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Long anterior lens zonules with retinal stripes: a case report
Xiaolu Cao1, Jiayin Qin2, Zhiyong Li1
1Hebei Ophthalmology Key Lab, Hebei Eye Hospital, No. 399, Quanbei East Street, Xingtai, 054000, Hebei, China.
BMC Ophthalmology
|June 23, 2022
Summary
Long anterior lens zonules (LAZs) may present differently in Asian populations. This rare condition requires careful surgical technique to avoid complications like capsular tearing.
Area of Science:
- Ophthalmology
- Genetics
Background:
- Long anterior lens zonules (LAZs) is a rare genetic disorder.
- Previously, LAZs has been primarily documented in individuals of African American descent.
Observation:
- A Chinese patient presented with vision loss and a macular hole.
- Clinical examination revealed unique signs: radially oriented pigment lines on the anterior lens capsule, shallow anterior chamber, elevated intraocular pressure, and peripheral retinal radial stripes.
Findings:
- The patient was diagnosed with long anterior lens zonules syndrome.
- These findings suggest potential ethnic variations in the presentation of LAZs.
Implications:
- Increased clinical awareness of LAZs in diverse populations is crucial.
- Precise anterior capsule management during cataract surgery is vital to prevent intraocular lens dislocation and radial capsular tears.

