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    Cataract Case Presentation

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    supriya shriname
    A 70-year-old male farmer presented with gradual and progressive diminished vision in his left eye over the past 3 months. He had undergone cataract surgery and IOL implantation in his right eye 10 months prior. On examination, his visual acuity was 6/6 in the right eye and 6/24 in the left eye. A greyish-white opacity was seen in the lens of the left eye, consistent with an immature senile cataract. The provisional diagnosis was left eye immature senile cataract and right eye pseudophakic with diabetes.

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    Cataract Case Presentation

    Uploaded by

    supriya shriname
    122 views3 pages
    A 70-year-old male farmer presented with gradual and progressive diminished vision in his left eye over the past 3 months. He had undergone cataract surgery and IOL implantation in his right eye 10 months prior. On examination, his visual acuity was 6/6 in the right eye and 6/24 in the left eye. A greyish-white opacity was seen in the lens of the left eye, consistent with an immature senile cataract. The provisional diagnosis was left eye immature senile cataract and right eye pseudophakic with diabetes.

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    CATARACT CASE PRESENTATION

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    A 70-year-old male farmer presented with gradual and progressive diminished vision in his left eye over the past 3 months. He had undergone cataract surgery and IOL implantation in his right eye 10 months prior. On examination, his visual acuity was 6/6 in the right eye and 6/24 in the left eye. A greyish-white opacity was seen in the lens of the left eye, consistent with an immature senile cataract. The provisional diagnosis was left eye immature senile cataract and right eye pseudophakic with diabetes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    122 views3 pages

    Cataract Case Presentation

    Uploaded by

    supriya shriname
    A 70-year-old male farmer presented with gradual and progressive diminished vision in his left eye over the past 3 months. He had undergone cataract surgery and IOL implantation in his right eye 10 months prior. On examination, his visual acuity was 6/6 in the right eye and 6/24 in the left eye. A greyish-white opacity was seen in the lens of the left eye, consistent with an immature senile cataract. The provisional diagnosis was left eye immature senile cataract and right eye pseudophakic with diabetes.

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    3.

    0 CATARACT CASE PRESENTATION


    21 January 2022 22:51

    My patient, a 70 year old male, ABC, resident of Narhe, Pune, and a farmer by occupation;
    came with the chief complains of

    Diminution of vision in left eye since 3 months

    He was apparently all right about 3 months ago, when he started experiencing painless diminution of vision in the left
    eye
    It was gradual and progressive.

    There was no H/O usage of glasses, foreign body sensation, trauma, glare and photophobia

    He is a known diabetic, since 10 yrs. which is controlled by medication.


    He has undergone cataract extraction with IOL implantation in the right eye about 10 months ago.

    He is a vegetarian, has no addictions, and has a normal sleep pattern.

    There is no significant family history

    On Systemic examination
    Patient has a
    Pulse rate of 85 beats per min.
    BP of 130/86 mmHg
    On evaluating RS, CVS and P/A, no abnormality detected

    He is conscious, well oriented to time, place and person

    Ocular examination

    Visual acuity:
    RE LE
    unaided 6/6 6/24
    With pinhole 6/6 6/18
    Head posture- normal

    Face is symmetrical

    Forehead shows presence of senile wrinkles

    Eyebrows are on same level and are normal

    FOR RIGHT EYE

    Normal position of eyelids


    Blinking rate is 12 blinks per min

    Conjunctiva-
    Bulbar conjunctiva- transparent and normal
    palpebral conjunctiva- pink coloured and normal

    Sclera-
    Previous surgical scar visible at 12'O clock position

    Cornea
    Normal in size and shape
    Arcus senilis visible
    On doing window reflex test, surface is smooth
    It is transparent and sensations are present in all 4 quadrants

    Anterior chamber is of adequate depth


    No abnormal content seen

    Iris is brown coloured and normal pattern seen

    Circular, Single pupil, at centre seen which is normal in size


    Direct and indirect light reflexes are present

    Lens- normal position


    shining reflex seen suggestive of Pseudophakic

    Eyeballs are symmetrical, normal size, normal extraocular movements in all quadrants

    Digital IOP is normal

    Regurgitation test is negative- on pressure over lacrimal sac area


    FOR LEFT EYE

    Normal position of eyelids


    Blinking rate is 12 blinks per min

    Conjunctiva-
    Bulbar conjunctiva- transparent and normal
    palpebral conjunctiva- pink coloured and normal

    Cornea
    Normal in size and shape
    Arcus senilis visible
    On doing window reflex test, surface is smooth
    It is transparent and sensations are present in all 4 quadrants

    Anterior chamber is of adequate depth


    No abnormal contents seen

    Iris is brown coloured and normal pattern seen

    Circular, Single pupil, at centre seen which is normal in size


    Direct and indirect light reflexes are present

    Lens- in normal position,


    Greyish white opacity seen
    Iris shadow test- present

    Eyeballs are symmetrical, normal size, normal extraocular movements in all quadrants

    Digital IOP is normal

    Regurgitation test is negative- on pressure over lacrimal sac area

    Provisional diagnosis is - Left Eye Immature Senile Cataract, right eye Pseudophakic with diabetes.

    - HARIDAS KATE
    - SKNMCGH'18

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