A 64-year-old man was referred for evaluation of a cataract in the left eye. His past medical history included prior cataract surgery in the right eye many years prior and chronic obstructive pulmonary disease. He denied any other ocular symptoms or concerns. Examination (Image 1) His visual acuities were 20/20 in the right eye and 20/100 pin-holing to 20/30 in the left eye. The anterior examination was significant for a cystic lesion over the medial canthus in the left eye and a moderate cataract.
The cystic lesion was clear and transilluminated with a slit beam. Within the cyst were numerous small, freely mobile, yellow-white particles. Optical coherence tomography was performed and demonstrated these particles in cross section. Multiple other smaller, but similarly appearing cysts, were present in the inferior fornices bilaterally. Histopathological Analysis (Image 2)…
