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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 848

'Double amaryllis white nymph' shaped traumatic double rosette cataract - An intriguing image!


1 Medical Officer, Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
2 Director, Department of Glaucoma, Sathyan Eye Care Hospital and Coimbatore Glaucoma Foundation, Coimbatore, Tamil Nadu, India
3 Consultant Optometrist, Department of Optometry and Visual Science, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
4 Medical Officer, Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
5 Senior Medical Officer, Department of Medical Retina, Sathyan Eye Care Hospital and Coimbatore Glaucoma Foundation, Coimbatore, Tamil Nadu, India

Date of Web Publication16-Jul-2022

Correspondence Address:
Dr. Prasanna V Ramesh
Mahathma Eye Hospital Private Limited, No. 6, Seshapuram, Tennur, Trichy - 620 017, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_818_22

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How to cite this article:
Ramesh PV, Parthasarathi S, Ray P, Devadas AK, Ramesh SV, Sathyan P. 'Double amaryllis white nymph' shaped traumatic double rosette cataract - An intriguing image!. Indian J Ophthalmol Case Rep 2022;2:848

How to cite this URL:
Ramesh PV, Parthasarathi S, Ray P, Devadas AK, Ramesh SV, Sathyan P. 'Double amaryllis white nymph' shaped traumatic double rosette cataract - An intriguing image!. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 19];2:848. Available from: https://www.ijoreports.in/text.asp?2022/2/3/848/351216



A 30-year-old male patient presented with defective vision post-trauma to the left eye (OS). His best corrected visual acuity (BCVA) was 20/50 OS. Examination revealed a very rare double rosette cataract in the shape of a “Double Amaryllis White Nymph” [Figure 1]. Amaryllis White Lymph flower features extra-large, peony-shaped, and pure white blooms. Double Amaryllis White Nymph is a rare and unusual variety in which a “double” flower is produced. In essence, what you have is a flower within a flower, visually mimicking the double rosette cataract reported in this manuscript.
Figure 1: The slit lamp biomicroscope image of the left eye shows “Double Amaryllis White Nymph” shaped milky white axial opacities suggestive of subcapsular opacification of the lens in a stellate fashion in two consecutive layers, which is depicted as a double rosette cataract

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Rosette cataracts are usually a feature of blunt trauma and are rarely seen in diabetic patients.[1],[2],[3] Double rosette cataract has been reported only once in the literature; however, that patient did not have a history of trauma, whereas our case had.[4] Anterior segment imaging is mandatory to assess the morphology of these cataracts for optimizing phacoemulsification settings preoperatively, rather than intraoperative adjustments, because they play a crucial role in the final visual outcome.[5]

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.
Ramkumar H, Basti S. Reversal of bilateral rosette cataracts with glycemic control. ScientificWorldJournal 2008;8:1150-1.  Back to cited text no. 1
    
2.
Singh RB, Thakur S, Ichhpujani P. Traumatic rosette cataract. BMJ Case Rep 2018;11:e227465. doi: 10.1136/bcr-2018-227465.  Back to cited text no. 2
    
3.
Shah MA, Shah SM, Shah SB, Patel CG, Patel UA. Morphology of traumatic cataract: Does it play a role in final visual outcome? BMJ Open 2011;1:e000060. doi: 10.1136/bmjopen-2011-000060.  Back to cited text no. 3
    
4.
Sethi A, Ramasubramanian S. Double rosette cataract: A striking image! Indian J Ophthalmol 2019;67:124-5.  Back to cited text no. 4
    
5.
Ramesh PV, Ramesh SV, Rajasekaran R, Ramesh MK. Lights, camera, action: Sparkling and twinkling X-mass tree cataract through the eyes of a Scheimpflug imaging and anterior segment optical coherence tomography. Indian J Ophthalmol Case Rep 2021;1:399-400.  Back to cited text no. 5
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