Epicapsular stars.

The persistent pupillary membrane is the remnant of tunica vasculosa lentis, the primary blood supply of lens during embryogenesis, is the most commonly seen ocular “congenital anomaly”.[1] It is classified as follows: Type 1, attached to iris only; Type 2, iridolenticular adhesions; and Type 3, attached to the cornea. One variety of Type 2 is epicapsular stars, a rare entity, which presents as multiple, star-shaped, brown-colored opacities over the anterior lens capsule, also known as the chicken tracks.[23] A 22-year-old male presented with dry eye. His unaided visual acuity was 20/20 OU. Slit-lamp biomicroscopy showed the presence of epicapsular stars OU [Fig. 1a and b]. As the patient experienced no visual disability due to the opacities, no surgical intervention was advised, but the patient was kept on regular follow-up. In conclusion, non-vision threatening cases of epicapsular stars do not warrant surgical intervention.

Figure 1

Epicapsular Stars. (a) Slit-lamp photograph showing diffuse, multiple stellate-shaped, small brownish-golden opacities on the anterior lens capsule. (b) ×10 magnification

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