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Congenital Blue Dot Cataract

  • Also called cataracta punctata caerulea
  • Not uncommon
  • Clinical features:
    • Often found as an incidental finding during routine ocular examination
    • Symptoms:
      • Asymptomatic
      • Patient may develop cataract at an adult younger age
    • Signs:
      • Discrete punctuate bluish opacities throughout the cortex
      • Classified as coronary cataract if the opacities occur in a ring configuration near the lens equator
  • Management: observation if not visually significant

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