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Dr.Swathi.N
MGMC & RI
Objectives:
• Stages of senile cataract
• Lens induced glaucomas
• Pre-op assessment of cataract
Age related senile cataract –
• Cortical; nuclear
• Lamellar separation
• Incipient cataract
• Immature cataract
• Mature cataract
• Intumescent cataract
• Hypermaturity – morgagnian ; sclerotic
Senile nuclear sclerosis
(yellow pigmented protein
derived from tryptophan)
Symptomatology :
• Asymptomatic
• Astigmatism
• Second sight / index myopia
• Defective vision
• Sudden painful loss of vision ???
Lens induced glaucomas
• Phacomorphic glaucoma
• Phacotopic glaucoma
• Phacolytic glaucoma
Phacomorphic glaucoma
Phacotopic glaucoma
Phacolytic glaucoma
Management :
Cataract surgery
Pre operative evaluation :
• Visual acuity & refraction
• Intraocular pressure
• Patency of NLD
• Slit lamp evaluation & LOCS II
• Fundus
• A – scan; K reading – IOL power calculation
• Systemic : diabetes, hypertension
• Types of senile cataract
• Stages of cortical cataract
• Lens induced glaucomas
Suggested reading :
• Management of cataract
• Intra-operative complications of cataract
surgery
• Immediate & late post operative
complications of cataract surgery
Lens ii 12.04.17,n.swathi.n

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