Lens Flashcards

1
Q

Brown-McClean Syndrome

A

Years after ICCE (less often ECCE/phaco), circumferential peripheral K edema starting inf. central K stays clear but may have guttae

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2
Q

A-P diameter of lens a) at birth and b) in adulthood

A

a) 3.5 mm; b) 5 mm

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3
Q

Tetanic cataract

A

Idiopathic or 2/2 hypoparathyroidism

Punctuate iridescent opacities in ant/post cortex separated by clear space (looks similar to xmas tree)

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4
Q

DDX retained lens nuclei

A

Rubella, Lowe’s, trisomy 13 & 21, Leigh syndrome

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5
Q

Lens proteins

A

Alpha: largest; 35% by wt
Beta: 55% by wt
Gamma: smallest

MIP: not water soluble, a/w brunescence

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6
Q

Microspherphakia associations

A

Weill-marcessani
Rubella
Alports

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7
Q

IOL characteristics associated with dysphotopsias

A

High index, square edge, acrylic, less steep curvature of anterior surface

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