|Year : 2021 | Volume
| Issue : 1 | Page : 104
Bilateral congenital fetal nuclear cataract
Vijayalakshmi A Senthilkumar
Department of Glaucoma Services, Aravind Eye Hospital and Postgraduate Research Institute, Madurai, Tamil Nadu, India
|Date of Submission||09-Dec-2019|
|Date of Decision||25-Jan-2020|
|Date of Acceptance||04-Feb-2020|
|Date of Web Publication||27-Mar-2021|
Dr. Vijayalakshmi A Senthilkumar
Department of Glaucoma Services, Aravind Eye Hospital and Postgraduate Research Institute, Madurai, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Senthilkumar VA. Bilateral congenital fetal nuclear cataract. TNOA J Ophthalmic Sci Res 2021;59:104
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. They are bilateral and denser near the posterior pole, so the posterior Y suture is more heavily involved with punctate and cerulean cortical opacities. 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.
|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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
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