Figure1: White cataract left eye
A 34 year male was referred with blurred vision in his left eye.
A 34 year old engineer was referred by his optometrist with blurred vision in the left eye which had been rapidly worsening over 4 months. His visual acuity was recorded at Right 6/5 and Left counting fingers. The examination demonstrated a white cataract in the left eye (Figure1). The right lens was clear.
What are the causes of unilateral cataract in a young adult?
- Fuch's heterochromic iritis
- Chronic uveitis
- Retinal detachment
- Steroid induced
Figure2: B scan ultrasound was performed to exclude a retinal detachment
Close inspectionrevealed subtleiris heterochromia (Figure 3) and stellate keratic precipitates.
Figure 3: There is subtle left iris hypochromia
Fuch’s Heterochromic Cyclitis
After informed consent the patient underwent routine cataract surgery in the left eye. He had a monofocal lens implant with refractive target for distance.
Day 1 visual acuity of 6/7.5-. Postoperatively he used a standard regime of chloramphenicol, dexamethasone (Maxidex) and ketorolac (Acular) post operatively. At one month postoperatively acuity was 6/6+. Despite loss of accommodative function in the left eye he was still able to manage near tasks without glasses due to his right eye which still had good accommodative function.