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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 613

Spades prove enantiomorphism in congenital cataract


Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Amber Amar Bhayana
Dr R P Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_123_22

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How to cite this article:
Bhayana AA, Sharma V, Prasad P, Khokhar SK, Alam MS. Spades prove enantiomorphism in congenital cataract. Indian J Ophthalmol Case Rep 2022;2:613

How to cite this URL:
Bhayana AA, Sharma V, Prasad P, Khokhar SK, Alam MS. Spades prove enantiomorphism in congenital cataract. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 18];2:613. Available from: https://www.ijoreports.in/text.asp?2022/2/2/613/342872



A 7-year-old healthy male was found to have bilateral cataract [Figure 1]. Two morphologies were noted in either eye: first, a “spade” shaped posterior cortical opacity; and second, a “nuclear pulverulent” type. A congenital cataract (blue dot/zonular/pulverulent/nuclear/membranous/totally white)[1] is usually three-dimensionally symmetric in itself, such that if it exists bilaterally, it is actually enigmatous to call it bilaterally symmetrical, or these cataracts can secondly be completely irregular, making their comparison for similarity with their counter-eye difficult. Here we have a spade cataract in either eye, which in itself is not three-dimensionally symmetrical, but when compared to its fellow eye, is exactly a mirror image. We would like to conclude by describing a new spade-shaped congenital cataract and through it, document “literal-bilateral symmetricality” or “enantiomorphism”[2] among congenital cataracts.
Figure 1: Retro-illumination showing spade cataract in (a) right eye, (b) left eye; oblique illumination showing spade cataract in (c) right eye, (d) left eye; oblique illumination showing nuclear pulverulent cataract in (e) right eye, (f) left eye; anterior segment optical coherence tomography showing both morphologies in (g) right eye, (h) left eye

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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.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Khokhar SK, Pillay G, Dhull C, Agarwal E, Mahabir M, Aggarwal P. Pediatric cataract. Indian J Ophthalmol 2017;65:1340-9.  Back to cited text no. 1
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2.
Bhayana AA, Prasad P, Gupta A. Enantiomorphism-Cornea for a cornea, eye for an eye. Indian J Ophthalmol 2020;68:1181.  Back to cited text no. 2
    


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