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OPHTHALMIC IMAGES
Year : 2021  |  Volume : 59  |  Issue : 1  |  Page : 104

Bilateral congenital fetal nuclear cataract


Department of Glaucoma Services, Aravind Eye Hospital and Postgraduate Research Institute, Madurai, Tamil Nadu, India

Date of Submission09-Dec-2019
Date of Decision25-Jan-2020
Date of Acceptance04-Feb-2020
Date of Web Publication27-Mar-2021

Correspondence Address:
Dr. Vijayalakshmi A Senthilkumar
Department of Glaucoma Services, Aravind Eye Hospital and Postgraduate Research Institute, Madurai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_120_19

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How to cite this article:
Senthilkumar VA. Bilateral congenital fetal nuclear cataract. TNOA J Ophthalmic Sci Res 2021;59:104

How to cite this URL:
Senthilkumar VA. Bilateral congenital fetal nuclear cataract. TNOA J Ophthalmic Sci Res [serial online] 2021 [cited 2021 Oct 20];59:104. Available from: https://www.tnoajosr.com/text.asp?2021/59/1/104/312275



A 42-year-old male visited us for routine eye check-up. His best-corrected visual acuity was 6/6 in both eyes (BE). Slit-lamp biomicroscopic examination revealed Y-shaped lenticular opacities which followed the sutures of lens nucleus in BE [Figure 1]. Anterior and posterior lens opacity was in the form of upright “Y” and inverted “Y” shaped. Sutural cataracts are congenital lens opacities affecting the Y sutures of fetal lens nucleus and rarely progress.[1] They are bilateral and denser near the posterior pole, so the posterior Y suture is more heavily involved with punctate and cerulean cortical opacities.[2] They cause minimal visual disturbances and usually do not require surgical treatment. Mode of inheritance is autosomal dominant in most of the cases and rarely X-linked inheritance. A large Indian family with AD inheritance consisting of five generations containing 33 affected individuals, where mutation has been found in exon 6 of the CRYBB2 gene (22q11.2–q12/22q11.23), has been reported.[3]
Figure 1: (a and b) Slit lamp image of both eyes showing Y-shaped sutural cataracts (magnified view) with punctuate and cerulean cortical opacities

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sukhija J, Kaur S. Images in clinical medicine. Congenital sutural cataract. N Engl J Med 2014;371:e27.  Back to cited text no. 1
    
2.
Jinagal J, Gupta G, Thattaruthody F. Sutural cataract. Indian J Ophthalmol 2018;66:853.  Back to cited text no. 2
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3.
Xu LT, Traboulsi EI. Genetics of congenital cataracts. In: Wilson ME, Trivedi RH, editors. Pediatric Cataract Surgery: Lippincott, Walters Kluwer 2014. p. 1-8.  Back to cited text no. 3
    


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