Coronary
![Coronary Cataract. Slitlamp and retroillumination view of bilateral coronary cataract demonstrating club-shaped and focal dots opacities distributed radially in the deep cortex.](https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_200/public/media/images/2022-03/coronary.jpeg?itok=hYfxofq2 200w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_260/public/media/images/2022-03/coronary.jpeg?itok=QPuN22n5 260w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_320/public/media/images/2022-03/coronary.jpeg?itok=jovQx0xQ 320w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_400/public/media/images/2022-03/coronary.jpeg?itok=d0gVwfFO 400w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1600/public/media/images/2022-03/coronary.jpeg?itok=qisA0MRg 450w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_520/public/media/images/2022-03/coronary.jpeg?itok=XwP5Zgoo 520w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_640/public/media/images/2022-03/coronary.jpeg?itok=G0i5AWi9 640w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_800/public/media/images/2022-03/coronary.jpeg?itok=l-zUlkui 800w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1040/public/media/images/2022-03/coronary.jpeg?itok=jPeTRnpi 1040w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1280/public/media/images/2022-03/coronary.jpeg?itok=4CdxACxT 1280w)
- Usually sporadic or occasionally familial
- Has also been described as dominantly inherited
- Categorized as zonular cataract because the opacities occur in only one region of the lens, the deep cortex around the nucleus
Clinical Features
- Symptoms: usually asymptomatic because of their peripheral location
- Signs:
- Club-shaped, oval, discrete opacities
- Commonly associated with focal dot opacities
- Distributed in a radial pattern surrounding the nucleus like a crown