Rare coevality of bilateral mixed morphology of developmental blue dot cataract with lamellar cataract

Shruthy Vaishali Ramesh; Prajnya Ray; Alexander Ebenezar; Prasanna Venkatesh Ramesh; Meena Kumari Ramesh; Ramesh Rajasekaran

doi:10.4103/tjosr.tjosr_186_21

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Year : 2022 \| Volume : 60 \| Issue : 4 \| Page : 325-327

Rare coevality of bilateral mixed morphology of developmental blue dot cataract with lamellar cataract Shruthy Vaishali Ramesh¹, Prajnya Ray², Alexander Ebenezar¹, Prasanna Venkatesh Ramesh³, Meena Kumari Ramesh¹, Ramesh Rajasekaran⁴ ¹ Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India ² Department of Optometry and Visual Science, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India ³ Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India ⁴ Department of Paediatric Ophthalmology and Strabismus, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India Correspondence Address: Prasanna Venkatesh Ramesh Mahathma Eye Hospital Private Limited, No. 6, Seshapuram, Tennur, Trichy – 620 017, Tamil Nadu India Source of Support: None, Conflict of Interest: None DOI: 10.4103/tjosr.tjosr_186_21

The development of a lens in intrauterine life reacts to any insults by losing its clarity and developing opacity, which manifests as congenital or developmental cataract. Developmental mixed morphology cataracts are seen when there is occurrence of multiple forms of cataracts in a single crystalline lens. Although the prevalence of mixed morphology cataract is 23%, this combination of blue dot cataract with lamellar cataract has never been reported in the literature before, as per our knowledge. The blue dot and lamellar cataracts develop in childhood and progress throughout life. Cataract extraction is rarely necessary before adulthood and is mainly managed with periodic cataract progression assessment. In this manuscript, we have studied the morphology of this mixed morphology cataract with anterior segment imaging tools to throw more light on their optical properties and densitometry.



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