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Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2254

Pinwheel cataract

Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication23-Sep-2020

Correspondence Address:
Prof. Jagat Ram
Advanced Eye Centre, PGIMER, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_857_20

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How to cite this article:
Khurana S, Gupta PC, Ram J. Pinwheel cataract. Indian J Ophthalmol 2020;68:2254

How to cite this URL:
Khurana S, Gupta PC, Ram J. Pinwheel cataract. Indian J Ophthalmol [serial online] 2020 [cited 2021 Jan 25];68:2254. Available from: https://www.ijo.in/text.asp?2020/68/10/2254/295763

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Vasavada AR, Mamidipudi PR, Sharma PS. Morphology of and visual performance with posterior subcapsular cataract. J Cataract Refract Surg 2004;30:2097-104.  Back to cited text no. 1
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.  Back to cited text no. 2
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.  Back to cited text no. 3


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