A 20-year-old woman with a history of myopic astigmatism and contact lens wear presented with redness and irritation in both eyes and was subsequently diagnosed with and treated for contact lens overwear. Incidentally, she was noted to have pastel-colored, bilateral, symmetrical cortical cataracts that were not affecting vision (best-corrected visual acuity was 20/20 OD and OS) (Figure). On further questioning, she recalled mention of her cataracts during previous eye examinations. She also reported that a relative had cataracts from a young age. Given the appearance, bilateral nature, and family history, her cataracts are most likely a variant of cerulean cataracts.
Provencher LM, Critser B, Johnson AT. Cerulean Cataract. JAMA Ophthalmol. 2018;136(12):e183150. doi:10.1001/jamaophthalmol.2018.3150
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