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Wisconsin cataract grading system.
STANDARD PRE-OPERATIVE NUCLEAR CLASSIFICATION SYSTEM (SPONCS)
CANON EOS SLIT-LAMP PHOTOGRAPHIC EXAMPLES.
0 (clear)
1 (subcapsular/posterior cataract with clear nucleus)
2 (mild “green nucleus” with plus sign for yellow reflection of the posterior cortex)
3 (medium “yellow nucleus” with plus sign for brown/red posterior cortex reflection)
4 (advanced with 4 being “red/brown nucleus” and 4+ white nucleus)
5 (hypermature/Morgagnian nucleus).
The WHO published a simplified cataract grading
scale.
• It is the most critical component for predicting surgical needs
and choosing the most appropriate surgical technique
according to the hardness of the nucleus.
• They often won’t personally evaluate every patient before
surgery.
• They can determine the approach, plan which cases should go
to less or more experienced surgeon, and anticipate surgical
complications.
Capsule
• Does the capsulorhexis affect refractive
outcomes?
• How to avoid an errant tear.
Incision,Injecting Viscoelastic, capsular staining
• Tips of hydrodisssection technique
• Avoiding and managing complications from
hydrodissections.

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Catarat 1.pptx

  • 1.
  • 2.
  • 4.
  • 5.
  • 6.
  • 7. STANDARD PRE-OPERATIVE NUCLEAR CLASSIFICATION SYSTEM (SPONCS) CANON EOS SLIT-LAMP PHOTOGRAPHIC EXAMPLES. 0 (clear) 1 (subcapsular/posterior cataract with clear nucleus) 2 (mild “green nucleus” with plus sign for yellow reflection of the posterior cortex) 3 (medium “yellow nucleus” with plus sign for brown/red posterior cortex reflection) 4 (advanced with 4 being “red/brown nucleus” and 4+ white nucleus) 5 (hypermature/Morgagnian nucleus).
  • 8. The WHO published a simplified cataract grading scale.
  • 9.
  • 10.
  • 11.
  • 12. • It is the most critical component for predicting surgical needs and choosing the most appropriate surgical technique according to the hardness of the nucleus. • They often won’t personally evaluate every patient before surgery. • They can determine the approach, plan which cases should go to less or more experienced surgeon, and anticipate surgical complications.
  • 13. Capsule • Does the capsulorhexis affect refractive outcomes? • How to avoid an errant tear. Incision,Injecting Viscoelastic, capsular staining • Tips of hydrodisssection technique • Avoiding and managing complications from hydrodissections.