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What Causes Epicapsular Star?

Published in Ophthalmology 2 mins read

Epicapsular star opacities are caused by remnants of the tunica vasculosa lentis, the embryonic vascular system that nourishes the developing lens.

Explanation of Epicapsular Star Formation

During embryonic development, the lens receives its blood supply from the tunica vasculosa lentis. As the eye matures, this vascular network typically regresses and disappears. However, in some individuals, small remnants of this system persist on the anterior lens capsule, appearing as stellate (star-shaped) or dot-like opacities. These are known as epicapsular stars. They are also sometimes colloquially referred to as "chicken tracks."

Key Points:

  • Origin: Vestiges of the tunica vasculosa lentis.
  • Timing: Occurs during embryonic development.
  • Appearance: Stellate or dot-like opacities on the anterior lens capsule.
  • Visual Impact: Usually does not cause any visual impairment.

Clinical Significance

In most cases, epicapsular stars are benign findings and do not require any treatment. They are usually discovered during routine eye examinations. It's important for eye care professionals to recognize and differentiate them from other lens opacities that may indicate a more serious underlying condition.

In summary, epicapsular stars are remnants of a fetal blood vessel system and are generally harmless.

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