Bilateral congenital cataract

Case contributed by Ammar Haouimi
Diagnosis probable


Leukocoria since birth. No developmental delay or neurological disorders.

Patient Data

Age: 4 months
Gender: Male

Increased thickness of the lens bilaterally measuring (6 mm) on the right and 5.5 mm on the left of slightly low signal on T1, and heterogeneous high signal on T2.

No enhancing retrolental mass or abnormal signal of the vitreous chambers.

Normal size and signal of the optic nerves and optic chiasma.

Mild enlargement of the sylvian fissures with no associated brain abnormalities which could be normal at this age.

Case Discussion

Increased thickness of the lenses with an abnormally low signal on T1 and high signal on T2, suggestive of bilateral congenital cataract.

This cas was discussed with the ophthalmologist who informed us that this child had an abnormal white retina bilaterally (leukocoria) since birth which is commonly seen in congenital cataract 1. The MRI was requested to rule-out retinoblastoma which is considered the cause of leukocoria up to 58%.



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