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Dr.Swathi.N
MGMC & RI
• Anatomy
• Position abnormalities of lens
• Etiopathogenesis
• Classification
• Special types of cataract
Objectives :
Of cataract
 Transparent
 Biconvex
 Elliptical
 Avascular
 Crystalline appearance
 Located between the iris and the vitreous
 In patellar fossa
 Suspended by zonules
equatorial diameter (adult) : 9-10mm
axial width : 3.5 - 4.0mm at birth,
about 4mm at 40 years
4.75 to 5.0 mm in extreme old age.
Physiological change observed daily?
varies markedly with accommodation
radius of curvature –
anterior surface : 10 mm (changes to 6 mm on accomodation)
posterior surface : 6mm
Refractive index : 1.39
Dioptric contribution :15 D
Accommodative power : 15-16 D : At birth
7-8 D : 25 years
2 D : 50 years.
Why decrease with age?
Abnormalities in the lens:
Shape / size
Position
Transparency
Abnormal shape / size :
• Coloboma
• Spherophakia
• Microphakia
• Microspherophakia
– ass. with Weil-Marchesani syndrome
Persistent hyperplastic primary vitreous
Posterior / anterior lenticonus
Microspherophakia
Coloboma
Persistent hyperplastic primary vitreous
Anterior /
Posterior
lenticonus
Abnormal position
Etiopathogenesis :
• Degeneration & opacification of formed lens
fibres
• Formation of aberrant lens fibres
• Deposition of other materials
• Abnormality of lens proteins – disturbance of
intra- & extra- cellular equilibrium of water &
electrolytes
• Hydration
• Denaturation
• Slow sclerosis
Morphological classification of cataract
Congenital / Developmental cataract :
• Blue dot cataract
• Sutural cataract – anterior / posterior
• Cataracta centralis pulverulenta
• Zonular cataract
• Fusiform / coralliform
• Nuclear cataract
• Coronary cataract
• Anterior/ postrior polar cataract
Associated with ocular diseases :
Complicated cataract
• posterior cortical /
posterior subcapsular
• polychromatic lustre
• Breadcrumb appearance
• Iridocyclitis , ciliary body tumour, choroiditis, degenerative
myopia, retinitis pigmentosa, retinal detachment
Associated with systemic diseases :
• Diabetic – snowflake cataract
• Parathyroid tetany – anterior / posterior
punctate subcapsular opacity
• Myotonic dystrophy – christmas tree cataract
• Galactosemia – oil droplet cataract
• Down syndrome – punctate subcapsular
opacities
• Atopic cataract
Due to other causes :
• Heat / infrared cataract
• Irradiation cataract
• Electric cataract
• Traumatic cataract – rosette cataract
• Enumerate the cause of cataract in a given age
group (child, middle aged, elderly)
• Zonular cataract
• Traumatic cataract
• Complicated cataract
• Subluxated lens
• Diagnosis of cataract
• Congenital cataract
• Diabetic cataract
Suggested reading
• Etiopathogenesis of cataract
• Symptoms of cataract
• Complications of cataract
Lens i 06.04.17,dr.n.swathi

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Lens i 06.04.17,dr.n.swathi

  • 2. • Anatomy • Position abnormalities of lens • Etiopathogenesis • Classification • Special types of cataract Objectives : Of cataract
  • 3.
  • 4.  Transparent  Biconvex  Elliptical  Avascular  Crystalline appearance  Located between the iris and the vitreous  In patellar fossa  Suspended by zonules
  • 5. equatorial diameter (adult) : 9-10mm axial width : 3.5 - 4.0mm at birth, about 4mm at 40 years 4.75 to 5.0 mm in extreme old age. Physiological change observed daily?
  • 6. varies markedly with accommodation radius of curvature – anterior surface : 10 mm (changes to 6 mm on accomodation) posterior surface : 6mm
  • 7. Refractive index : 1.39 Dioptric contribution :15 D Accommodative power : 15-16 D : At birth 7-8 D : 25 years 2 D : 50 years. Why decrease with age?
  • 8. Abnormalities in the lens: Shape / size Position Transparency
  • 9. Abnormal shape / size : • Coloboma • Spherophakia • Microphakia • Microspherophakia – ass. with Weil-Marchesani syndrome Persistent hyperplastic primary vitreous Posterior / anterior lenticonus
  • 14.
  • 15.
  • 16. Etiopathogenesis : • Degeneration & opacification of formed lens fibres • Formation of aberrant lens fibres • Deposition of other materials • Abnormality of lens proteins – disturbance of intra- & extra- cellular equilibrium of water & electrolytes
  • 19.
  • 20. Congenital / Developmental cataract : • Blue dot cataract • Sutural cataract – anterior / posterior • Cataracta centralis pulverulenta • Zonular cataract
  • 21.
  • 22. • Fusiform / coralliform • Nuclear cataract • Coronary cataract • Anterior/ postrior polar cataract
  • 23.
  • 24. Associated with ocular diseases : Complicated cataract • posterior cortical / posterior subcapsular • polychromatic lustre • Breadcrumb appearance • Iridocyclitis , ciliary body tumour, choroiditis, degenerative myopia, retinitis pigmentosa, retinal detachment
  • 25. Associated with systemic diseases : • Diabetic – snowflake cataract • Parathyroid tetany – anterior / posterior punctate subcapsular opacity
  • 26. • Myotonic dystrophy – christmas tree cataract • Galactosemia – oil droplet cataract • Down syndrome – punctate subcapsular opacities • Atopic cataract
  • 27. Due to other causes : • Heat / infrared cataract • Irradiation cataract • Electric cataract • Traumatic cataract – rosette cataract
  • 28. • Enumerate the cause of cataract in a given age group (child, middle aged, elderly) • Zonular cataract • Traumatic cataract • Complicated cataract • Subluxated lens • Diagnosis of cataract • Congenital cataract • Diabetic cataract
  • 29. Suggested reading • Etiopathogenesis of cataract • Symptoms of cataract • Complications of cataract