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Year : 2021  |  Volume : 1  |  Issue : 1  |  Page : 15

Anterior pyramidal polar cataract in an adult

1 Medical Consultant, Aravind Eye Hospital, Chennai, India
2 Medical Consultant - Uvea Services, Aravind Eye Hospital, Chennai, India
3 Chief, IOL and Cataract Services, Aravind Eye Hospital, Chennai, India

Date of Web Publication31-Dec-2020

Correspondence Address:
Dr. Paul E G Nithila
Aravind Eye Hospital, Poonamallee High Road, Noombal, Chennai - 600 077, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2310_20

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How to cite this article:
Nithila PE, Anthony E, Haripriya A. Anterior pyramidal polar cataract in an adult. Indian J Ophthalmol Case Rep 2021;1:15

How to cite this URL:
Nithila PE, Anthony E, Haripriya A. Anterior pyramidal polar cataract in an adult. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Feb 27];1:15. Available from: https://www.ijoreports.in/text.asp?2021/1/1/15/305520

A 46-year-old female presented with bilateral anterior pyramidal polar cataract [Figure 1]a which has previously been reported only in children.[1] Best-corrected visual acuity was positive light perception but inaccurate projection of rays, in the right eye and 20/200 in the left eye. Ultrasound biomicroscopy confirmed the findings [Figure 1]b.
Figure 1: Anterior pyramidal polar cataract (a). Ultrasound bio microscopy image showing a pyramidal elevation around 1 mm arising from the anterior surface of the lens capsule (b)

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She underwent phacoemulsification with intraocular lens implantation in the left eye. Her postoperative best-corrected visual acuity was 20/30. The right eye however was amblyopic in concordance with previous reports.[2]

This case is shared because of its unusual presentation in adulthood.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Xu WW, Kurup SP. Pediatric anterior pyramidal polar cataract. JAMA Ophthalmol 2017;135:e171441.  Back to cited text no. 1
DT Wheeler, Mullaney PB, Awad A, Zwaan J. Pyramidal anterior polar cataracts. Ophthalmology 1999;106:2362-7.  Back to cited text no. 2


  [Figure 1]


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