Clinical Image
Austin J Clin Ophthalmol. 2022; 9(3): 1131.
Bilateral Anterior Crystalline Lens Dislocation Reveals Homocystinuria
Boumehdi I* and Bouirig K
Mohammed 5 University of Rabat, Specialty Hospital of Rabat, Morocco
*Corresponding author: Ibrahim Boumehdi, Mohammed 5 University of Rabat, Specialty Hospital of Rabat, CHU Ibn Sina, Morocco
Received: August 11, 2022; Accepted: September 02, 2022; Published: September 09, 2022
Clinical Image
We report the case of a 6-year-old patient with educational backwardness who presented to our hospital with a red, painful eye with decreased vision. Her best corrected visual acuity was 1/10 in both eyes.
Slit-lamp examination of the right eye revealed anterior crystalline lens dislocation with central corneal oedema and high ocular pressure. The left eye had the same findings.
A general physical examination showed hepatosplenomegaly.
Figure 1:
Figure 2:
The diagnosis of hemocytosteinuria was confirmed by a hemocytosteinemia assay.
A limited anterior vitrectomy and phacoaspiration were performed in both eyes.
Amblyopia treatment was started.
Homocystinuria was treated with a specific diet (low on methionine) and a prescription of vitamin B6 with betaine.
Download PDF