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    Can You Guess October's Mystery Condition?

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    Make your diagnosis in the comments, and look for the answer in next month’s Blink.

    October 2019 Blink

     

    Last Month’s Blink

    Rosette-Shaped Cataract 

    Written by Diogo Lopes, MD, and Tomás Loureiro, MD. Photograph by Diogo Lopes, MD. Both are at Garcia De Orta Hospital, Lisbon, Portugal.

    A 71-year-old man with a history of dys­lipidemia and pulmonary tuberculosis presented with progressive, bilateral, dete­riorating vision that was worse in the left eye. His best-corrected visual acuity (BCVA) was 20/40 in the right eye and counting fingers at 3 feet in the left. Intraocular pressure was normal in both eyes.

    Slit-lamp examination after pharmacologic mydriasis revealed a nuclear cataract in the right eye and a rosette-shaped cataract in the left eye. Bilateral funduscopy was normal. When asked about any ocular injuries, he said that he had suffered blunt trauma to the left eye five years ear­lier. We performed phacoemulsification cataract surgery and IOL implantation in the left eye. One month later, we performed the same surgery in the right eye. After surgery, the BCVA was 20/20 in both eyes.

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