This is a really interesting case……
Patient presented with the below lesions noticed on their regular examination. She was a little vague on her previous ocular history, but she had had previous cataract surgery which ‘required a number of goes!’
Not sure if it is obvious from the photos, but the pupil in that eye is tear-shaped. I had no idea at all what this was.
What do you think this is?
Ok, story is this lady had had complicated eye surgery (there was pupil damage and a vague history of a ‘number of procedures carried out at the hospital’). Turns out this is a scleral fixated IOL and the lesions are simply calcification around the attachment points protruding through the sclera. Given the lady has no symptoms, John is planning on observing her going forward. I’ve included an example of one of the modern day scleral fixated lenses – not sure which version this lady has in, but it is the same general principle.