Incipient Cataract (enough to mention cataract)

Cause:
Opacity of the lens due to disturbance Influx of water, leading to protein degeneration and cell apoptosis

Immature cat

Intumescent cat

Mature cat

Senile cortical Cat: Mature cat & Hypermature cat

  • Patient Presentation: 55 y/o patient presents with eye opacity.
  • Diagnosis: Immature senile cataract
  • Management: Phaco + IOL

Hypermature cat (morgagnian)

Posterior subcapsular cat

Early nuclear cat

Dense nuclear cat , Dense nuclear cat (Brunescent)

1- Subluxation (aphakia) - marfans syndrome 4- rosette shape in blunt truama


Traumatic: Penetrating trauma


Traumatic: Blunt trauma (flower-shaped & vossius ring)

Cause:

  • Blunt Truama

Type:

  • flower-shaped:
  • vossius ring: iris pigment of anterior capsule of lens

Complicated cat (ant uveitis)Y


Acquired Cataract: Complicated cat (ant uveitis)Y


Complicated cat( glaukomflecken)Y


Left traumatic cataract


AphakiaY


Lens Subluxation

Zonular dehiscence: can allow the lens to move anteriorly, posteriorly, or laterally, depending on the location and extent of zonular fiber loss.

Subluxated lens Cause: Marfan syndrome

Subluxation of the lens: the lens remains in its normal position behind the iris.

FeatureZonular DehiscenceLens Subluxation
DefinitionFocal rupture or loss of continuity in one or more zonular fibers, often localized.Partial displacement (up to 50%) of the lens from its normal position due to generalized zonular weakness or break.
PathophysiologyLocalized zonular break → segment of lens edge unsupported → phacodonesis in that sector.Diffuse zonular compromise → lens tilts or shifts but remains partially within the pupillary space.
Etiologies• Trauma (blunt/sharp)

Glasses for hypermetropia & Aphakia type convex lens eyes appear large

Myopia with concave lens


PCO (posterior capsule opacification)

Had a cataract operation years ago, now presenting with visual symptoms

Treatment: YAG laser capsulotomy


PCIOL implant

Posterior chamber IOL

(best)

ACIOL implant


Intraocular lens (IOL) - Posterior chamber intraocular lens

  • Uses:
    • For refractive surgery
    • Cataract surgery


The essential investigation in this lesion is: CT scan