Lens Conditions - Cataracts

Question 1

Cataracts
-pathophysiology
-risk factors
-presentation
-types
-management

Answer 1

Cloudy lens
-older women
-smoking, alcohol, DM, long-term CS
-trauma

Gradual onset
-reduced vision
-faded colour
-glare and haloes around lights
Defect in red reflex
Normal opthalmoscopy
Cataract visible on slip lamp

Nuclear - age
Polar - FHx
Subcapsular - CS

Early - stronger glasses
Definitive - replace lenses

Question 2

Complications following surgery

Answer 2

Posterior capsule opacification - thickening of lens capsule

Retinal detachment

Posterior capsule rupture

Endophthalmitis - inflammations of humour