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The presence of cataracts in childhood or early life can occasionally be due to a particular syndrome.
Christmas tree cataract symptoms. 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.
Christmas tree cataracts also called polychromatic cataracts they form shiny colored crystals in your lens. Theyre most common in people who have a condition called myotonic dystrophy. A christmas tree cataract describes a cataract with a polychromatic iridescent crystalline appearance nuclear sclerotic changes also are evident in this patient.
Patients who have myotonic dystrophy can have christmas tree cataracts. Cataracts are most commonly associated with aging but other risk factors include uv b radiation smoking medications particularly steroids and trauma. Christmas tree cataract is a rare type of lens opacification which is usually age related though several cases have been seen in patients with myotonic dystrophy.
It consists of highly refractive multicoloured needle shaped opacities within the deep cortex of the lens 1. 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. Christmas tree cataract diffuse illumination the genetic component is strong in the development of cataracts most commonly through mechanisms that protect and maintain the lens.
