A young-adult female with history of myopic LASIK presented for a baseline examination and manifest refraction. She did not have vision complaints. Her examination demonstrated mild-moderate peripheral club-shaped cortical flecks in a crown like distribution surrounding the lens nucleus. Coronary cataracts are defined as “a type of cataract characterized by club-shaped and dot opacities distributed radially in the deep cortex. These lens opacities surround the nucleus in an appearance that is thought to resemble a crown.” They are typically not visually significant.
The patient was a 23-year-old Indian female. According to Sautter in Velhagen's Der Augenarzt, the coronary cataract is classified under juvenile cataracts. It develops during puberty and after the age of 20 years it can be found in a significant percentage of the population.The cerulean cataract and the coronary cataract have similarities.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
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