Traumatic cataract

Case contributed by Vinay V Belaval , 6 Jun 2020
Diagnosis probable
Changed by Ammar Haouimi, 6 Jun 2020

Updates to Case Attributes

Presentation was changed:
History of blunt trauma to left orbit 2 months back. Reduced vision in the left eye since then.
Age changed from 22 years to 20 years.
Diagnostic Certainty was set to .
Body was changed:

Traumatic cataracts are diagnosed by reduced density of intraocular lens on CT scan. Mature cataracts can undergo calcifications.

Reduced density of the lens is thought to be due to the seepage of water into lens secondary to traumatic capsular tear, resulting in edemaoedema of lens and cataract formation.

  • -<p>Traumatic cataracts are diagnosed by reduced density of intraocular lens on CT scan. Mature cataracts can undergo calcifications.</p><p>Reduced density of the lens is thought to be due to seepage of water into lens secondary to traumatic capsular tear, resulting in edema of lens and cataract formation.</p>
  • +<p>Traumatic cataracts are diagnosed by reduced density of intraocular lens on CT scan. Mature cataracts can undergo calcifications.</p><p>Reduced density of the lens is thought to be due to the seepage of water into lens secondary to traumatic capsular tear, resulting in oedema of lens and cataract formation.</p>

References changed:

  • 1. Sung EK, Nadgir RN, Fujita A, et al. Injuries of the Globe: What Can the Radiologist Offer?. (2014) RadioGraphics. 34 (3): 764-76. <a href="https://doi.org/10.1148/rg.343135120">doi:10.1148/rg.343135120</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/24819794">Pubmed</a> <span class="ref_v4"></span>
  • 1.Edward K. Sung, Rohini N. Nadgir, Akifumi Fujita, Cory Siegel, Roya H. Ghafouri, Anastasia Traband, Osamu Sakai. Injuries of the Globe: What Can the Radiologist Offer?. (2014) RadioGraphics. 34 (3): 764-76. <a href="https://doi.org/10.1148/rg.343135120">doi:10.1148/rg.343135120</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/24819794">Pubmed</a> <span class="ref_v4"></span>

Updates to Study Attributes

Findings was changed:

Plain CT scan of orbits showshows reduced density of left intraocular lens (48 HU) as compared to the right intraocular lens (90 HU) with indistinct outlines. No calcifications.

Contours of both eye-globes are maintained. Bony orbital walls are intact.

These features in the setting of prior recent trauma and reduced vision, are consistent with a traumatic cataract of the left eye.

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