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.
Feature | Zonular Dehiscence | Lens Subluxation |
---|---|---|
Definition | Focal 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. |
Pathophysiology | Localized 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