Bilateral crowning of lens equator with secondary angle closure glaucoma in a middle-aged female with microspherophakia

Microspherophakia is a rare congenital anomaly characterised by an increased anteroposterior thickness of the lens associated with a reduced equatorial diameter. The primary pathology lies in the development of zonules. Glaucoma is a serious complication associated with this disorder. We report a rare instance of bilateral crowning of the lens equator with secondary angle closure glaucoma in a middle-aged female with microspherophakia.