Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 2087
  • Home
  • Print this page
  • Email this page

   Table of Contents      
Year : 1985  |  Volume : 33  |  Issue : 1  |  Page : 51-52

Anterior dislocation of the pyramidal part of a congenital cataract

Department of Ophthalmology, Christian Medical College, Vellore, India

Correspondence Address:
Ravi Thomas
Department of Ophthalmology, C.M.C. Vellore 632 001
Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 3878332

Rights and PermissionsRights and Permissions

How to cite this article:
Thomas R, Santhan Gopal K S, George JA. Anterior dislocation of the pyramidal part of a congenital cataract. Indian J Ophthalmol 1985;33:51-2

How to cite this URL:
Thomas R, Santhan Gopal K S, George JA. Anterior dislocation of the pyramidal part of a congenital cataract. Indian J Ophthalmol [serial online] 1985 [cited 2021 Mar 4];33:51-2. Available from: https://www.ijo.in/text.asp?1985/33/1/51/27333

Opacities at the anterior pole of the lens are relatively common. They may occur as congenital defects or postnatally as a sequel to ulceration of the cornea.

These cataracts may assume a pyramidal from projecting into the anterior chamber. The opacity usually extends backwards into the lens, but a clear area may separate the pyramid from the lenticular opacity-the reduplicated cataract. Such cases are usually bilateral and symmetrical[1].

We are reporting a case of dislocation of the pyramidal part of a reduplicated cataract into the anterior chamber.

  Case report Top

Mr. M. 30 year old male presented to us with complaints of gradual diminution of vision both eyes for five years and watering from the left eye for one year. He was not aware of any diminution of vision, prior to this and gave no history of trauma to the eyes or any inflammatory symptoms in the past.

On examination vision was 6/18 O.D. and hand movement close to face O.S. with an accurate projection of light. The right eye had a pyramidal cataract and blue dot opacities of the lens [Figure - 1] The left eye had an exotropia of 15° and did not take up fixation. Pressure over the sac on this side revealed regurgitation of mucopus.

There was a rounded white opaque mass about 3 mm x 4 mm lying in the bottom of the anterior chamber which was otherwise clear [Figure - 2]. There was a spot of brown pigment on the anterior surface of this mass. The superficial aspect of the lens was clear but there was an imprint opacity in the cortex and a la mellar cataract.

The media were very hazy in left eye due to the lens changes, but indirect ophthalmoscopy showed an atrophic lesion in the macula with pigmented borders.

The tension in both eyes was 17.3 mmHg (Schiotz). Retinoscopy could not be done in the left eye. The vision in right eye failed to improve with refraction (+3.5 D. sph). The patient was advised to come for investiga­tion and a dacryocystorhinostomy for the left eye, but failed to keep his appointment.

  Discussion Top

Although dislocation of the lens cr nucleus into anterior chamber is a common enough clinical presentation, we have never seen a case of dislocation of the pyramidal part of an imprint cataract into the anterior chamber, and to the best of our knowledge has not been described before.

In cases of anterior polar cataract causing considerable diminution of vision the cataract has been detached with a knife and subse­quently extracted from the anterior chamber with forceps[2].

In our patient, the dislocation caused no reaction to the eye. We were planning to do a dacryocystorhinostomy and keeping him under regular observation but he did not return for surgery.

  Summary Top

A patient presented to us with complaints of gradual diminution of vision in both the eyes and watering from left eye. He was found to have a pyramidal cataract in the right eye. In the left eye, he had an imprint cataract, the pyramidal portion of which was dislocated into and lying in the bottom of the anterior chamber.

  References Top

Duke-Elder, S.. 1964, System of Ophthalmology St. Louis, C.V. Mosby Co. Vol. III Part II, P. 720.  Back to cited text no. 1
Selinger, 1932, Arch. Ophthalmol. (Chicago), 7 : 109   Back to cited text no. 2


  [Figure - 1], [Figure - 2]

This article has been cited by
1 Corneal edema caused by a pyramidal anterior polar cataract dislocated to the anterior chamber - Case Report | [Catarata polar anterior piramidal deslocada para a câmara anterior causando edema de córnea - Relato de caso]
Ghanem, R.C., Ghanem, V.C., Ghanem, E.A.
Arquivos Brasileiros de Oftalmologia. 2004; 67(4): 645-647
2 The morphology and natural history of childhood cataracts
Amaya, L., Taylor, D., Russell-Eggitt, I., Nischal, K.K., Lengyel, D.
Survey of Ophthalmology. 2003; 48(2): 125-144
3 Corneal edema with dislocated anterior polar cataract
Shah, U.N., Garg, P., Vemuganti, G.K.
American Journal of Ophthalmology. 2002; 133(3): 399-401
4 Pyramidal anterior polar cataracts
Wheeler, D.T., Mullaney, P.B., Awad, A., Zwaan, J.
Ophthalmology. 1999; 106(12): 2362-2367
5 The Doyne Lecture. Congenital cataract: The history, the nature and the practice
Taylor, D.
Eye. 1998; 12(1): 9-36


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article
Case report
Article Figures

 Article Access Statistics
    PDF Downloaded0    
    Comments [Add]    
    Cited by others 5    

Recommend this journal