Petaloid Cataract
A 30-year-old man presented with progressively deteriorating vision in the left eye. Three months earlier, he had sustained a concussion along with blunt trauma to the left eye in a collision with a motor vehicle that occurred while he was riding a bicycle without wearing a helmet. On ocular examination at this presentation, his best corrected visual acuity was found to be 20/20 in the right eye and 20/40 in the left eye. The intraocular pressure was 12 mm Hg in both eyes. Slit-lamp examination with pupillary dilation revealed white opacities in the form of decagonal “petals” in the left eye. Each petal had a dense margin and was separated by a linear suture line. The fundus and retinal periphery were normal in both eyes. The patient was advised to undergo cataract surgery with intraocular lens implantation; he has not undergone the procedure. The petaloid cataract is classically seen in patients who have had blunt trauma to the eye.
