Adult cataract Flashcards

1
Q

What visual symptoms are associated with cataracts?

A

Visual symptoms associated with cataracts include blurred vision, glare, difficulty seeing in low light, loss of contrast sensitivity, loss of ability to discern colors, and changes in refractive status.

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2
Q

How can cataracts affect vision at different distances?

A

Different types of cataracts may affect distance vision greater than near vision or vice versa.

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3
Q

What does “second sight” phenomenon refer to in the context of cataracts?

A

The “second sight” phenomenon refers to increasing near-sightedness or changes in refractive status due to cataracts.

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4
Q

What is nuclear sclerosis in the context of cataracts?

A

Nuclear sclerosis is the yellowing and hardening of the central portion of the crystalline lens, occurring slowly over years.

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5
Q

How does nuclear sclerosis affect refractive power and vision?

A

As the lens core hardens, it increases refractive power, causing nearsightedness, which may reduce the need for reading glasses in some patients.

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6
Q

What are cortical cataracts?

A

Cortical cataracts occur when the portion of lens fibers surrounding the nucleus becomes opacified.

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7
Q

How does the impact of cortical cataracts on vision vary?

A

The impact on vision varies based on how close the opacities are to the center of the visual axis and can progress variably over months or years.

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8
Q

What is the most common symptom of cortical cataracts?

A

The most common symptom of cortical cataracts is glare, especially from headlights while night driving

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9
Q

What are posterior subcapsular cataracts (PSC)?

A

PSC are opacities located in the most posterior cortical layer, directly under the lens capsule.

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10
Q

In which age group do posterior subcapsular cataracts tend to occur more often?

A

PSC tends to occur in younger patients compared to cortical or nuclear sclerotic cataracts

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11
Q

How does the progression of posterior subcapsular cataracts compare to nuclear sclerosis?

A

PSC tends to progress more rapidly than nuclear sclerosis

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12
Q

How does posterior subcapsular cataracts affect near and distance vision?

A

PSC often causes more difficulty with near vision than distance vision, but some patients may notice the opposite.

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13
Q

What are anterior subcapsular cataracts?

A

Anterior subcapsular cataracts are opacities that can develop beneath the anterior lens capsule.

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14
Q

How can anterior subcapsular cataracts develop?

A

They can develop idiopathically, be secondary to trauma, or be iatrogenic.

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15
Q

What is a potential cause of anterior subcapsular cataracts related to intraocular lenses?

A

What is a potential cause of anterior subcapsular cataracts related to intraocular lenses?

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16
Q

What is a specific risk factor for anterior subcapsular cataracts with phakic intraocular lenses?

A

Inadequate vaulting of the ICL, leading to ICL-lens contact, is a risk factor.