Berry et al. (2011) examined 5 affected individuals from a 5-generation English family segregating autosomal dominant congenital cerulean cataract. Cataract was diagnosed at a mean age of 17 years, and patients underwent surgery at a mean age of ... Berry et al. (2011) examined 5 affected individuals from a 5-generation English family segregating autosomal dominant congenital cerulean cataract. Cataract was diagnosed at a mean age of 17 years, and patients underwent surgery at a mean age of 27 years. The cataracts showed a typical cerulean phenotype, with blue-white dots throughout the lens that were more numerous in the cortex. Cuneiform (wedgelike) opacities were present in the midperiphery of the lens. Affected family members had no other ocular or systemic abnormalities.