A 13-year-old girl presented with a 4-month history of diminution of vision in both eyes. The best corrected distance visual acuity was 20/30 OU. Diffuse light examination on slit lamp revealed bluish white tiny opacities throughout the lens forming concentric layers in both eyes (figure 1A). Detailed slit examination highlighted opacities of various colours: white, blue, greenish-blue, grey and red (figure 1B). The posterior segment was unremarkable in both eyes. Her brother also had similar lenticular opacities suggestive of cerulean cataract. Though the child did not complain of other visual disturbances, glare and contrast sensitivity might also be tested. A regular follow-up was advised.
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