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Ophthalmology and Visual Sciences

Oil droplet cataract

Oil droplet cataract

Category(ies): Cataract, Lens
Contributor: Andrew Doan, MD, PhD

The patient was a 57-year-old man with vision loss in the right eye (OD) greater than left eye (OS) in the setting of a craniopharyngioma, which was resected 16 years prior. His visual acuity had been no light perception OD and 20/20 OS since the procedure.

Retinoscopy shows oil droplet cataract
45-year-old with slow, progressive loss of vision in both eyes (20/200). Pinholes to 20/25 but cannot be refracted. Retinoscopy shows oil droplet cataract. Slit lamp shows a black, empty space between lens cortex and lens nucleus. Difficult to see without looking at the red reflex.