|Year : 2019 | Volume
| Issue : 1 | Page : 124-125
Double rosette cataract: A striking image!
Aditya Sethi, Srikanth Ramasubramanian
Department of Pediatric Ophthalmology and Strabismus, Sankara Nethralaya, Chennai, Tamil Nadu, India
|Date of Submission||04-Jun-2018|
|Date of Acceptance||22-Aug-2018|
|Date of Web Publication||21-Dec-2018|
Dr. Aditya Sethi
Consultant Pediatric Ophthalmology, Arunodaya Deseret Eye Hospital, Plot NH4, Sector 55, Gurgaon, Haryana - 122011
Source of Support: None, Conflict of Interest: None
Keywords: Cataract, double petal, double rosette, stellate cataract
|How to cite this article:|
Sethi A, Ramasubramanian S. Double rosette cataract: A striking image!. Indian J Ophthalmol 2019;67:124-5
| Case Report|| |
A 56-year-old male patient came to us to our out patient department (OPD) with complaints of diminution of vision in the left eye since the last 1 year. He gave no history of any glare or difficulty at night. He did not have any relevant past history of any trauma (blunt or subtle, even after repeated questioning) nor of any ocular or systemic disease. He gave no significant personal history, was not a smoker, or gave no drug addiction history. He was a spectacle wearer using a bifocal with distance correction +1.00 Dioptre Sphere (DS) in both eyes and a near correction of +2.50DS in both eyes. His best corrected visual acuity (BCVA) was right eye (oculus dexter) (OD) 6/6, N6 and left eye (oculus sinister) (OS) 6/18, N6. On examination he was found to have a “double rosette cataract” in the left eye [Figure 1], [Figure 2], [Figure 3], with early lens changes in the right eye. Gonioscopy, indirect ophthalmoscopy, and ultrasound biomicroscopy (UBM) were carried out to rule out any signs of subtle trauma, and revealed no significant abnormality. The remaining examination did not reveal any significant findings. Furthermore, on examining his sibling and children no signs of any developmental cataract or similar lens abnormalities were noted. Suggesting that there was no significant family history suggestive of a similar “double rosette cataract,” thereby ruling out any familial or hereditary traits.
|Figure 1: Diffuse illumination view of the left eye's double rosette cataract|
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|Figure 3: Retroillumination view of the left eye's double rosette cataract|
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| Discussion|| |
Rosette or stellate-shaped cataracts are associated with blunt injury of the eye. Our patient gave no such history of any trauma, any systemic illness, metabolic disease, drug use, or any other significant history leading to this type of cataract. Rosette cataracts are also associated with diabetes mellitus.
| Conclusion|| |
Double rosette type of cataract with no history of any trauma or systemic illness has never been reported in the literature before. We present a case of double rosette cataract found incidentally in our clinic.
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
Conflicts of interest
There are no conflicts of interest.
| References|| |
Fyodorov SN, Egorova EV, Zubareva LN. 1004 cases of traumatic cataract surgery with implantation of an intraocular lens. J Am Intraocul Implant Soc 1981;7:147-53.
Ramkumar H, Basti S. Reversal of bilateral rosette cataracts with glycemic control. ScientificWorldJournal 2008;8:1150-1.
[Figure 1], [Figure 2], [Figure 3]