Blue dot cataract with Sutural cataract: A rare association and its management

Abstract

Cataracts are one of the leading causes of reversible blindness worldwide in the paediatric population. In general, paediatric cataracts significantly impact the child's visual development and their family, both emotionally and financially. However, certain developmental cataracts, like blue dot cataracts, are innocuous and will not cause visual morbidity. A sutural cataract involves the opacification of the anterior and posterior Y sutures, which can rarely affect vision. This is a case report of a 20-year-old male with vision loss, a rare association of blue dot cataract, sutural cataract, and significant astigmatism managed with uncomplicated phacoemulsification and Toric intra-ocular lens. Coexistence of blue dot cataracts with sutural cataracts is often rare, as is the presentation in the third decade of life with vision loss.

Keywords: astigmatism; blue dot cataract; developmental cataract; phacoemulsification; sutural cataract; toric lens.

Fig. 1

Slit lamp photo of the patient presenting classical blue and white opacities with a dense sutural cataract of the right eye (A. Diffuse illumination; B. Slit beam; C. Retro-illumination)