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Arch Ophthalmol. 2003;121:1487-1488.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A morgagnian cataract is a hypermature cataract in which the total liquefaction of the cortex has allowed the nucleus to sink inferiorly.¹ Herein, we report a rare case of morgagnian cataract with an isolated posterior opening with no history of trauma and its successful management. To our knowledge, this is the first documented case in Japan.

Report of a Case

A 64-year-old man experienced worsening vision for 2 years. His best-corrected visual acuity was worse than 20/30 OU since he was 20 years old, and he has not been permitted to have a driver's license.

On the initial examination, his best-corrected visual acuity was 20/300 OD and 20/60 OS. Slitlamp biomicroscopy revealed a solid nucleus that descended to the lower equatorial region and a round, isolated posterior capsular opening that was seen through the hydrated cortex in his right eye (Figure 1A). There was no iridodonesis, and the intraocular pressure was normal. . . . [Full Text of this Article]

Comment
Yoshihiro Takamura, MD, PhD; Namiki Oishi, MD; Eri Kubo, MD, PhD; Shousai Tsuzuki, MD, PhD; Yoshio Akagi, MD, PhD
Matsuoka, Japan

Corresponding author and reprints: Yoshio Akagi, MD, PhD, Department of Ophthalmology, Fukui Medical University, Matsuoka-machi, Yoshida-gun, Fukui-ken 910-1193, Japan (e-mail: akagiy@fmsrsa.fukui-med.ac.jp).