Traumatic cataract in a young patient with myopia

Area of Science:

• Ophthalmology
• Corneal and Refractive Surgery
• Traumatic Eye Injury

Background:

• A 36-year-old professional photographer presented with gradually worsening vision in his right eye.
• The vision loss was attributed to a traumatic cataract, a result of a childhood eye injury from a badminton shuttle.
• The patient experienced contact lens intolerance due to allergies, limiting correction options.

Observation:

• Slit-lamp examination revealed an anterior subcapsular star-like cataract in the right eye.
• Refractive error was -4.25 -2.00 × 115 in the right eye and -5.50 -1.50 × 57 in the left eye.
• Axial length and anterior chamber depth were measured, along with keratometric and Scheimpflug tomographic astigmatism.

Findings:

• The patient desired a treatment enabling both close-up work (camera buttons) and distance viewing (scenery).
• The cataract was anterior subcapsular, without signs of zonulolysis.
• Significant astigmatism was noted in both eyes, requiring careful consideration for surgical correction.

Implications:

• This case highlights the complex visual demands of a professional photographer with traumatic cataract.
• Management requires balancing refractive correction, astigmatism, and the patient's specific occupational needs.
• Finding a solution that restores functional vision for diverse tasks is crucial for maintaining the patient's career.