Cataracts, Congenital Zonular With Sutural Opacities

Clinical Characteristics
Ocular Features: 

This form of heritable congenital cataracts consists of both zonular and sutural opacities.  Both anterior and posterior Y sutures are involved with fine dots.  The zonular opacities consist of a hazy cloud of fine, minute dots so  vision is usually good as the opacities are not dense.  The dots are arranged in a lamellar or clumped pattern with the fetal nucleus most consistently involved.  There is often a faint cloud of white dots at the suture ends.  Most of the phenotypic variation is in the density of the opacities rather than their location.  Older individuals often develop nuclear and posterior subcapsular sclerosis.

Systemic Features: 

No systemic abnormalities have been reported.


This is an autosomal dominant disorder.  A mutation in the CRYBA1 gene (17q11-q12) segregates with the phenotype.

A form of congenital cerulean cataract (115660) also maps to the long arm of chromosome 17 but in the q24 region.

Another type of autosomal dominant congenital sutural cataract (607133) has been reported in a single 5 generation Indian family in which a mutation in CRYBB2 on chromosome 22 was associated.

Treatment Options: 

Cataract surgery can be considered if vision is significantly impacted.

Article Title: 


Yu Y, Li J, Xu J, Wang Q, Yu Y, Yao K. Congenital polymorphic cataract associated with a G to A splice site mutation in the human beta-crystallin gene CRYOE?A3/A1. Mol Vis. 2012;18:2213-20.

PubMedID: 22919269

Padma T, Ayyagari R, Murty JS, Basti S, Fletcher T, Rao GN, Kaiser-Kupfer M, Hejtmancik JF. Autosomal dominant zonular cataract with sutural opacities localized to chromosome 17q11-12. Am J Hum Genet. 1995 Oct;57(4):840-5.

PubMedID: 7573044

Basti S, Hejtmancik JF, Padma T, Ayyagari R, Kaiser-Kupfer MI, Murty JS, Rao GN. Autosomal dominant zonular cataract with sutural opacities in a four-generation family. Am J Ophthalmol. 1996 Feb;121(2):162-8.

PubMedID: 8623885

Vanita, Sarhadi V, Reis A, Jung M, Singh D, Sperling K, Singh JR, B?orger J. A unique form of autosomal dominant cataract explained by gene conversion between beta-crystallin B2 and its pseudogene. J Med Genet. 2001 Jun;38(6):392-6.

PubMedID: 11424921