This patient has small congenital cataracts. You should see a very faint, white dot in the center of the pupil. That small white dot is the opacity (any opacity in the lens of the eye is called a cataract). This particular type of cataract was present at birth and should not get worse with time. It only minimally affects the vision in the left eye of this patient (lower photo). These cataracts are anomalies of fetal development.