Morgagnian cataract

Morgagnian cataract, a special form of corticonuclear cataract(¹), is a hypermature lens in which the cortex liquifies and the dense nucleus sinks inferiorly due to gravity(²). In this type of cataract, the process of fiber dissolution accelerates and occurs en masse(¹). A spontaneous rupture can occur, causing severe intraocular inflammation(³); therefore, early treatment is required(³). However, surgery for this type of cataract has a high incidence of complications(⁴) that include rigid anterior lens capsule, weak zonules, milky cortex with inadequate support for rhexis, and hard nucleus, leading to the risk of posterior capsular rupture, zonulodialysis, vitreous loss, nucleus drop, or inadvertent removal of the entire capsular bag(¹).

• Funding: This ssstudy received no specific financial support.

REFERENCES

• ¹
  Bardoloi N, Sarkar S, Burgute PS, Ghosh D, Deb AK. Capsular tension ring assisted phacoemulsification of Morgagnian cataract. Indian J Ophthalmol [Internet]. 2021;69(7):1781-5.
• ²
  Terry JE, Miller M. Unilateral Morgagnian cataract. J Am Optom Assoc. 1977;48(8):1015-8.
• ³
  Ono T, Miyata K. Morgagnian cataract. JMA J [Internet]. 2022;5(3):379-80.
• ⁴
  Hua X, Dong Y, Wang L, Li Z, Du J, Chi W, et al. Intraocular lens implantation performed first to protect the posterior capsule in Morgagnian cataracts during phacoemulsification. Int J Ophthalmol. 2019;12(7):1215-8.

Publication Dates

• Publication in this collection
  15 July 2024
• Date of issue
  2024

History

• Received
  02 May 2024
• Accepted
  03 May 2024