Chapter 6: Evaluation and Management of Cataracts in Adults Flashcards
1
Q
what are the 6 things that must be evaluated in a patient with cataract?
A
- functional impact
- morphology of cataract
- goal to improve QoL or aid in ocular management of another condition
- patient expectations
- ocular/systemic comorbidities
- barriers to consent
2
Q
with respect to cortical cataract, what is the growth rate? glare? effect on distance vs near? induced myopia?
A
- moderate growth rate
- moderate glare
- mild effect on distance and near
- no induced myopia
3
Q
with respect to nuclear cataract, what is the growth rate? glare? effect on distance vs near? induced myopia?
A
- slow growth rate
- mild glare
- moderate effect on distance; no effect on near
- moderate induced myopia
4
Q
with respect to PSC cataract, what is the growth rate? glare? effect on distance vs near? induced myopia?
A
- rapid growth rate
- marked glare
- mild effect on distance; marked effect on near
- no induced myopia
5
Q
list the factors that can affect glare.
A
shorter wavelengths (scatter more), colour, intensity, and direction of light
6
Q
what type of cataract causes the most glare?
A
PSC and anterior cortical
7
Q
what happens to contrast sensitivity with cataract?
A
decreases, sometimes without similar effect on Snellen
