Microspherophakia and congenital superior divisional third nerve palsy: A rare presentation

Abstract

Unilateral microspherophakia without systemic associations is a rare condition and so is congenital palsy of the superior division of the third nerve. Here, we report both these rarities together in a 32-year-old male who had microspherophakia in his right eye and congenital palsy of the superior division of the third nerve in his left eye. The intraocular pressure (IOP) in the right eye was normal with no glaucomatous change in the fundus, but the patient had developed cataractous changes in the microspherophakia lens. The left eye of the patient had low vision due to congenital ptosis which led to stimulus deprivation amblyopia.