Lamellar cataracts. These cataracts can be identified by their discrete, round (lenticular) shape affecting one or more of the "rings" in the developing lens cortex. The opacities are larger in diameter than nuclear cataracts, typically 5 mm or more. They are always bilateral, but can be asymmetric in density. Whether symmetrical or asymmetrical, they are potentially amblyogenic. Lamellar opacities are usually acquired and can be inherited. These eyes are normal size and normal in corneal diameter. Because onset is usually after the child's fixation reflex has been established, the visual prognosis is typically excellent following surgery. (Focal points, AAO VOLUME XXIX NUMBER 2 MARCh 2011 (MODULE 2 Of 3))
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