Rosette cataract thirty years after trauma

Abstract

A 48-year-old healthy woman presented with complaints of diminution of vision in the right eye (OD) for the last 8 months. She reported having undergone trauma to her OD at the age of 18. Visual acuity was 20/40 OD. The slit lamp biomicroscopy of the OD showed a central endonucleus cataract with white axial opacities organized in a distinctive Rosette pattern, forming six distinct quadrangular ´petals´ (yellow arrow) and a transparent outer epinuclear shell (blue arrow). Notably, the absence of zonular rupture differentiates it from a subluxated cataract. Cataracts with a Rosette or stellate-shaped appearance are typically seen in blunt or ocular injuries. Prior to surgery, patients must be checked for associated lesions, especially zonular dehiscence.