In a high-risk pregnancy for ocular defects, routine second-trimester
ultrasonography revealed a highly echogenic area within the fetal left
eye with no other associated abnormalities. The diagnosis of congenit
al cataracts was confirmed after birth. Examination of the fetal face
is an important part of prenatal ultrasonography, and visualization of
the fetal eyes and lenses should be included in the routine assessmen
t of facial anatomy. This is especially important in pregnancies at ri
sk for congenital cataracts or for other anomalies affecting the fetal
eye.