In 1901 Trousseau described one case following iridectomy for acute glaucoma. In 1932 Vancea published two cases associated with persistent pupillary remnants. LH Ehrlich later reported the spontaneous absorption of a congenital cataract due to maternal rubella. Further cases with rubella were reported by Black,3 Delthill and Delthill,4 Weiss5 and Boger et al.6 Gieser7 also reported such selleckbio a case developing in a patient with persistent hyperplastic primary vitreous. Spontaneous lens absorption has also been described in the Hallermann-Streiff syndrome8 and Down syndrome.9 Spontaneous lens absorption in patients diagnosed with leptospirosis was reported by Rathinam et al.2 A case of phacolytic glaucoma followed by spontaneous lens absorption was also reported by Blaise Inhibitors,Modulators,Libraries et al.

10 The exact mechanism of lens absorption is unclear and likely varies according to the cause. In leptospirosis, Inhibitors,Modulators,Libraries it is not clear whether leptospires themselves or antibodies directed against them have a role in cataract causation and absorption.2 Likewise, rubella virus has been isolated from clear lens material of infants with congenital rubella syndrome as well as from cataractous lens material even at 35 months of age.6 Injury to the lens capsule might be responsible for spontaneous lens absorption seen in traumatic cases.1 Osmotic forces due to chemical changes on either side of the lens capsule have also been postulated as playing a role.1 Duke-Elder suggested that unrecognizable tears in the lens capsule might be responsible.

1 In a case Inhibitors,Modulators,Libraries of intraocular foreign body,11 it was assumed that the lens cortex was emulsified and prolapsed from the absorbed lens spontaneously. Siderosis has also been implicated Inhibitors,Modulators,Libraries as a mechanism of lens absorption.11 Literature Search Initially, an Internet-based search of the English-language literature was performed using MEDLINE and other search engines, including the Virtual Library of the Ministry of Health, Malaysia, for the following terms: lens or cataract absorption and spontaneous and bilateral absorption.
A 54-year-old male with Sturge-Weber syndrome presented with decreased vision and an intraocular pressure (IOP) of 35 mm Hg in his right eye. He was on topical levobunolol, dorzolamide and bimatoprost in his Right eye. His IOP in the left eye was 16 mm Hg without any anti Inhibitors,Modulators,Libraries glaucoma therapy.

Apart from corkscrew subconjunctival vessels at the limbus, there were no conjunctival angiomatous Drug_discovery malformations ( Figure 1). Fundus examination showed evidence of glaucomatous cupping of 0.9 in the right eye and 0.3 in the left eye. A visual field test showed advanced field defects in the right eye and a normal field in left eye. Figure 1 Preoperative photograph of the right eye of the patient with Sturge Weber syndrome showing conjunctival and episcleral vessels. A standard limbus-based trabeculectomy with subconjunctival application of mitomycin C (0.