia, complained of a recent-onset visual shadow in the left eye, which appeared only in the supine position. She had a history of extracapsular cataract extraction with aphakic correction 25 years ago in both eyes. She had no light perception in the right eye, with end-stage glaucoma and substantial corneal opacity that was caused by a bullous keratopathy. Her best-corrected visual acuity was 20/400 OS, with an intraocular pressure of 14 mm Hg. Ultra-wide-field imaging (Optos) of the left eye revealed a large donut-shaped structure in the inferior midvitreous cavity (Figure). There was no sign of intraocular inflammation. The presumptive diagnosis of a dislocated Soemmering ring was made. However, no surgical intervention was recommended based on the patient’s advanced age, visual potential, and minimal visual complaint.

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