Idiopathic lenticular surface neovascularization: An unusual presentation

Purpose: To present a case of posterior lenticular surface neovascularization in the absence of any ocular or systemic pathology. Observations: A 29-year-old asymptomatic male was detected with the right eye (OD) posterior lenticular surface neovascularization extending for six-clock hours in the te...

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Autores principales:	Manoj Soman, Indu J. Nair, Ramya R. Nadig, Jay U. Sheth, Unnikrishnan Nair
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Posterior lenticular surface neovascularization Lens neovascularization B-Scan ultrasonography Ultrasound biomicroscopy Anterior segment optical coherence tomography Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0f849e9bbfea46c8b87ea5e1ff420409
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spelling	oai:doaj.org-article:0f849e9bbfea46c8b87ea5e1ff4204092021-11-12T04:43:05ZIdiopathic lenticular surface neovascularization: An unusual presentation2451-993610.1016/j.ajoc.2021.101231https://doaj.org/article/0f849e9bbfea46c8b87ea5e1ff4204092021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2451993621002401https://doaj.org/toc/2451-9936Purpose: To present a case of posterior lenticular surface neovascularization in the absence of any ocular or systemic pathology. Observations: A 29-year-old asymptomatic male was detected with the right eye (OD) posterior lenticular surface neovascularization extending for six-clock hours in the temporal portion along with the presence of mild posterior capsular haze. His best-corrected visual acuity was 20/25 in OD and 20/20 in the left eye (OS). No additional abnormality was identified in the remainder of the OD anterior segment and the fundus respectively. OS evaluation was unremarkable. OD imaging including B-scan ultrasonography and ultrasound biomicroscopy (UBM) were essentially normal. The anterior segment optical coherence tomography (AS-OCT) thickened lens capsule with a dense hyperreflective layer adhered to its posterior surface and separating from the capsule in the periphery. Few hyperreflective dots were visible posterior to the ciliary body although no CB thickening was noted. No systemic abnormality was detected. The patient is being managed conservatively and has shown no signs of progression of the neovascularization over six months. Conclusions and importance: This is the first reported case of an isolated idiopathic posterior lenticular surface neovascularization occurring in an otherwise healthy patient. Although an unspecified breach in the posterior capsule or undetermined cyclitis can trigger such neovascularization, further histopathological studies of the capsular biopsy and ciliary body can provide better insight into its etiopathogenesis. Additionally, considering the asymptomatic nature of the condition, these patients can be observed and closely monitored.Manoj SomanIndu J. NairRamya R. NadigJay U. ShethUnnikrishnan NairElsevierarticlePosterior lenticular surface neovascularizationLens neovascularizationB-Scan ultrasonographyUltrasound biomicroscopyAnterior segment optical coherence tomographyOphthalmologyRE1-994ENAmerican Journal of Ophthalmology Case Reports, Vol 24, Iss , Pp 101231- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Posterior lenticular surface neovascularization Lens neovascularization B-Scan ultrasonography Ultrasound biomicroscopy Anterior segment optical coherence tomography Ophthalmology RE1-994
spellingShingle	Posterior lenticular surface neovascularization Lens neovascularization B-Scan ultrasonography Ultrasound biomicroscopy Anterior segment optical coherence tomography Ophthalmology RE1-994 Manoj Soman Indu J. Nair Ramya R. Nadig Jay U. Sheth Unnikrishnan Nair Idiopathic lenticular surface neovascularization: An unusual presentation
description	Purpose: To present a case of posterior lenticular surface neovascularization in the absence of any ocular or systemic pathology. Observations: A 29-year-old asymptomatic male was detected with the right eye (OD) posterior lenticular surface neovascularization extending for six-clock hours in the temporal portion along with the presence of mild posterior capsular haze. His best-corrected visual acuity was 20/25 in OD and 20/20 in the left eye (OS). No additional abnormality was identified in the remainder of the OD anterior segment and the fundus respectively. OS evaluation was unremarkable. OD imaging including B-scan ultrasonography and ultrasound biomicroscopy (UBM) were essentially normal. The anterior segment optical coherence tomography (AS-OCT) thickened lens capsule with a dense hyperreflective layer adhered to its posterior surface and separating from the capsule in the periphery. Few hyperreflective dots were visible posterior to the ciliary body although no CB thickening was noted. No systemic abnormality was detected. The patient is being managed conservatively and has shown no signs of progression of the neovascularization over six months. Conclusions and importance: This is the first reported case of an isolated idiopathic posterior lenticular surface neovascularization occurring in an otherwise healthy patient. Although an unspecified breach in the posterior capsule or undetermined cyclitis can trigger such neovascularization, further histopathological studies of the capsular biopsy and ciliary body can provide better insight into its etiopathogenesis. Additionally, considering the asymptomatic nature of the condition, these patients can be observed and closely monitored.
format	article
author	Manoj Soman Indu J. Nair Ramya R. Nadig Jay U. Sheth Unnikrishnan Nair
author_facet	Manoj Soman Indu J. Nair Ramya R. Nadig Jay U. Sheth Unnikrishnan Nair
author_sort	Manoj Soman
title	Idiopathic lenticular surface neovascularization: An unusual presentation
title_short	Idiopathic lenticular surface neovascularization: An unusual presentation
title_full	Idiopathic lenticular surface neovascularization: An unusual presentation
title_fullStr	Idiopathic lenticular surface neovascularization: An unusual presentation
title_full_unstemmed	Idiopathic lenticular surface neovascularization: An unusual presentation
title_sort	idiopathic lenticular surface neovascularization: an unusual presentation
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/0f849e9bbfea46c8b87ea5e1ff420409
work_keys_str_mv	AT manojsoman idiopathiclenticularsurfaceneovascularizationanunusualpresentation AT indujnair idiopathiclenticularsurfaceneovascularizationanunusualpresentation AT ramyarnadig idiopathiclenticularsurfaceneovascularizationanunusualpresentation AT jayusheth idiopathiclenticularsurfaceneovascularizationanunusualpresentation AT unnikrishnannair idiopathiclenticularsurfaceneovascularizationanunusualpresentation
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Idiopathic lenticular surface neovascularization: An unusual presentation

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