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  • Lens and Cataract: Wahid Heru Widodo Department of Ophthalmology Margono Soekarjo General Hospital

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    Leti Bhie
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    The document discusses the lens and cataract. It defines a cataract as any opacity in the lens that can be caused by aging, trauma, toxins or systemic diseases. It describes the different types of age-related cataracts that occur (nuclear, cortical, subcapsular) and their associated symptoms. Childhood cataracts can be congenital or acquired due to hereditary, metabolic or infectious diseases. Cataracts can also be caused by trauma, complications from other eye diseases, certain systemic diseases or drugs. The management of cataracts in adults includes medical management, low vision aids or surgery, which includes various surgical techniques such as intracapsular extraction, extracapsular extraction or ph

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    Lens and Cataract

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    The document discusses the lens and cataract. It defines a cataract as any opacity in the lens that can be caused by aging, trauma, toxins or systemic diseases. It describes the different types of age-related cataracts that occur (nuclear, cortical, subcapsular) and their associated symptoms. Childhood cataracts can be congenital or acquired due to hereditary, metabolic or infectious diseases. Cataracts can also be caused by trauma, complications from other eye diseases, certain systemic diseases or drugs. The management of cataracts in adults includes medical management, low vision aids or surgery, which includes various surgical techniques such as intracapsular extraction, extracapsular extraction or ph

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    23 views20 pages

    Lens and Cataract: Wahid Heru Widodo Department of Ophthalmology Margono Soekarjo General Hospital

    Uploaded by

    Leti Bhie
    The document discusses the lens and cataract. It defines a cataract as any opacity in the lens that can be caused by aging, trauma, toxins or systemic diseases. It describes the different types of age-related cataracts that occur (nuclear, cortical, subcapsular) and their associated symptoms. Childhood cataracts can be congenital or acquired due to hereditary, metabolic or infectious diseases. Cataracts can also be caused by trauma, complications from other eye diseases, certain systemic diseases or drugs. The management of cataracts in adults includes medical management, low vision aids or surgery, which includes various surgical techniques such as intracapsular extraction, extracapsular extraction or ph

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    of 20

    Wahid Heru Widodo Department of Ophthalmology Margono Soekarjo General Hospital

    LENS AND CATARACT

    THE CRYSTALLINE LENS


    CAPSULE
    NUCLEUS CORTEX ZONULAR FIBERS ACCOMMODATION

    PHYSIOLOGY OF SYMPTOMS
    Symtomps of visual disorders visual Presbiopic symtomps
    Aphakic refractive state

    CATARACT
    A Cataract is any opacity in the lens

    Caused by : aging, trauma, toxins, systemic diseases Pathogenesis is not completely understood Age-related cataract : - 50% in individuals aged 65-74 - 70% in individuals aged over 75

    AGE RELATED CATARACT


    NUCLEAR CATARACT Myopic shift in refraction Monocular diplopia CORTICAL CATARACT Glare

    SUBCAPSULAR POST CATARACT Decreased visual acuity Glare

    AGE-RELATED CATARACT
    IMMATURE CATARACT

    MATURE CATARACT

    HYPERMATURE CATARACT

    CHILDHOOD CATARACT
    Congenital
    Acquired

    CAUSED BY : Hereditary Metabolic Infectious diseases Associated with syndromes Trauma

    TRAUMATIC CATARACT
    Blunt trauma
    Penetrating trauma Ionizing radiation Overexposure to heat

    COMPLICATED CATARACT
    Secondary to intraocular diseases uveitis glaucoma retinitis pigmentosa retinal detachment

    CATARACT ASSOCIATED WITH SYSTEMIC DISEASES


    Diabetes Mellitus
    Hypocalcemia Atopic dermatitis Galactosemia Myotonic distrophy

    DRUG-INDUCED CATARACT
    Corticosteroid
    Phenothiazines Amiodarone

    POSTERIOR CAPSULAR OPACIFICATION (After Cataract)


    Opacification of the posterior capsule following extracapsular cataract extraction

    LENS-INDUCED UVEITIS
    Caused by : traumatic rupture of the lense or hypermature cataract
    Signs and symptoms : red, painful eye,

    chemosis, flare, keratic precipitates

    LENS INDUCED GLAUCOMA


    Phacolytic glaucoma

    - Denatured, liquefied lens protein leak through an intact but permeable lens capsule

    Phacomorphic glaucoma

    - Intumescent cataractous lens

    MANAGEMENT OF CATARACT IN ADULTS


    Medical management Low-vision Aids for Cataract Surgery

    CATARACT SURGERY
    INTRACAPSULAR CATARACT EXTRACTION

    CATARACT SURGERY
    EXTRACAPSULAR CATARACT SURGERY

    CATARACT SURGERY
    PHACOEMULSIFICATION

    DISLOCATED LENS
    HEREDITARY LENS DISLOCATION
    Homocystinuria Marfans syndrome TRAUMATIC LENS DISLOCATION

    Thank you

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