Dr. Angira
Resident, RG KAR MEDICAL COLLEGE HOSPITAL
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Cataract Refractive › Congenital cataract
Sutural Cataract
Case Summary: Sutural Cataract A 23-year-old female presented with a mild, painless decrease in visual acuity. Slit-lamp biomicroscopy revealed characteristic Y-shaped opacities localized along the Y-sutures of the fetal nucleus, with a clear surrounding cortex. Dilated fundus examination was within normal limits in both eyes. Given the stationary, non-progressive nature of congenital sutural cataracts and minimal visual impairment, no surgical intervention (phacoemulsification) is indicated. The patient was managed conservatively with refractive error correction, patient reassurance regarding the benign nature of the condition, and advised annual follow-up.
Cornea › Dry eye disease
Isolated bulbar conjunctival telangiectasia
An incidental finding of localized, dilated, and tortuous capillary loops (telangiectasia) was noted on the bulbar conjunctiva during routine slit-lamp biomicroscopy. The patient is completely asymptomatic, denying any history of localized ocular trauma, chronic topical medication use, or contact lens wear. Systemically, the patient has no known comorbidities, with no history of hypertension, diabetes, bleeding diathesis, or family history suggestive of vascular malformations. The surrounding conjunctiva is quiet without signs of inflammation, mass lesions, or ciliary congestion. Both the intraocular pressure and posterior segment evaluation are entirely unremarkable, ruling out associated retinal vascular changes.