ISSN: 2455-1414
Journal of Clinical Research and Ophthalmology
Clinical Image       Open Access      Peer-Reviewed

Congenital Unilateral Lamellar Cataract

Mohamed Abdallah Ould Hamed* and Mouzari Yassine

Departement of Ophtalmology, Med V Military Hospital of Rabat, Morocco
*Corresponding author: Mohamed Abdallah Ould Hamed, Department of Ophtalmology, Med V Military Hospital of Rabat, Morocco, Tel: +212655835932, E-mail: badahick@gmail.com
Received: 27 April, 2018 | Accepted: 21 May, 2018 | Published: 22 May, 2018
Keywords: Cataract; Lamellar Cataract; Zonular Cataract; Embryology

Cite this as

Ould Hamed MA, Yassine M (2018) Congenital Unilateral Lamellar Cataract. J Clin Res Ophthalmol 5(1): 013-013. DOI: 10.17352/2455-1414.000048

Lamellar or zonular cataract is a hereditary cataract that is transmitted in an autosomal dominant mode. The crystalline opacities are located at the level of the primary fibers in the embryonic nucleus. This cataract is usually bilateral and asymmetrical. Sometimes the whole nucleus can be affected causing a significant decrease in visual acuity. We report the case of a 19-year-old patient who was consulting for a decrease in visual acuity. Ophthalmic examination revealed unilateral lamellar cataract.

Clinical Image

Lamellar or zonular cataract is a hereditary cataract that has a variable phenotype. It is transmitted in an autosomal dominant mode [1,2]. The crystalline opacities are fine and dispersed and are located at the level of the primary fibers in the embryonic nucleus [2]. This cataract is usually bilateral and asymmetrical. Sometimes the whole nucleus can be affected causing a significant decrease in visual acuity [1].

We report the case of a 19-year-old patient who was consulting for a decrease in visual acuity. The patient had no notable pathological history. His visual acuity at Snellen chart was 4/10 in the right eye and 10/10 in the left eye. The slit lamp revealed a lamellar cataract on the right eye (Figure 1). The fundus was no particularity. The patient underwent cataract surgery with an intraocular implant. The operative follow-up was uneventful and the visual acuity has improved to 10/10.

  1. Bu L, Jin Y, Shi Y, Chu R, Ban A, et al. (2002) Mutant DNA-binding domain of HSF4 is associated with autosomal dominant lamellar and Marner cataract. Nat Genet 31: 276-278. Link: https://goo.gl/p9KW5J
  2. Patil B, Sharma R, Nayak B, Sinha G, Khokhar S (2015) Pediatric cataract. Delhi J Ophthalmol 25: 160-165. Link: https://goo.gl/c1sfQd
© 2018 Ould Hamed MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

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