Presentation
It not only presents diverse pictures and images from clinical practice, it also includes the latest findings in the field. [books.google.com]
Clinical Correlations: Early onset cataracts that are inherited are often present to some degree at birth but may not be detected until later. Lamellar cataracts are usually detected in the first years of life but may be present at birth. [disorders.eyes.arizona.edu]
We present data on the recreation of the human lamellar cataract phenotype in transgenic mice. [ncbi.nlm.nih.gov]
Discussion In the present case the child was a female and there was consanguinity of the parents. Dohlman and Larsson [3] also noted consanguinity of parents when females were affected. [ijo.in]
Entire Body System
- Inflammation
Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation. [icdlist.com]
Surgery consult needed Inflammation of the periocular structures anterior to the orbital septum PRECEPTAL CELLULITIS Etiology trauma hordeolum, chalazion, dacryocystitis or contiguous structure primarily infectious or inflammatory PRECEPTAL CELLULITIS [quizlet.com]
Papadaki also suggested that “mechanical forces during cataract surgery, release of inflammation factors postoperatively, spacing changes due to the replacement of the crystalline lens by a thinner intraocular lens, all influence the vitreoretinal adhesions [eyeworld.org]
The risks of pediatric cataract surgery include infection, inflammation, retinal detachment, development of glaucoma, displacement of the intraocular lens, development of capsular cloudiness and development of vitreous cloudiness. [aapos.org]
Cataracts typically progress slowly to cause vision loss and are potentially blinding if untreated. [1] Moreover, with time the cataract cortex liquefies to form a milky white fluid in a Morgagnian Cataract, and can cause severe inflammation if the lens [psychology.wikia.com]
- Surgical Procedure
However, the fixed flap thickness resulting from this procedure reduces the possible surgical indications. [healio.com]
However, no surgical procedure is without risks. [aapos.org]
Such spontaneous posterior dislocations (akin to the earliest surgical procedure of couching) in ancient times were regarded as a blessing from the heavens, because it restored some perception of light in the bilaterally affected patients. [cs.mcgill.ca]
Repeated surgical procedures, including a secondary lens implant if other modalities of refractive correction fail, may be needed. If this is a de novo chromosomal change or a familial abnormality, all siblings and future offspring are at risk. [emedicine.medscape.com]
The entire surgical procedure was uneventful. UDVA at 1 day postoperatively, was 20/28, 20/20 at 1 week and 20/20 at 1 month. CDVA was 20/20 at 3 and 6 months postoperatively with a manifest refraction of 0.00 -1.00 X 20°. [omicsonline.org]
- Pain
Management Frontiers in Medicine Epidemics Zika Virus Ebola Virus View all topics Health Policy Epidemics Pain Management Ebola Virus Multimedia Multimedia Selected Multimedia View all multimedia Audio Clinical Practice Audio Interviews Interactive Medical [nejm.org]
Pain on gaze Proptosis Paralysis of EOM Orbital cellulits Important Ocular signs -purple lid skin -severe congestion -ocular auscultation may reveal a bruit -the three "Ps" -Pain on attempted gaze -Proptosis -Paralysis of extraocular muscles -Emergency [quizlet.com]
Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation. [icdlist.com]
Dry eye disease, corneal dystrophy, keratoconus, corneal neuropathic pain. Corneal grafts. OCT-guided endothelial grafts (DMEK) and deep anterior lamelar grafts (DALK), penetrating keratoplasty, laser phototherapeutic keratectomy. Cataract surgery. [alexandredenoyer.com]
[…] over another: General anesthesia: This is recommended for patients who are extremely apprehensive and nervous, deaf, or mentally retarded; it is also indicated for patients with Parkinson 's disease or rheumatism, who are unable to lie still without pain [alpfmedical.info]
- Asymptomatic
There’s good reason that the retinal hole was asymptomatic. “Eccentric holes do not involve the fovea and thus remain asymptomatic,” Dr. Papadaki reported. [eyeworld.org]
Peripheral vacuolar cataract These asymptomatic peripheral lens vacuoles are sometimes seen in premature infants. The cataracts are most often encountered during examination for retinopathy of prematurity. [entokey.com]
