PGCFA Knowledgebase

Anterior Polar Cataracts

Article ID: 11
Last updated: 14 Aug, 2017
Revision: 1
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Question

My infant was born with bi-lateral anterior polar cataracts, the ophthalmologist has indicated that surgery will not be necessary because they are of similar size and location in each eye; probably the size of a . however, I'm concerned because they are dead-center in her pupils, it seems unlikely to me that her eyes will be able to articulate fine visual detail due to the cataract obstructing the light that would have instead directly fallen on her fovea.  We're debating on getting a second opinion and are also concerned that it may be associated with something more systemic.

Answer

Although it is difficult to know for sure without actually seeing your child, the story makes sense. Anterior dot polar cataracts are usually centrally but so small as to be visually insignificant. In an otherwise well child they are almost always not associated with a syndrome.

Alex V. Levin, MD, MHSc, FRCSC
Chief, Pediatric Ophthalmology and Ocular Genetics
Robison D. Harley, MD Endowed Chair in Pediatric Ophthalmology and Ocular Genetics
Wills Eye Hospital, Ste. 1210
840 Walnut Street                    
Philadelphia, PA 19107-5109

Chair, Scientific Advisory Board
Pediatric Glaucoma and Cataract Family Association
 

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