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| OPHTHALMIC IMAGE |
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| Year : 2020 | Volume
: 68
| Issue : 10 | Page : 2254 |
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Pinwheel cataract
Surbhi Khurana, Parul C Gupta, Jagat Ram
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| Date of Web Publication | 23-Sep-2020 |
Correspondence Address:
Prof. Jagat Ram
Advanced Eye Centre, PGIMER, Chandigarh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijo.IJO_857_20
How to cite this article:
Khurana S, Gupta PC, Ram J. Pinwheel cataract. Indian J Ophthalmol 2020;68:2254 |
A 35-year-old female presented with bilateral decreased vision since childhood, with best-corrected visual acuity 20/400 OU. Slit-lamp examination revealed posterior subcapsular cataract (PSC) OU. In the right eye, there was the presence of nine radial lenticular spikes, originating from posterior capsule's center, resembling a pinwheel's head [Figure 1]. Fundus examination revealed bilateral arteriolar attenuation with pigmented bony spicules in mid-periphery, diagnostic of Retinitis Pigmentosa (RP) OU. She was planned for cataract surgery OU. | Figure 1: Anterior-segment photograph of the right eye showing posterior subcapsular cataract resembling a head of pinwheel
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Intraocular inflammation, high myopia, asthma, or diabetes mellitus predispose patients of RP to PSC, the most common type of cataract seen in RP.[1],[2] Early cataract surgery is beneficial in patients with RP, with vast symptomatic relief in glare.[3]
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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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 | |  |
| 1. | Vasavada AR, Mamidipudi PR, Sharma PS. Morphology of and visual performance with posterior subcapsular cataract. J Cataract Refract Surg 2004;30:2097-104.  |
| 2. | Yoshida N, Ikeda Y, Murakami Y, Nakatake S, Fujiwara K, Notomi S, et al. Factors affecting visual acuity after cataract surgery in patients with retinitis pigmentosa. Ophthalmology 2015;122:903-8. |
| 3. | Jackson H, Garway-Heath D, Rosen P, Bird AC, Tuft SJ. Outcome of cataract surgery in patients with retinitis pigmentosa. Br J Ophthalmol 2001;85:936-8. |
[Figure 1]
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