Herniation of the anterior lens capsule

Indian J Ophthalmol. 2007 May-Jun;55(3):228-30. doi: 10.4103/0301-4738.31950.


Herniation of the anterior lens capsule is a rare abnormality in which the capsule bulges forward in the pupillary area. This herniation can be mistaken for an anterior lenticonus where both the capsule and the cortex bulge forward. The exact pathology behind this finding is still unclear. We report the clinical, ultrasound biomicroscopy (UBM) and histopathological findings of a case of herniation of the anterior lens capsule. UBM helped to differentiate this entity from anterior lenticonus. Light microscopy revealed capsular splitting suggestive of capsular delamination and collection of fluid (aqueous) in the area of herniation giving it a characteristic appearance.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Eye Diseases / diagnostic imaging*
  • Eye Diseases / pathology*
  • Hernia / diagnostic imaging*
  • Hernia / pathology*
  • Humans
  • Lens Capsule, Crystalline / diagnostic imaging*
  • Lens Capsule, Crystalline / pathology*
  • Male
  • Microscopy, Acoustic*