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    Intriguing Images/Cases: Alphabet Opacity (Sutural Cataract)

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    BOHR International Journal of Current Research in Optometry and Ophthalmology (BIJCROO)
    The document reports on a case of a 15-year-old female found to have an uncommon Y-shaped sutural cataract in her left eye during a routine eye exam, which follows the sutures of the lens nucleus and is usually congenital and hereditary but does not typically affect vision or progress. Sutural cataracts are often an incidental finding and have been associated with Nance-Horan syndrome in female carriers.

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    Intriguing Images/Cases: Alphabet Opacity (Sutural Cataract)

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    BOHR International Journal of Current Research in Optometry and Ophthalmology (BIJCROO)
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    The document reports on a case of a 15-year-old female found to have an uncommon Y-shaped sutural cataract in her left eye during a routine eye exam, which follows the sutures of the lens nucleus and is usually congenital and hereditary but does not typically affect vision or progress. Sutural cataracts are often an incidental finding and have been associated with Nance-Horan syndrome in female carriers.

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    Sutural, congenital, rare.

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    The document reports on a case of a 15-year-old female found to have an uncommon Y-shaped sutural cataract in her left eye during a routine eye exam, which follows the sutures of the lens nucleus and is usually congenital and hereditary but does not typically affect vision or progress. Sutural cataracts are often an incidental finding and have been associated with Nance-Horan syndrome in female carriers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views2 pages

    Intriguing Images/Cases: Alphabet Opacity (Sutural Cataract)

    Uploaded by

    BOHR International Journal of Current Research in Optometry and Ophthalmology (BIJCROO)
    The document reports on a case of a 15-year-old female found to have an uncommon Y-shaped sutural cataract in her left eye during a routine eye exam, which follows the sutures of the lens nucleus and is usually congenital and hereditary but does not typically affect vision or progress. Sutural cataracts are often an incidental finding and have been associated with Nance-Horan syndrome in female carriers.

    Copyright:

    © All Rights Reserved
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    of 2

    BOHR International Journal of Current Research in Optometry and Ophthalmology

    2022, Vol. 1, No. 1, pp. 29–30


    https://doi.org/10.54646/bijcroo.009
    www.bohrpub.com

    Intriguing Images/Cases: Alphabet Opacity (Sutural Cataract)


    Dr. Anubhav Chauhan∗ (M.S Ophthalmology), Medical Officer (Specialist) and
    Dr. Deepak Kumar Sharma (M.S Ophthalmology) Assistant Professor

    Deptt. of Ophthalmology, Shri Lal Bahadur Shastri Government Medical College and Hospital, Nerchowk,
    Distt. Mandi, Himachal Pradesh, India
    ∗ Corresponding author: chauhan.anubhav2@gmail.com

    Abstract. We report an accidental finding of a classic Y shaped sutural(congenital) cataract in a 15-year-old female
    who came for routine ocular checkup.
    Keywords: Sutural, congenital, rare.

    Introduction
    Pediatric cataract has an estimated prevalence of three to
    six per 10,000 live births. It is one of the major causes of pre-
    ventable blindness in childhood. Approximately 200,000
    children worldwide are affected by this disease [1].

    Case
    A 15-year-old female visited us for routine ocular check
    up. Her best-corrected visual acuity was 6/6 in the right
    eye and 6/12 in the left eye. There was no significant peri-
    natal, medical, surgical, family, traumatic or drug abuse
    history. On slit lamp examination, there was presence of
    Y-shaped lenticular opacities which followed the sutures
    of lens nucleus in the left eye [Figure 1]. Rest of her ocu- Figure 1. Sutural cataract.
    lar examination was within normal limits. Her paediatric
    examination did not reveal any systemic disease.
    They are often an accidental finding on routine ocular
    examination. They have been described in female carriers
    of Nance–Horan syndrome, with the affected males having
    Discussion a visually significant cataract [5].

    Pediatric cataracts are called congenital if they are present Source of Support: none.
    within the first year of life and developmental if present The paper being submitted has not been published, simul-
    after infancy [2]. Sutural cataract is an uncommon lentic- taneously submitted, or already accepted for publication
    ular opacitiy which is usually congenital and hereditary elsewhere.
    with X-linked transmission [3]. It is in the form of a ‘Y’ fol-
    lowing the sutures of the lens. This cataract does not cause Conflicts of Interest: The authors declare that they have no
    a significant decrease in vision and neither it progresses [4]. competing interest.

    29
    30 Anubhav Chauhan and Deepak Kumar Sharma

    Financial Disclosure(s): The authors have no proprietary [2] Medsinge A, Nischal KK. Pediatric cataract: challenges and future
    or commercial interest in any material discussed in this directions. Clinical Ophthalmology 2015;9:77–90.
    [3] Moutei H, Abdellaoui M. Sutural cataract. Pan African Medical Jour-
    article. nal 2020; 36:34. doi: 10.11604/pamj.2020.36.34.18792.
    [4] Sukhija J, Kaur S. Congenital sutural cataract. N Engl J Med 2014;
    371:e27.
    [5] Ding X, Patel M, Herzlich AA, Sieving PC, Chan CC. Ophthalmic
    References pathology of Nance-Horan syndrome: case report and review of the
    literature. Ophthalmic Genet. 2009;30(3):127–135.
    [1] Holmes JM, Leske DA, Burke JP, Hodge DO. Birth prevalence of
    visually significant infantile cataract in a defined US population. Oph-
    thalmic Epidemiol. 2003;10(2):67–74.

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