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PATHOPHYSIOLOGY OF CATARACT

Precipitating/Modifiable Factors:
Predisposing/Non-modifiable
Factors: • Smoking
• -(+) family history of: • Excessive alcohol drinking
Glaucoma, Hypertension,
DM • Unhealthy diet

• Aging usually 40 years old • Sedentary lifestyle; obesity


and above
• Associated ocular conditions

• Long term ultraviolet exposure

• Exposure to radiation

• SYSTEMIC Disease or syndromes

LENS

Damage to cell plasma

Len’s fibers and proteins change and degenerate,


losing clarity

Begins at the periphery of the lens (immature


cataract)

SIGNS AND SYMPTOMS


Gradual, painless onset of blurry, fuzzy vision; poor central vision,
frequent changes in eyeglass prescription; changes in color vision; Halos
around lights; increase glare from lights, especially oncoming headlights
when driving at night, “second sight” improvement in near vision (no
longer reading glasses), but a decrease in distance vision; spoor vision
in sunlight; presence of milky whiteness in the pupil as the cataract
progresses.

CATARACT FORMATION

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