Manu Sharma, Deeksha Sharma, Yvk Chaitanya, Harshita Dokania, Deeksha Katoch
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Snail shell on Moon appearance: Cataracta Nigra over Coloboma.
We report a rare case of posteriorly dislocated cataracta nigra associated with fundal coloboma with vitreous hemorrhage in a 50-year-old Asian female presenting with a history of blunt ocular trauma 5 years prior. The patient's visual acuity was limited to light perception, and anterior segment examination revealed a typical iris coloboma. Posterior segment visualization was obscured by dense vitreous hemorrhage. During pars plana vitrectomy, removal of the hemorrhage revealed a densely pigmented, black cataractous lens (cataracta nigra) resting on the colobomatous area, resembling a "snail shell on moon" appearance. The lens was successfully emulsified and removed via phacofragmentation under perfluorocarbon liquid protection, and the vitrectomy was completed. Postoperatively, visual acuity improved to 6/60.
期刊介绍：
QJM, a renowned and reputable general medical journal, has been a prominent source of knowledge in the field of internal medicine. With a steadfast commitment to advancing medical science and practice, it features a selection of rigorously reviewed articles.
Released on a monthly basis, QJM encompasses a wide range of article types. These include original papers that contribute innovative research, editorials that offer expert opinions, and reviews that provide comprehensive analyses of specific topics. The journal also presents commentary papers aimed at initiating discussions on controversial subjects and allocates a dedicated section for reader correspondence.
In summary, QJM's reputable standing stems from its enduring presence in the medical community, consistent publication schedule, and diverse range of content designed to inform and engage readers.
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