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June 1990

Encroaching Lens Loops

Author Affiliations

Salt Lake City, Utah
Ogden, Utah

Arch Ophthalmol. 1990;108(6):784. doi:10.1001/archopht.1990.01070080026020

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To the Editor.  —A 20-year-old woman presented to one of us (R.S.B.) in 1987 complaining of decreased vision in her left eye. She first noted the decreased vision 5 months prior to the visit; she had no history of ocular problems. Her best corrected visual acuity was 20/30-1 OD and hand movements at 12.5 cm in the left eye. Slit-lamp examination revealed posterior-cortical spokes and mild posterior subcapsular haze in the right eye and a mature cataract in the left eye. Fundus examination results were normal for the right eye, but were not obtainable for the left eye due to the cataract. The patient then underwent a complete physical examination by an endocrinologist, but no cause for the cataract was found.Three weeks after initial presentation, the patient underwent an extra-capsular cataract extraction (central small multiple-puncture capsulotomy with relaxing incisions at the 10- and 2-o'clock positions) and an "in-the-bag" placement

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