Pediatric Anterior Pyramidal Polar Cataract

Abstract

A healthy infant girl presented with bilateral 1-mm anterior polar cataracts. Initial monitoring every 2 to 3 months was recommended, but she did not return until she was 16 months old, at which point the cataracts had prominent pyramidal growth with a significant cortical component (Figure). Her visual acuity was 0.64 cycle/cm OD using Teller acuity cards, and she would only fix and follow OS. The remainder of her examination was unremarkable, including B-scan ultrasonography of the posterior segment. She underwent lensectomy/anterior vitrectomy in each eye and used aphakic con-tact lenses. She was 3 years old at her last visit and had inconsistent follow-up and poor compliance with amblyopia management. Her visual acuity was 20/60 OD and 20/250 OS, complicated by a sensory left esotropia.Anterior pyramidal cataracts have been reported as unilateral or bilateral presentations at birth but may progress from typical polar opacities. There are no systemic associations. 1-3 Rarely, a spontaneous dehiscence of the pyramid into the anterior chamber may occur. 4,5

Changes in visual function and quality of life in patients with senile cataract following phacoemulsification

“…Fundus diseases primarily comprise macular thinning and vitreous turbidity, which can affect vision after cataract surgery by causing retinal vascular lesions in the macular area (10). In total, 67 eyes included in this study had fundus lesions.…”