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•Presented by-Ankita Bandyopadhyay
 Transparent,Bi-convex,Crystalline,
 Structure of lens
Lens capsule
Anterior lens epithelium
Lens fibres(cortex)
Nucleus.
 Dimensions
Diameter- 9-10 mm
Thickness – 3.5 mm (birth) – 5 mm (adult).
Radius of Curvature-10mm(anterior) and 6mm(posterior)
 Refractive Index-1.39
 Total Diopter-18D
 Accommodative Power-14-16D(at birth),7-8D(at 25 yrs),1-2D(at 50 yrs)
 It is the development of any opacity in the
lens or its capsule.
 The cataract must cause a significant
reduction in visual acuity or visual
impairment.
 Congenital and Developmental Cataract
 Congenital Capsular Cataract
Anterior capsular Cataract
Posterior Capsular Cataract
 Polar Cataract
Anterior Polar Cataract
Posterior Polar Cataract
 Nuclear Cataract
Total Nuclear Cataract
 Lamellar Cataract
 Sutural Cataract
 Generalized Cataract
Coronary Cataract
Blue Dots Cataract
Total Congenital Cataract
 Acquired Cataract
 Age related Cataract
 Diabetic Cataract
 Complicated Cataract
 Drugs Induced Cataract
 Electric Cataract
 Age
 Sex
 Heredity
 Ultraviolet Radiation
 Dietery Factor
 Smoking
With IncreasingAge (senility)
Decrease in the function of active
transport pump mechanism of lens
Reduced Oxidative Reaction
Reversal of Na+/K+ Ratio
Decreased Level Of Amino Acids
Hydration of Lens Fibres Decreased Synthesis of Proteins in Lens Fibres
Denaturation Of Lens Protein
Opacification Of Cortical Lens Fibres
 Stages Of Lamellar Separation
 Stages Of InicipientCataract
 Immature Senile Cataract
 Mature SenileCataract
 Hypermature SenileCataract
 Morgagnian Hypermature Cataract
 ScleroticType Hypermature Cataract
 Symtoms
Glare
Colored Halos
Black Spots in front of eye
Image blurs,distortion of images and misty vision
Loss ofVision
o Central Opacities
o Peripheral Opacities
o Nuclear Sclerosis
 Signs
Visual AcuityTesting
Oblique Illumination Examination
Test For Iris Shadow
Distant Direct Ophthalmoscopic Examination
Slit Lamp Examination
Anterior Polar Cataract Posterior Polar Cataract
Immature Cataract Mature Cataract
GradingofNucleusHardnessonslitlampbiomicroscopy
Grade 1 Soft White or Greenish
yellow
Grade 2 Soft-Medium Yellowish
Grade 3 Medium-Hard Amber
Grade 4 Hard Brownish
Grade 5 Ultra hard (Rock –
Hard)
Blackish
 Uveitis
 Lens-InducedGlaucoma
 Subluxation or Dislocation of Lens
 Enophthalmitis.
 Non-Surgical Measures
 Treatment of the cause of cataract
 Measures to delay progression
 Measures to improve vision the presence of incipitient and
immature cataract
Refraction
Arrangement of illuminition
Use dark google
Mydriatics
 Surgical Management
 Visual Improvement
 Medical Indication
 Cosmetic Indication
 General Medical Examination
 Ocular Examination
Visual Status Assessment
Pupils
Anterior Segment Assessment
Intraocular Pressure(IOP)
Examination of lids,conjunctiva and lacrimal Apparatus
Fundus Examination
Macular Function test
Objective test for evaluation retina
Keratometry and Biometry
 Consent
 Scrub,bath,care of hair.
 Preoperative antibiotics and disinfectant
 IOP lowering
 Mydriasis
 IntracapsularCataract Extraction(ICCE)
 Extracapsular Cataract Extraction(ECCE)
 Small Incision Cataract Surgery(SICS)
 Phacoemulsification
Cataract

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Cataract

  • 2.
