Abstract
Cataracts associated with ocular tumors can present challenges in their management. They can be secondary to age or due to mechanical, chemical, or radiation trauma. Intraocular tumors are a rare but important cause of cataracts, and the presence of an intraocular tumor as an underlying cause should be excluded when the cataract is unilateral, total, or sectoral.
Tumor-associated cataracts can happen due to several causes, such as surgical interventions, radiotherapy, chemotherapy, and hormonal therapy. Various entities, including medulloepitheloma, retinal lymphoma, retinoblastoma, uveal melanoma as well as uveal metastases, detail their implications for cataract management.
Visual outcomes depend on tumor characteristics and prior interventions. Perioperative considerations such as the use of trypan blue and the use of early anti-inflammatory and anti-VEGF therapies can mitigate complications. Despite challenges, cataract surgery in tumor-associated cases is considered safe and effective, emphasizing the need for a multidisciplinary approach involving ocular oncologists.