Microspherophakia is a rare entity in which there is a small, spherical crystalline lens with increased antero-posterior thickness.
Microspherophakia is usually associated with systemic disorders such as Weill-Marchesani syndrome (WMS), homocystinemia, Marfan syndrome, Alport syndrome and Klinefelter syndrome.
Characteristic eye abnormalities of WMS are microspherophakia and ectopia lentis which causes high myopia (mostly dislocates either inferiorly or anteriorly).
Familial microspherophakia is not associated with any systemic defects.
Glaucoma in isolated microspherophakia is not common.
Thus, uncontrolled IOP with medical therapy and resolution of her condition with laser iridotomy confirmed our diagnosis that microspherophakia induced pupillary-block glaucoma.
Based on available data, we suggest that a stepwise treatment protocol would be more safe and effective in the management of the patients with glaucoma secondary to microspherophakia.
In conclusion, optimal management of glaucoma in microspherophakia is still uncertain.
Histopathological study of microspherophakia in the Weill-Marchesani syndrome.
Bilateral acute angle closure glaucoma as a presentation of isolated microspherophakia in an adult: case report.