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  • Cataract

    Transféré par

    Vetrivel Tamizh
    370 vues3 pages
    This document outlines the key details to include in a long case summary for cataract patients. It describes the different types of cataracts that may present including senile, congenital, traumatic, and complicated cataracts. For each case, the patient's name, age, sex, occupation, and place should be documented along with their complaints, history of presenting illness, and examination findings for each eye. The examination includes assessing the eyebrows, eyelids, lacrimal sac, conjunctiva, sclera, cornea, anterior chamber, iris, pupil, lens, and vision. The diagnosis concludes with the type and laterality of the cataract condition.

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    This document outlines the key details to include in a long case summary for cataract patients. It describes the different types of cataracts that may present including senile, congenital, traumatic, and complicated cataracts. For each case, the patient's name, age, sex, occupation, and place should be documented along with their complaints, history of presenting illness, and examination findings for each eye. The examination includes assessing the eyebrows, eyelids, lacrimal sac, conjunctiva, sclera, cornea, anterior chamber, iris, pupil, lens, and vision. The diagnosis concludes with the type and laterality of the cataract condition.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    370 vues3 pages

    Cataract

    Transféré par

    Vetrivel Tamizh
    This document outlines the key details to include in a long case summary for cataract patients. It describes the different types of cataracts that may present including senile, congenital, traumatic, and complicated cataracts. For each case, the patient's name, age, sex, occupation, and place should be documented along with their complaints, history of presenting illness, and examination findings for each eye. The examination includes assessing the eyebrows, eyelids, lacrimal sac, conjunctiva, sclera, cornea, anterior chamber, iris, pupil, lens, and vision. The diagnosis concludes with the type and laterality of the cataract condition.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 3

    CATARACT long case

    - Name
    - Age
    Old age senile cataract always bilateral
    Young age congenital cataract ( bi / uni )
    Traumatic cataract ( uni )
    Complicated cataract ( uni )
    - Sex
    - Occupation
    Important in the case of immature cataract
    Rx of immature cataract depends upon age and occupation
    - Place

    COMPLAINTS:
    Defective vision in both eye ( duration 1 month - senile cataract )
    Sudden diminision of vision in one eye duration traumatic cataract
    Diminished vision in one eye duration complicated / congenital

    H/O PRESENTING ILLNESS:


    H/O painless progressive loss of vision eye duration [ if both eye more on side
    duration ]
    H/O Dayblindness nuclear cataract ; night blindness cortical cataract ( retinitis
    pigmentosa )
    H/O diplopia or polyopia ( due to irregular refraction )
    H/O colored halor of lens ( due to hydration of lens )
    H/O black spots
    H/O trauma to eye ( traumatic cataract )
    H/O pain, redness, watering, irritation, photophobia ( preceeding defective vision
    complicated cataract )
    H/O hypertension ( cortical cataract )
    H/O diabetes mellitus ( metabolic cataract, snow fake cataract )
    H/O prolonged administration of steroids for bronchial asthma, RA, eczema ( toxic
    cataract )

    ON EXAMINATION:
    Examination of both eye togeather
    Head posture
    Both eye symmetrical
    No ptosis
    No proptosis
    No lagopthalmus
    No nystagmus
    RIGHT
    LEFT
    1. Eyebrows N N

    2. Eyelids and eye N N


    lashes
    3. Lacrimal sac No swelling
    region No pus point
    No sinus / fistula
    Skin not stretched or shiny
    No fluid regurgitation ( if
    dacrocystitis present cataract
    surgery is not done )
    4. Conjuctiva
    - Bulbar N N
    - Palpebral N N

    5. Sclera N N

    6. Cornea Arcus senilis


    7. Anterior Normal depth
    chamber No abnormal constituent
    8. Iris Color and pattern are intact
    No iridoconosis
    9. Pupil Centrally placed, round, 3mm
    4mm both direct and indirect light
    reflex present
    10. Lens Immature cataract: ( cortical )
    Grey color
    Iris shadow present
    Mature cataract:
    Pearly white
    No iris shadow
    Nuclear cataract:
    Brown / black
    No phakodonosis
    No subluxation / dislocation
    No calcaneous deposits
    No area of degeneration
    No rosette shaped opacity
    traumatic cataract

    Seen by slit lamp examination after dilating the pupil


    - Complicated cataract:
    Bread crump appearance
    Polychromatic cluster
    - Hyper mature Morgagni cataract:
    Milky white, brown, sunset appearance
    Intumescent fluid cleft

    VISION:
    Finger counting immature cataract
    Hand movements mature cataract
    Perception of light mature cataract

    DIAGNOSIS:
    1. It is a case of bilateral senile cortical immature / mature cataract
    2. Senile immature / mature cataract in left / right eye
    3. Senile immature / mature cataract right eye
    Pseudophakia / aphakia left eye
    4. Traumatic cataract right eye
    Normal left eye
    5. Congenital cataract right eye
    Normal left eye.

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