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Ophthalmic Images

Rice granule epicapsular stars

Balijepalli, Pasyanthi; Srirampur, Arjun1; Gadde, Aruna K2

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Indian Journal of Ophthalmology: August 2020 - Volume 68 - Issue 8 - p 1667
doi: 10.4103/ijo.IJO_2406_19
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A 32-year-old male presented with vision of 20/20 in both the eyes. Right eye showed pigmented deposits on the anterior capsule of the lens [Fig. 1a and b] resembling rice granules [Fig. 1c]. As the deposits were not in the visual axis, patient was asked to follow-up regularly.

Figure 1
Figure 1:
(a) Diffuse slitlamp illumination of right eye showing annular distribution of pigmented stars. (b) Magnified picture of the pigmented stars on the anterior capsule resembling rice granules. (c) Rice granules

Persistent pupillary membrane (PPM) is a remnant of tunica vasculosa lentis and is of 3 types.[123]

Type-1 variants are membranes that are attached to iris. Type-2 variants are membranes with iridolenticular adhesions also termed the epicapsular pigmented stars with “chicken track” like deposits.[4] These are pigmented dendritic iris stromal melanocytes deposited on the anterior lens capsule either singly or in clumps.[5] Type-3 variants are membranes attached to cornea.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

1. Trattler WB, Keiser P, Friedman NJ Review of Ophthalmology. 20122nd ed Philadelphia,PA Elsevier Inc:105–278
2. Gavriş M, Horge I, Avram E, Belicioiu R, Olteanu IA, Kedves H. Persistent pupillary membrane or accessory iris membrane Rom J Ophthalmol. 2015;59:184–7
3. Duke-Elder WS 1964 System of Ophthalmology Part 1, 2.;3 St Louis CV Mosby Co:195–201 775-82
4. Deshmukh S, Bhattacharjee H, Gupta K. Epicapsular stars Indian J Ophthalmol. 2018;66:1624–5
5. Indmedica – Indian Journal for the Practising Doctor. 2018Last accessed on 2018 May 01 Available from: http://www.indmedica.com/journals.php?journalid=3&issueid=94&articleid=1283&action=article
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