[…] nerve head may contribute to optic nerve head damage through ischemic injury Excitotoxic amino acids such as glutamate have been found to be increased in glaucomatous eyes and may cause retinal ganglion cell death Symptoms and Signs Of OAG Symptoms -Asymptomatic [quizlet.com]
- Falling
The laser can be aimed very accurately, and the small part of the capsule which is cut falls harmlessly to the bottom of the inside of the eye. [en.wikipedia.org]
Gastrointestinal
- Nausea
[…] of obstruction of aqueous outflow by partial or complete closure of the angle by the peripheral iris -A normal optic nerve and visual field do not preclude this diagnosis Symptoms: Pain, blurred vision, colored halos around lights, frontal headache, nausea [quizlet.com]
Cardiovascular
- Hypertension
“The patient’s history was significant for cardiovascular disease, hypertension, and open angle glaucoma in both eyes treated with latanoprost,” Dr. Papadaki noted. [eyeworld.org]
Cataract - Aphakia - Ectopia lentis Choroid Choroideremia - Choroiditis ( Chorioretinitis ) Retina Retinitis ( Chorioretinitis ) - Retinal detachment - Retinoschisis - Retinopathy ( Bietti's crystalline dystrophy, Coats disease, Diabetic retinopathy, Hypertensive [psychology.wikia.com]
Glaucoma and ocular hypertension in pediatric patients with cataracts. J AAPOS. 1997 Jun. 1(2):98-101. [Medline]. [emedicine.medscape.com]
The patient’s diabetes and hypertension were controlled with medications. On examination, the uncorrected distance visual acuity (UDVA) was 20/200 in the right eye and count fingers in the left eye. [omicsonline.org]
- Heart Disease
The classical triad of congenital rubella syndrome is comprised of sensorineural hearing loss, ocular abnormalities and congenital heart disease. Gross Morphology: Frequently a dense cataract is seen centrally or anteriorly. [missionforvisionusa.org]
Congenital heart disease Microencephaly. [slideplayer.com]
Metabolic and systemic diseases are found in as many as 60% of bilateral cataracts. Mental retardation, deafness, kidney disease, heart disease, and other systemic involvement may be part of the presentation. [emedicine.medscape.com]
Skin
- Xanthelasma
Health Video of Cataract Surgery v · d · e Eye disease - pathology of the eye ( H00-H59, 360-379 ) Adnexa eyelid : inflammation ( Stye, Chalazion, Blepharitis ) - Entropion - Ectropion - Lagophthalmos - Blepharochalasis - Ptosis - Blepharophimosis - Xanthelasma [psychology.wikia.com]
Eyes
- Visual Impairment
Content covers all details of pediatric cataracts and surgical techniques to treat and prevent visual impairment. Readers explore patient work-up, diagnosis, surgical techniques, and potential complications. [books.google.com]
Most people who’ve had cataracts removed from both eyes as children will have visual impairment, and some will be able to register as sight impaired / partially sighted. Some will be able to register as severely sight impaired / blind. [childhoodcataracts.org.uk]
Definition An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. [uniprot.org]
AGE-RELATED CATARACT This article focuses on age-related cataract as the leading cause of visual impairment worldwide. [v2020eresource.org]
Prognosis:• The visual outcome depends on:-Unilateral /bilateral involvement-Density of cataract during presentation-Degree of visual impairment(Basak, SK., 2007) 19. REFERENCES:• Basak, SK., Essentials of Ophthalmology 4th edition, 2007. [slideshare.net]
- Visual Impairment
Content covers all details of pediatric cataracts and surgical techniques to treat and prevent visual impairment. Readers explore patient work-up, diagnosis, surgical techniques, and potential complications. [books.google.com]
Most people who’ve had cataracts removed from both eyes as children will have visual impairment, and some will be able to register as sight impaired / partially sighted. Some will be able to register as severely sight impaired / blind. [childhoodcataracts.org.uk]
Definition An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. [uniprot.org]
AGE-RELATED CATARACT This article focuses on age-related cataract as the leading cause of visual impairment worldwide. [v2020eresource.org]
Prognosis:• The visual outcome depends on:-Unilateral /bilateral involvement-Density of cataract during presentation-Degree of visual impairment(Basak, SK., 2007) 19. REFERENCES:• Basak, SK., Essentials of Ophthalmology 4th edition, 2007. [slideshare.net]
- Diplopia
