Sporadic zonular cataract found by scleral penetration

Chia-Yi Lee; Hung-Ta Chen; Yi-Jen Hsueh; Hung-Chi Chen; Yaa-Jyuhn James Meir; Wei-Chi Wu

doi:10.1016/j.ajoc.2021.101101

Sporadic zonular cataract found by scleral penetration

Am J Ophthalmol Case Rep. 2021 May 6:22:101101. doi: 10.1016/j.ajoc.2021.101101. eCollection 2021 Jun.

Authors

Chia-Yi Lee¹, Hung-Ta Chen², Yi-Jen Hsueh^{3

4}, Hung-Chi Chen^{3

4

5}, Yaa-Jyuhn James Meir⁶, Wei-Chi Wu^{4

5}

Affiliations

¹ Department of Ophthalmology, Show Chwan Memorial Hospital, Changhua, Taiwan.
² Department of Internal Medicine, Taipei City Hospital- Heping Branch, Taipei, Taiwan.
³ Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan.
⁴ Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Taiwan.
⁵ Department of Medicine, College of Medicine Chang Gung University, Taoyuan, Taiwan.
⁶ Department of Biomedical Sciences, College of Medicine Chang Gung University, Taiyuan, Taiwan.

Abstract

Purpose: To present a case of bilateral zonular cataract without visual deterioration.

Observation: A 41-year-old Taiwanese Han male presented with severe left ocular pain after being hit by iron filings while working. The iron dust was removed in a local hospital but due to a scleral laceration diagnosis he was referred to our hospital for further management. On examination, best-corrected visual acuity (BCVA) of 20/25 in the right eye and 20/200 in the left eye were obtained, while the before BCVA was 20/25 in the both eyes. The slit-lamp biomicroscopy demonstrated bilateral zonular cataract and left scleral full-thickness laceration with vitreous prolapse. The scleral suture procedure was then performed smoothly and the patient discharged three days later with BCVA in the left eye recovered to 20/30.

Conclusion and importance: The bilateral zonular cataract without associated systemic disorder is a rare form, which may be found incidentally with no visual symptoms.

Keywords: Sporadic; Trauma; Visual acuity; Zonular cataract.

Publication types

Case Reports