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    Classification of Age-Related Cataract

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    tata
    This document summarizes acquired cataracts, including age-related cataracts and other causes. It classifies age-related cataracts according to morphology into subcapsular, nuclear, cortical, and Christmas tree cataracts. It describes other causes such as diabetes, myotonic dystrophy, atopic dermatitis, and trauma. It also discusses surgery techniques for treating cataracts such as extracapsular extraction and phacoemulsification.

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    Classification of Age-Related Cataract

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    tata
    51 views16 pages
    This document summarizes acquired cataracts, including age-related cataracts and other causes. It classifies age-related cataracts according to morphology into subcapsular, nuclear, cortical, and Christmas tree cataracts. It describes other causes such as diabetes, myotonic dystrophy, atopic dermatitis, and trauma. It also discusses surgery techniques for treating cataracts such as extracapsular extraction and phacoemulsification.

    Original Description:

    presentasi katarak

    Original Title

    22Acquired Cataract

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    This document summarizes acquired cataracts, including age-related cataracts and other causes. It classifies age-related cataracts according to morphology into subcapsular, nuclear, cortical, and Christmas tree cataracts. It describes other causes such as diabetes, myotonic dystrophy, atopic dermatitis, and trauma. It also discusses surgery techniques for treating cataracts such as extracapsular extraction and phacoemulsification.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    51 views16 pages

    Classification of Age-Related Cataract

    Uploaded by

    tata
    This document summarizes acquired cataracts, including age-related cataracts and other causes. It classifies age-related cataracts according to morphology into subcapsular, nuclear, cortical, and Christmas tree cataracts. It describes other causes such as diabetes, myotonic dystrophy, atopic dermatitis, and trauma. It also discusses surgery techniques for treating cataracts such as extracapsular extraction and phacoemulsification.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 16

    ACQUIRED CATARACT

    Morphological
    1. Classification of age-related cataract
    According to maturity
    Diabetes
    Myotonic dystrophy
    Atopic dermatitis
    Trauma
    2. Other causes of cataracts
    3. Surgery
    Secondary (complicated)
    Large incision extracapsular extraction
    Phacoemulsification
    Drugs
    Classification of Age-related Cataract
    According to Morphology
    1. Subcapsular
    Anterior
    Posterior
    2. Nuclear
    3. Cortical
    4. Christmas tree
    Subcapsular cataract
    Anterior Posterior
    Nuclear cataract
    Exaggeration of normal nuclear
    ageing change
    Causes increasing myopia
    Increasing nuclear opacification
    Initially yellow then brown
    Progression
    Cortical cataract
    Initially vacuoles and clefts Progressive radial spoke-like opacities
    Progression
    Christmas tree cataract
    Polychromatic, needle-like opacities May co-exist with other opacities
    Classification according to maturity
    Immature Mature
    Hypermature Morgagnian
    Other causes of cataract - diabetes
    Juvenile
    White punctate or snowflake
    posterior or anterior opacities
    May mature within few days
    Adult
    Cortical and subcapsular
    opacities
    May progress more quickly than
    in non-diabetics
    Other causes of cataract - myotonic dystrophy
    Myotonic facies
    Frontal balding
    90% of patients after age 20 years
    Stellate posterior subcapsular opacity
    No visual problem until age 40 years
    Other causes of cataract - atopic dermatitis
    Cataract develops in 10%
    of cases between 15-30 years


    Bilateral in 70%
    Frequently becomes mature
    Anterior subcapsular plaque
    (shield cataract)
    Wrinkles in anterior capsule
    Causes of traumatic cataract
    Penetration
    Concussion
    Vossius ring from
    imprinting of iris pigment
    Flower-shaped
    Ionizing radiation
    Electric shock
    Lightning
    Other causes
    Drugs
    Chlorpromazine
    Long-acting miotics
    Other drugs
    Amiodarone
    Busulphan
    - initially posterior subcapsular
    Systemic or topical steroids
    - central, anterior capsular granules
    Secondary (complicated) cataract
    Chronic anterior uveitis
    High myopia
    Posterior subcapsular
    Hereditary fundus dystrophies
    Central, anterior subcapsular
    opacities
    Glaukomflecken
    Follows acute angle-closure
    glaucoma
    Extracapsular cataract extraction
    1. Anterior
    capsulotomy
    2. Completion of
    incision
    3. Expression of
    nucleus
    4. Cortical cleanup
    6. Polishing of posterior
    capsule, if appropriate
    5. Care not to aspirate
    posterior capsule
    accidentally
    8. Grasping of IOL and
    coating with viscoelastic
    substance
    Extracapsular cataract extraction ( cont. )
    7. Injection of
    viscoelastic
    substance
    9. Insertion of inferior
    haptic and optic
    11. Placement of haptics
    into capsular bag
    10. Insertion of superior
    haptic
    12. Dialling of IOL into
    horizontal position
    and not into ciliary
    sulcus
    Phacoemulsification
    1. Capsulorrhexis
    2. Hydrodissection
    3. Sculpting of nucleus 4. Cracking of nucleus
    5. Emulsification of
    each quadrant
    6. Cortical cleanup and
    insertion of IOL

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