Peri-Operative Cataract and Visual Fields (M4) Flashcards
What are the visual acuities associated with LOCS III trace-grade 1 nuclear cataract? 1. Grade 1+-2-? 2. Grade 2-2+? 3. Grade 3? 4. Grade 4? 5
- 20/20 to 20/25
- 20/30 to 20/40
- 20/50 to 20/60
- 20/70 to 20/100
- 20/100 or worse
What are the visual acuities associated with LOCS III trace-grade 1 cortical cataract? 1. Grade 2-2+? 2. Grade 2+-3? 3. Grade 4? 4.
- 20/20
- 20/25
- 20/30 to 20/40
- 20/60 or worse
What are the visual acuities associated with LOCS III grade 1 posterior subcapsular cataract? 1. Grade 2–2? 2. Grade 2+? 3. Grade 3? 4. Grade 4? 5
- 20/25
- 20/25 to 20/40
- 20/30 to 20/60
- 20/70 to 20/100
- 20/200 or worse
What is the purpose of pre-operative cataract testing?
indicates if surgery will improve overall visual function
What is the purpose of the potential acuity meter (PAM)?
assess retinal acuity through mild to moderate media opacification
What is the equipment used for PAM?
- PAM
- slit lamp
- possibly mydriatic
What does the narrow beam in the PAM result in?
reduced scatter
What is the dioptric range of the PAM?
-10D to +13D
What is the procedure for potential acuity pinhole (super pinhole)?
- pinhole one eye and occlude other
- place near acuity card at 40cm
- illuminate specific line and identify
What does the transilluminator do for super pinhole?
helps compensate for loss of retinal illumination from pinhole
What is the problem with the clinical interferometer?
lots of false positives (don’t really have problems)
What should be the starting point for the clinical interferometer?
2 lines worse than patients best corrected
What is it called when the predicted VA is worse than the final VA? 1. What is it associated with? 2
- false neagtive
2. dense opacities
What is it called when the predicted VA is better than the final VA? 1. What is it associated with? 2
- false positive
2. maculopathy
What do third party insurers need to have to cover cataract surgery coverage?
20/40 or worse on glare testing