The unusual cataract: a case report
The present case has been published in Ophthalmology web. A 72-year-old woman was referred for a cataract consultation. The patient reported a gradual blurring of the vision in her right eye for the past year that noticeably deteriorated over the last 6 months. She now has difficulty reading the newspaper and seeing the captions on TV despite a recent update of her glasses prescription.

Her BSCVA was 20/60 OD and 20/20 OS. Pupillary response, extraocular motility, and confrontation visual fields were all normal. IOP measured 18 mm Hg OU.

Anterior segment exam revealed a moderate nuclear sclerotic and cortical spoking cataract OD and an early nuclear sclerotic cataract OS. A prominent conjunctival vessel was visible inferonasally, and the lens opacity was more prominent in that quadrant. Retroillumination of the lens showed a dark area from the 2:30 to 5:30 o’clock position. Upon further questioning, the patient noticed the large blood vessel for approximately one year.

Direct illumination at the slit lamp revealed a vascular retrolental mass. The patient was referred to a tumor specialist for further evaluation and treatment of a presumed ciliary body/choroidal melanoma.

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