Saturday, 19 August 2017

cataract types and treatment causes clinical feature

cataract 

an opacity of the lens of in eye is called cataract 



types

{congenital cataract } 
   this cataract is present since birth in occur in small baby 
{senile cataract  }
    in occur in old age for exampal 40  50 year 
{acquired cataract } 
    this cataract occur during life 
{ complicated cataract }
     it occur due to another ocular disease 
{secondary cataract }
   it is a recurrences of cataract after operation 

causes

}malnutrition espicially of vitaman {D}
}viral infection 
}hypoxia e gin ante partum hemorrhage {APH}
}trauma to eye lens 
}diabetes mellitus {DM}
}lenticular metabolic eye disease 
}old age 

clinical feature 

}it may be symptomless if present of periphery 
}if its small 
}it can cause visual impairment if present centrally 
}it can cause visual impairment if it is a large 
}there is white pupillary reflux 
}progressive dimness of vision 
}even vision is reduced to count fingers 
}opacity can be seen through opthalmoscopy 
}day blindness more than night 
}halo around light 
}lens appear brown dark brown black 
}no pain in eye 
}no redness in eye 

treatment 

}examine the patient carefully 
}it cataract is suspected refer to opthalmologist 
}it may no need treatment if vision if not imparinig 
}atropine eye drop dilates pupils to improve vision 
}iredectomy may improve vision 
}replacement of whole lens by lensectomy 
}complete bed rest after operation 

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