Bilateral cataract in Fahr’s syndrome: A rare case presentation

Abstract

Fahr’s syndrome refers to a rare syndrome characterized by symmetrical and bilateral intracranial calcification. A 17-year-old female presented with bilateral diminution of vision. The patient had a history of dystonia with distal limbs involvement. An ocular examination revealed a bilateral cataractous lens. CT scan of the brain and orbit revealed bilateral, large area of bilateral calcification over the thalamus, basal ganglia, subcortical white matter, dentate, and cerebellar hemisphere. The secondary causes of bilateral calcification were excluded to make the clinical diagnosis of idiopathic bilateral striopallidodentate calcinosis, which is known as Fahr’s syndrome. Our aim in this case is to highlight the ophthalmic manifestation of a rare neurological syndrome.