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| OPHTHALMIC IMAGE |
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| Year : 2021 | Volume
: 1
| Issue : 2 | Page : 162 |
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Feathery cataract
Syed Mohideen Abdul Khadar, Smital M Metange
Department of Vitreo-Retina, Aravind Eye Hospital, S. N. High Road, Vannarpettai, Tirunelveli, Tamil Nadu, India
| Date of Web Publication | 01-Apr-2021 |
Correspondence Address:
Dr. Smital M Metange
Aravind Eye Hospital, S. N. High Road, Vannarpettai, Tirunelveli - 627 001, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_3388_20
How to cite this article:
Khadar SA, Metange SM. Feathery cataract. Indian J Ophthalmol Case Rep 2021;1:162 |
Transient posterior subcapsular “feathery” cataract or gas desiccation cataract often presents within 24 h of surgery in vitrectomized gas-filled eyes due to the contact of tamponading gas with posterior surface of crystalline lens leading to the disruption of metabolic exchanges between the lens and aqueous.[1],[2] This can be avoided by leaving some anterior cortical vitreous behind the lens during vitrectomy and proper posturing of the patient post vitrectomy. Prolonged contact of gas bubble with the lens can result in permanent irreversible posterior subcapsular cataract and acceleration of nuclear opacification.[3] We report a case of a 24-year-old man who developed “feathery” cataract [Figure 1] post vitrectomy, internal limiting membrane peeling and air bubble injection in the left eye for the symptomatic secondary epiretinal membrane developed post laser for Familial Exudative Vitreoretinopathy. | Figure 1: Slit-lamp photograph of the left eye showing feather-like linear opacities in the posterior subcapsular cortex of the crystalline lens with clear demarcation of vitreal gas and fluid appreciated below the lenticular opacity in the image
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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
| References | |  |
| 1. | Petermeier K, Szurman P, Bartz-Schmidt UK, Gekeler F. Pathophysiologie der Katarakt-Entwicklung nach Vitrektomie [Pathophysiology of cataract formation after vitrectomy]. Klin Monbl Augenheilkd 2010;227:175-80.  |
| 2. | Hsuan JD, Brown NA, Bron AJ, Patel CK, Rosen PH. Posterior subcapsular and nuclear cataract after vitrectomy. J Cataract Refract Surg 2001;27:437-44. |
| 3. | Cheng L, Azen SP, El-Bradey MH, Scholz BM, Chaidhawangul S, Toyoguchi M, et al. Duration of vitrectomy and postoperative cataract in the vitrectomy for macular hole study. Am J Ophthalmol 2001;132:881-7. |
[Figure 1]
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