  • 3.  Transparent,Bi-convex,Crystalline,  Structure of lens Lens capsule Anterior lens epithelium Lens fibres(cortex) Nucleus.  Dimensions Diameter- 9-10 mm Thickness – 3.5 mm (birth) – 5 mm (adult). Radius of Curvature-10mm(anterior) and 6mm(posterior)  Refractive Index-1.39  Total Diopter-18D  Accommodative Power-14-16D(at birth),7-8D(at 25 yrs),1-2D(at 50 yrs)
  • 4.  It is the development of any opacity in the lens or its capsule.  The cataract must cause a significant reduction in visual acuity or visual impairment.
  • 5.
  • 6.
  • 7.  Congenital and Developmental Cataract  Congenital Capsular Cataract Anterior capsular Cataract Posterior Capsular Cataract  Polar Cataract Anterior Polar Cataract Posterior Polar Cataract  Nuclear Cataract Total Nuclear Cataract  Lamellar Cataract  Sutural Cataract  Generalized Cataract Coronary Cataract Blue Dots Cataract Total Congenital Cataract
  • 8.  Acquired Cataract  Age related Cataract  Diabetic Cataract  Complicated Cataract  Drugs Induced Cataract  Electric Cataract
  • 9.  Age  Sex  Heredity  Ultraviolet Radiation  Dietery Factor  Smoking
  • 10. With IncreasingAge (senility) Decrease in the function of active transport pump mechanism of lens Reduced Oxidative Reaction Reversal of Na+/K+ Ratio Decreased Level Of Amino Acids Hydration of Lens Fibres Decreased Synthesis of Proteins in Lens Fibres Denaturation Of Lens Protein Opacification Of Cortical Lens Fibres
  • 11.
  • 12.  Stages Of Lamellar Separation  Stages Of InicipientCataract  Immature Senile Cataract  Mature SenileCataract  Hypermature SenileCataract  Morgagnian Hypermature Cataract  ScleroticType Hypermature Cataract
  • 13.  Symtoms Glare Colored Halos Black Spots in front of eye Image blurs,distortion of images and misty vision Loss ofVision o Central Opacities o Peripheral Opacities o Nuclear Sclerosis
  • 14.  Signs Visual AcuityTesting Oblique Illumination Examination Test For Iris Shadow Distant Direct Ophthalmoscopic Examination Slit Lamp Examination
  • 15. Anterior Polar Cataract Posterior Polar Cataract Immature Cataract Mature Cataract
  • 16. GradingofNucleusHardnessonslitlampbiomicroscopy Grade 1 Soft White or Greenish yellow Grade 2 Soft-Medium Yellowish Grade 3 Medium-Hard Amber Grade 4 Hard Brownish Grade 5 Ultra hard (Rock – Hard) Blackish
  • 17.  Uveitis  Lens-InducedGlaucoma  Subluxation or Dislocation of Lens  Enophthalmitis.
  • 18.  Non-Surgical Measures  Treatment of the cause of cataract  Measures to delay progression  Measures to improve vision the presence of incipitient and immature cataract Refraction Arrangement of illuminition Use dark google Mydriatics  Surgical Management  Visual Improvement  Medical Indication  Cosmetic Indication
  • 19.  General Medical Examination  Ocular Examination Visual Status Assessment Pupils Anterior Segment Assessment Intraocular Pressure(IOP) Examination of lids,conjunctiva and lacrimal Apparatus Fundus Examination Macular Function test Objective test for evaluation retina Keratometry and Biometry
  • 20.  Consent  Scrub,bath,care of hair.  Preoperative antibiotics and disinfectant  IOP lowering  Mydriasis
  • 21.  IntracapsularCataract Extraction(ICCE)  Extracapsular Cataract Extraction(ECCE)  Small Incision Cataract Surgery(SICS)  Phacoemulsification