Eye Mirror You -Twinning Cataracts

A 10-year-old male was brought to the hospital with complaints of defective vision in both eyes. Uncorrected visual acuity was 6/9 in the right eye and 6/18 in the left eye, with a best-corrected visual acuity of 6/6 in both eyes. A dilated slit-lamp examination revealed Eye mirror-Twinning cataracts: a 1.5 mm × 2 mm cataract in the superonasal quadrant of the right eye, extending from the 1 to 2 o clock position [Figure 1a and b], and a 2 mm × 3 mm cataract in the left eye, mirroring the right eye’s cataract in the superonasal quadrant, extending from the 10 to 11 o’clock position [Figure 1c, d]. Intraocular pressure was normal in both eyes. He was advised to wear best-corrected glasses. Observation and six-monthly follow-up was advised for the cataract because the visual axis was clear in both eyes. Regular monitoring of cataract progression is important in such paediatric cases to preserve long-term visual function.Figure 1: (a and b) cataract in the superonasal quadrant of RE. (b and c) cataract in the LE mirroring the RE cataractDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.