|Year : 2019 | Volume
| Issue : 8 | Page : 1342
Scheimpflug imaging in Christmas tree cataract
Sonam Yangzes, Surinder Singh Pandav, Jagat Ram
Post Graduate Institute of Medical Education and Research, Chandigarh, India
|Date of Web Publication||22-Jul-2019|
Dr. Jagat Ram
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Yangzes S, Pandav SS, Ram J. Scheimpflug imaging in Christmas tree cataract. Indian J Ophthalmol 2019;67:1342
A 74-year-old man, known case of glaucoma, presented for a routine eye check-up. His best-corrected visual acuity in the right eye was 6/9 and the left eye was 6/12. His intraocular pressures were 14 in the right eye and 16 in the left eye on travoprost 0.004%. On slit lamp examination, we noticed atypical lenticular opacities in the left eye. There was the presence of multiple iridescent needle-shaped crystals in anterior lens stroma [Figure 1]a. The multicoloured crystals were reminiscent of a Christmas tree. Pentacam Scheimpflug imaging revealed hyper-reflective shadows in the cortical and nuclear lens matter [Figure 1]b. Christmas tree cataract is a rare type of cataract with an unclear mechanism of formation., Association with myotonic dystrophy is reported in the literature. Our patient's neurological examination was normal, and he was advised follow-up since he was comfortable with his vision.
|Figure 1: (a) Anterior segment photograph of the left eye showing the presence of multiple polychromatic needle-shaped crystals in the lens giving an appearance of a lit-up Christmas tree. (b) Scheimpflug image of the left eye showing multiple hyper-reflective shadows in the anterior lens stroma|
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| References|| |
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Shun-Shin GA, Vrensen GF, Brown NP, Willekens B, Smeets MH, Bron AJ. Morphologic characteristics and chemical composition of Christmas tree cataract. Invest Ophthalmol Vis Sci 1993;34:3489-96.
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