Spontaneous lens absorption and empty capsular bag in hyper-mature senile cataract

A male patient in his 60s presented with a rare form of hyper-mature senile cataract, characterised by an empty capsular bag in the left eye and diminished vision over 2 years. Initial visual acuity was 20/40 in the right eye and finger counting at one metre in the left eye. A slit lamp examination revealed pseudophakia in the right eye and a fibrosed lens capsule in the left eye. A dilated examination confirmed an empty capsular bag with a fibrosed capsule and normal fundus. Ultrasound findings were anechoic, and anterior segment optical coherence tomography showed an intact lens capsule. The patient underwent intraocular lens implantation (IOL) in the sulcus, resulting in improved visual acuity to 20/32. At the 6-month follow-up, the patient had a stable and well-centred IOL with best corrected visual acuity of 20/20.