A patient presents to the emergency depament with uniocular diplopia. Examination iwth oblique illunination shows golden crescent while examination with co-axial illumination show a dark crescent line. Which of the following is the most likely diagnosis –
Correct Answer: Ectopia lentis
Description: Presence of uniocular diplopia together with finding of golden crescent on oblique illumination (edge of subluxated lens) or black crecent line on coaxial illumination (edge of subluxated lens) suggests a diagnosis of 'subluxation' of the crystalline lens. Ectopic lentis refers to displacement of lens from its normal position (subluxation, dislocation). (Ref: Ophthalmology by khurana 7th/e p.222 & (2005)/e p.24; Clinical Examination in by Mukherjee 2006/e p.166; Neema 6th/e p.285, 286)
Category:
Ophthalmology
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