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Christmas tree cataract. Christmas tree cataract is typically idiopathic or associated with myotonic dystrophy. Because the cataract did not cause a significant decrease in vision it was not removed but monitored for progression. Send us your ophthalmic image and its explanation in 150 250 words.
A 70 year old man referred for cataract surgery had on examination a palette of colored needle shaped opacities in the cortex and anterior nucleus of the lens consistent with unilateral christmas tree cataract. This type of cataract result from the accelerated breakdown of membrane associated proteins. Christmas tree cataract diffuse illumination of a 70 years old male.
Also known as a christmas tree cataract these consist of highly reflective iridescent corneal crystals of various colors. They may be seen as a rare variant of senile cataractous development and they are also found with a higher prevalence in patients with. A 73 year old woman referred for cataract surgery had on examination a left christmas tree cataract fig 1a.
Highly reflective iridescent polychromatic crystals were noted within the lens. Their colours varied according to the angle of the incident light fig 1b c. Ctc is a rare type of cataract.
It varies from other cataracts that show some amount of different colours of the crystalline lens like the posterior subcapsular cataract or the complicated cataract in that it shows a spectacular display of multiple colours that glitters with the change of incident light like an illuminated christmas tree. The christmas tree cataract is a rare type of lens opacification characterized by deposits of needle shaped polychromatic cortex deep in the core that can be isolated or associated with other. Cataract combined with christmas tree decoration crystals in the lens is a relatively rare but very impressing cataract formation.
The aim of this controlled study was to give an answer to the question whether cholesterol level in blood is as important for local cholesterol accumulation in the lens as it is for the mechanism of arteriosclerosis. Sparkling cataract opacities also known as christmas tree cataracts have been described as glittering multicoloured and of polychromic lustre proposed causes include defective lens metabolism cholesterol formation cystine accumulations. Myotonic dystrophy and cataract.
Typically the cataract first appears in the outer layers at the back of the lens as very fine dust like particles that can have a brightly coloured appearance picture 1. At this early stage it is often called a christmas tree cataract because of its resemblance to the coloured lights on a christmas tree. Cataract with fine dust like opacities on the outer layers of the lens that are highly colored and iridescent producing a christmas tree appearance.
