| Unilateral Congenital Anterior Polar Cataract (OD, Colour Image) | |
| Patient: 24 years of age, female, BCVA 0.7 at OD =0.8 at OS, IOP 11/12 mmHg. Ocular Medical History: no strabismus, no refractive anisometropia. General Medical History: empty. Main Complaint: progressive lens opacification. Methods: Colour photography. Findings: Colour Image: The anterior pyramidal opacity consisted of hyperplastic lens epithelium, surrounded by a collagenous matrix. Discussion: Pyramidal anterior polar cataracts consist of hyperplastic lens epithelium in a collagenous matrix. They are present at birth and may represent a variant of anterior polar lens opacities. Anterior polar cataracts may be unilateral or, if bilateral, they may be either symmetric or asymmetric. Patients with pyramidal cataracts are likely to develop amblyopia. All infants and young children with anterior polar opacities showing this configuration should be followed for cataract progression and amblyopia. It was reported (1, 2) that, over one-third of the patients with congenital anterior polar cataracts were found to have strabismus, refractive anisometropia, or some form of amblyopia. These findings suggest a less benign prognosis for congenital anterior polar cataracts. It was recommended regular follow-up of all children with anterior cataracts until a secure assessment of vision can be made. Literature: (1) Jaafar MS, Robb RM. Congenital anterior polar cataract: a review of 63 cases. Ophthalmology.1984 Mar;91(3):249-54. (2) Wheeler DT, Mullaney PB, Awad A, Zwaan J. Pyramidal anterior polar cataracts. Ophthalmology.,1999 Dec;106(12):2362-7. | |
| Korbmacher, Judit, Dr.med., Augenklinik, Friedrich-Alexander-Universität, Deutschland, Erlangen, Deutschland; Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Friedrich-Alexander-Universität, Deutschland, Erlangen, Deutschland | |
| Q12.0 | |
| Lens -> Congenital and Juvenile Cataracts, Usually Bilateral (see also: Congenital Syndromes) -> Anterior and Posterior Polar Cataract -> Unilateral Congenital Anterior Polar Cataract (OD, Colour Image) | |
| Ophthalmoscopy | |
| 9581 |
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