ACQUIRED AGE RELATED CATARACTS Flashcards

1
Q

what causes acquired age related cataracts?

A
  • age
  • UV exposure
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2
Q

symptoms of age related cataracts?

A
  • gradual blurry vision
  • difficulty with night driving, seeing in low light situations, glare, halos around lights
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3
Q

what are 5 types of age related cataracts?

A
  1. NSC
  2. mature cataracts
  3. morgagnian cataracts
  4. hypermature cataracts
  5. cortical cataracts
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4
Q

what is NSC and what location in the lens does it appear at?

A
  • sclerosis, yellowing and opacification of the nucleus of the lens
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5
Q

specific s/s of NSC?

A
  • myopic shift
  • central opacity – impacts distance vision more than near vision
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6
Q

what are mature cataracts and what location do they occur?

A

complete opacification of the cortex – makes the lens appear white

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7
Q

what are motgagnian cataract and what location do they occur?morgagnian cataract

A
  • liquefied, white cortex and an inferiorly displaced nucleus
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8
Q

what are hypermature cataracts and what location do they occur?

A

advanced morgagnian cataract

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9
Q

hypermature cataracts can lead to what?

A
  • phacolytic glaucoma — caused when protein leaks out of the lens.
  • phacomorphic glaucoma — caused when the thickened cataract lens pushes the iris forward leading to angle closure glaucoma.
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10
Q

what are cortical cataracts and what location do they occur?

A
  • grey/white spoke like pattern that occurs in the cortex (can be anterior or posterior)
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11
Q

s/s of cortical cataracts?

A
  • spoke like pattern usually in the periphery
  • most symptomatic at night b/c pupil is dilated
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12
Q

what and where do subcapsular cataracts occur?

A
  • plaque-like opacities that can occur in the anterior and posterior poles of the lens (subcapsular region).
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13
Q

subcapsular can both be ____ and _____ ___ related.

A

age, non-age related

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14
Q

what other causes are subcapsular cataracts related to?

A
  • atopic dermatitis
  • inflammation
  • corticosteroid use
  • trauma
  • DM
  • radiation
  • alcoholism
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15
Q

subcapsular opacities are usually located centrally. knowning this will there near acuity or distance acuity be impacted more?

A

near VA b/c pupil will be more miotic

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16
Q

tx for age-related cataracts?

A
  • phaco w/ PCIOL
17
Q

Complications with cataract surgery are more likely in patients with ___ or who have a hx of using ____.

A
  • pseduoexfoliation (weakened zonules may cause lens dislocation)
  • flomax (cause intraoperative floppy iris syndrome)