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    Cataract

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    Sela KH
    The document discusses cataracts including the definition, epidemiology, etiology, classification, symptoms, complications, and management. Cataracts are a leading cause of blindness in Cambodia. The document covers various types of cataracts such as congenital, senile, and secondary cataracts. Surgical techniques for treating cataracts including couching, ICCE, ECCE, and phacoemulsification are also discussed.

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    Cataract

    Uploaded by

    Sela KH
    16 views22 pages
    The document discusses cataracts including the definition, epidemiology, etiology, classification, symptoms, complications, and management. Cataracts are a leading cause of blindness in Cambodia. The document covers various types of cataracts such as congenital, senile, and secondary cataracts. Surgical techniques for treating cataracts including couching, ICCE, ECCE, and phacoemulsification are also discussed.

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    The document discusses cataracts including the definition, epidemiology, etiology, classification, symptoms, complications, and management. Cataracts are a leading cause of blindness in Cambodia. The document covers various types of cataracts such as congenital, senile, and secondary cataracts. Surgical techniques for treating cataracts including couching, ICCE, ECCE, and phacoemulsification are also discussed.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    16 views22 pages

    Cataract

    Uploaded by

    Sela KH
    The document discusses cataracts including the definition, epidemiology, etiology, classification, symptoms, complications, and management. Cataracts are a leading cause of blindness in Cambodia. The document covers various types of cataracts such as congenital, senile, and secondary cataracts. Surgical techniques for treating cataracts including couching, ICCE, ECCE, and phacoemulsification are also discussed.

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    Cataract

    Cataract

    Definition:
    Crystallin lens opacity
    Epidemiology

    Blindness rate in Cambodia 0.38% ( data 2007)


    70% of blindness rate due to Cataract
    Mostly age > 50 years old
    Etiology
    Etiology:
    - Senile change
    - Congenital
    - traumatic
    - inflammation
    - radiation, electromagnatic wave
    - metabolism diseased
    - nutrition disorder and chemical substances
    include drug
    - other
    Cataract
    Classification :
    I. Primary cataract:
    - congenital
    - senile
    II. Secondary :
    - extra ocular disorder
    group
    - intra ocular disorder
    group
    Cataract
    Primary cataract:
    1. congenital:
    until 3 month after birth
    from infection disease
    rubella, steroid , radiation
    or hereditary
    Causes of cogenital cataract in healthy neonate

    Hereditary
    (usually dominant)
    Idiopathic
    With ocular anomalies
    . PHPV
    • Aniridia
    • Coloboma
    • Microphthalmos
    • Buphthalmos
    Causes of Congenital cataract in unwell neonate
    Intrauterine infections
    • Rubella
    • Toxoplasmosis
    • Cytomegalovirus
    • Varicella

    Metabolic disorders
    • Galactosaemia
    • Hypoglycaemia
    • Hypocalcaemia
    • Lowe syndrome
    2. Senile cataract
    - immature cataract
    - mature cataract
    - intumescence cataract
    - hypermature cataract
    - morgagnian cataract
    Secondary Cataract
    1. Extra ocular disorder:
    - Traumatic
    - metabolism disease
    - toxic cataract
    - associated with systemic
    disease
    2. Intra ocular disorder (complicated cataract)

    Uveitis
    Intraocular neoplasm
    Glaucoma
    Retina detachment
    Retinitis pigmentosa
    Symptom and sign:

    Blur vision
    VA decreased gradually
    No pain
    Examination:
    - white pupil in case of
    mature cataract
    - slit lamp exam: lens
    opacity
    Complication:

    Glaucoma
    Uveitis
    Management: Treatment

    1. No medication treatment
    2. Surgery :
    Anesthesia:
    * Topical
    * Local
    * General
    Surgery:

    1. Couching : old technique for cataract treatment


    Surgery:

    2. Intracapsular cataract extraction: ( ICCE+ aphakic


    glasses)
    Surgery:

    3. Extracapsular cataract extraction: ( ECCE+ IOL)


    Surgery:

    4. Phacoemulsification ( PE+ IOL) 1967 developed by Kelmen


    Complication cataract surgery

    1. Intraoperative
    - expulsive hemorrhage
    - iris trauma
    - anterior chamber hemorrhage
    - rupture posterior capsule
    - corneal injury
    - vitreous loss
    - lens dislocation
    Complication cataract surgery

    2. Early postoperative complication


    - endophthalmitis
    - glaucoma
    - uveitis
    - flat chamber
    - rupture wound iris prolapse
    Complication cataract surgery

    3. Late postoperative complication


    - posterior capsule opacity
    - retinal detachment
    - cystoid macula edema
    - corneal decompensation
    - vitreous hemorrhage
    - astigmatism

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