Massager-Induced Anterior Subcapsular Cataracts and Keratoconus in a Patient With Multiple Epiphyseal Dysplasia

Humair Khan,Ahmad Kharsa

doi:10.7759/cureus.19095

Abstract

Multiple epiphyseal dysplasia (MED) is a phenotypically heterogeneous disease associated with orthopedic abnormalities among other systemic manifestations. While the spectrum of ocular abnormalities in this disorder is yet to be fully reported, MED has been rarely associated in the literature with the development of cataracts and keratoconus. Here, we report a case of bilateral massager-induced anterior subcapsular cataracts and keratoconus in a 46-year-old female with MED. This case presentation aims to prevent similar occurrences of inappropriate massaging device use and highlight potential ocular findings in MED patients.

Highlights

Massager-induced traumatic cataracts are a rare phenomenon with only two documented cases in the literature [1,2]
We report the case of a 46-year-old female with a history of multiple epiphyseal dysplasia (MED) and allergic conjunctivitis who developed bilateral anterior subcapsular cataracts (ASCs) and was diagnosed with keratoconus following the use of a supersonic massager device on both eyes
While we believe massager-induced trauma to be the primary etiology underlying our patient's cataracts, we report first such presentation in a MED patient within the English ophthalmic literature

Summary

Introduction

Massager-induced traumatic cataracts are a rare phenomenon with only two documented cases in the literature [1,2]. We report the case of a 46-year-old female with a history of multiple epiphyseal dysplasia (MED) and allergic conjunctivitis who developed bilateral anterior subcapsular cataracts (ASCs) and was diagnosed with keratoconus following the use of a supersonic massager device on both eyes. The patient applied the device with considerable pressure for a few minutes daily over the past month She stopped using the massaging device after noticing the new onset of blurry vision and glare bilaterally, prompting her presentation to the clinic. While the patient documented no prior ocular history, corneal topography revealed a localized region of generally inferior steepeningbilaterally consistent with moderate keratoconus (Figures 2, 3). With these findings, the patient elected to undergo cataract surgery with monofocal intraocular lens implantation. Posterior elevation maps showed relative anterior bulging of the posterior cornea consistent with moderate keratoconus

Discussion

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Disclosures