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Cataract 1 lecture pmcajk

An undergraduate lecture on Cataract (MBBS level)

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Cataract 1 lecture pmcajk

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  1. cataract Eye Department PMC-AJK

  2. Causes of reduced vision • Gradual • 1. Refractive errors • 2. Cataract • 3. Glaucoma • 4. Age related macular degeneration • 5. Diabetic retinopathy

  3. Surgical Anatomy of Lens

  4. Surgical Anatomy of the Lens • Zonules • Capsule • Cortex • Nucleus

  5. Cataract Any opacity of crystalline lens is called cataract

  6. Causes of cataract • Senile • Cortical, Nuclear sclerosis, Posterior sub-capsular • Trauma Blunt, penetrating, radiation • Systemic diseases DM, HPT, Myotonic dystrophy, Atopic dermatitis • Secondary Cataract Drugs, Ocular disease (uveitis, glaucoma, high myopia, retinal dystrophies) • Congenital Cataract Birth trauma, TORCH, Maternal drugs, Galactosemia, Mannosidosis, Down’s syndrome

  7. Congenital Cataracts • Occur in 3 in 10000 live births • 66% bilateral • In ½ cause can be found • Genetic mutation AD mode of transfer, metabolic disorders, intrauterine infections • 33% unilateral • Usually cause is not found and are sporadic

  8. Congenital Cataracts Morphological classification • Nuclear • Lamellar • Blue dot • Membranous • Coronary • Oil droplet • Sutural • pyramidal • Ant / post polar

  9. Symptoms • Gradual reduction of vision • Poor vision in sunlight • Difficulty in reading • Glare • Halos • Improvement in near vision

  10. Signs • Eyes white and quiet • Cornea Transparent • AC Normal Shallow or Deep • Pupil RRR • Lens Opacity

  11. Classification of cataract • Immature • Mature • Hyper-mature • Hyper-mature Morgagnian • Intumescent

  12. Complication of cataract • Phaco-anaphylectic uveitis • Phaco-morphic glaucoma • Phaco-lytic glaucoma • Subluxation • luxation

  13. Treatment • Medical • Refraction • Mydriasis • Surgical • Cataract Extraction

  14. Indications of cataract surgery • Visual • Diagnostic • Medical • Cosmetic

  15. Couching • ICCE • ICCE with AC IOL • ECCE • ECCE with PC IOL • Phacoemulsification with Foldable PC IOL

  16. Video of Phaco

  17. Complications of sugery

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