This is a case study prepared for medical / pharmacological academic purpose , regarding all the follow up made on a cataract affected individual. helps to recollect and analyse the cataract treatment options and clinical aspects.

1. CATARACT
• CASE STUDY BASED ON DISEASE
CATARACT
PREPARED BY
MARTIN SHAJI
Pharm D

2. PATIENT DEMOGRAPHY
• Patient name – Mr. x IP no. – 1367
• Admission date- 8/5/19
• Discharge date-25/5/19
• Age-65
• Sex-M
• Department- Ophthalmology

3. GENERAL EXAMINATIONS
1. Physical examination:
Vital signs:
Temperature (oF): afebrile
Pulse rate (/min): 80beats
Respiratory Rate (/min): 25 cycles
Blood Pressure (mm of Hg): 120/80mm of Hg
2. Systems Examination:
CVS: S1, S2 +
RS: Clear

4. CHIEF COMPLAINTS;
Blured vision from 1 months along with burning
sensation ,irritations during watching on light. Burning
sensation and pain also present.
PAST MEDICAL HISTORY:
Nothing significant
ALLERGY :(food/drug/other)
No known allergies.
PERSONAL HISTORY AND HABITS:
Diet: Mixed
Sleep: normal
FAMILY HISTORY:
Mother was affected with cataract on both eye, brother also
Noticed with cataract

5. SOAP NOTES
SUBJECTIVE EVALUATION
A 65 years old male patient was admitted with the
complaints of blurred vision from 1 months along with
burning sensation ,irritations during watching on light.
Epiphoria and damaged vision was present since 1
months. Burning sensation and pain was also present.
OBJECTIVE EVALUATION:
On Examination, the patient was conscious & coherent.
Optometrist data reveals elevation in aggregated protein
levels around the eye lens.

6. ASSESSMENT:
Based on subjective & objective
evaluation confirmed it as
CATARACT
(Severally on the right eye ,developing on the
left eye).

7. PLANNING
• Right eye has to be done with surgical procedure
so as to remove the infected cataract.
• As the left eye is in progress only , medications
are given ,
• also for the right eye which are preoperative
medications.
• Ophthalmic suggestions
• perioperative medications are given to the
patient, which are beneficial for the surgery
which can modulate healing ,decrease scarring ,
even improve visual recovery.
•

8. Peri-operative and post-operative
drug chart

9. Sl.
No
.
Drug
Indication ROA Frequency and dose.Brand Name Generic Name
1. Zymer eye
drop.
Ofloxacin/ zymar
eye drop.
Antibiotic
ophtalmic
One day before surgery
2 drops/ 4times.
2. Cyclopentolate
dilating drop.
Cyclopentolate eye
drop.(2%)
Muscarinic
antagonist ophtalmic Just before surgery.
12 drops.
3. Prednisolon predinsiolone
acetate 1%.
Corticosteroid
ophtalmic
After surgery.
3 drops / 4 times a day.
4. Cortef. Hydrocortisone
(10MG)
corticosteroid oral After surgery.
10 mg / BID

10. Sl.
No.
Drug -
Indication Dose ROA Frequ-encyBrand Name Generic Name
1. CATACLEAR . CALCIUM
CHLORIDE(1%),SODIUM
CHLORIDE(0.9%),POTASS
IUM IODIDE(3.3%) SOLN
NSAIDS
3 drops. ophtalmic 4 times a day
2. HYPEROMELLO
SE .
HYPEROMELLOSE
OPHTALMIC
SOLUTION.(0.3%)
Artificial
tears 3 drops ophtalmic 3 Times a day
DRUG CHART FOR LEFT EYE

11. PLANNING
• On 15 th day completion of medication and
observation the patient has committed to surgery
and artificial lense was implanted .
3 rd day patient was continued with the same
medication because of no fresh complaints.
As the patient was symptomatically better, he
was discharged with the following medications and
asked to review after 1 week.

12. PHARMACIST INTERVENTIONS
1. The prescription was rational.
2. 2. No DDI or ADRs were found.

13. 1. Don't drive on the first day.
2.Don't do any heavy lifting or strenuous activity for a few weeks.
Immediately after the procedure, avoid bending over, to prevent
putting extra pressure on your eye.
3.If at all possible, don't sneeze or vomit right after surgery.
4.Be careful walking around after surgery, and don't bump into doors
or other objects.
5.To reduce risk of infection, avoid swimming or using a hot tub during
the first week.
6.Don't expose your eye to irritants such as grime, dust and wind
during the first few weeks after surgery.
7.Don't rub your eye, which is a good idea even when you aren't
recovering from surgery.
PATIENT COUNSELING- Instructions for patient

14. DISCUSSION
A clouding of the lens of the eye. The normally clear
sized lens of the eye starts to become cloudy. The result
is much like smearing grease over the lens of a camera.
It impairs normal vision.
Cataracts often develop slowly and can affect one
or both eyes. Symptoms may include faded colors,
blurry or double vision, halos around light, trouble
with bright lights, and trouble seeing at night.
Risk factors include diabetes, smoking tobacco,
prolonged exposure to sunlight, and alcohol.

15. Crystalline:
It is a lens protein which may
accumulate to form cataract once it
triggered more due to any factors which
may accumulate fast , usually seen on
persons more than 55 years old.

16. PATHOPHYSIOLOGY