These can be more rapidly symptomatic and may manifest with glare, diminished reading capacity and monocular diplopia. Younger patients are more likely to experience these cataracts than nuclear or cortical cataracts. [cataractcourse.com]
Refractive error : Hyperopia / Myopia - Astigmatism - Anisometropia / Aniseikonia - Presbyopia Visual disturbances and blindness Amblyopia - Leber's congenital amaurosis - Subjective ( Asthenopia, Hemeralopia, Photophobia, Scintillating scotoma ) - Diplopia [psychology.wikia.com]
[…] complaint o PT presents w/ visual problems as chief complaints (biggest problem early-on in disease is glare, especially when driving) -Open ended questions -Specific questions -Frequency -Onset -Duration -Location -Associated symptoms -Relief -Severity Diplopia-one [quizlet.com]
- Corneal Edema
At 1 day postoperatively, UDVA was 20/40 due to slight corneal edema and improved to 20/30 over the following 3 months. [omicsonline.org]
[…] serious but more common, and occur because of persistent swelling at the front of the eye in corneal edema or back of the eye in cystoid macular edema. [54] They are normally the result of excessive inflammation following surgery, and in both cases, [en.wikipedia.org]
[Visual acuity, pachymetry and corneal density after 5% sodium chloride treatment in corneal edema after surgery]. J Fr Ophtalmol. 2015 Nov 4. pii: S0181-5512(15)00334-4. doi: 10.1016/j.jfo.2015.07.002. [Epub ahead of print] French. [fr.ap-hm.fr]
- Corneal Opacity
Purpose: To describe a new surgical technique for a patient with cataract combined with corneal opacity. [healio.com]
Other ocular features include nystagmus, strabismus, microphthalmos, corneal opacities, retinopathy, glaucoma and a small pupil that is difficult to dilate. [missionforvisionusa.org]
Workup
They require a full metabolic, infectious, systemic, and genetic workup. [emedicine.medscape.com]
Treatment
Throughout the book, the pathology, examination, anesthesia, surgical treatment and nursing care of pediatric lens disorders are discussed in detail. [books.google.com]
This cataract doesn’t affect vision and doesn’t require treatment. The complete cataract In this type of cataract, all the transparent lens fibers are opacified. This cataract can be unilateral or bilateral. [cataractsurgerycost.net]
Poverty, lack of awareness, distance from clinics and hospitals, fear of treatment, sex related and Cultural beliefs are the major barriers of cataract treatment. [v2020eresource.org]
Treatment Treatment Options: Visually significant opacities require surgery. Amblyopia, if present, should be treated early. [disorders.eyes.arizona.edu]
Prognosis
Diagnosis and Prognosis: Cataracts are diagnosed by eye doctors but it is important that pediatricians and family doctors are involved as well to ensure that they are not part of a more generalized disorder. [disorders.eyes.arizona.edu]
Morphology:• The morphology of cataract is important for several reasons: it can give a clue to the age ofonset, to the visual prognosis, it may suggest heritability, and it may give a clue to the aetiology. [slideshare.net]
Because onset is usually after the fixation reflex has been established, patients with lamellar cataracts have a better visual prognosis than patients with cataracts of earlier onset. Figure 23-3 Lamellar cataract. [entokey.com]
Most frequently AD, but maybe AR or X-linked Better visual prognosis than coexisting ocular and systemic abnormalities Classified to: Zonular cataract: opacity occupies a discrete zone in the lens Polar cataract: opacities occupy subcapsular [docsity.com]
The prognosis is poorer in persons with other ocular or systemic involvement. Patient Education Removal of the cataract is only the beginning. [emedicine.medscape.com]
Etiology
[…] posterior pole Vision markedly diminished as the opacity is close to the nodal point 9 3.Lamellar cataract Etiology most common congenital cataract Definition: lens opacity involving one or more lamellae of the lens. [slideplayer.com]
Etiology : Genetic pattern is usually of dominant variety Environmental form is associated with vitamin D deficiency Sometimes maternal rubella infection contracted between 7th and 8th week of gestation may also cause lamellar cataract Characteristic [medifactsonline.blogspot.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Etiology Exact etiology is not known. Some factors which have been associated with certain types of cataracts are described below: I. Heredity. Genetically-determined cataract is due to an anomaly in the chromosomal pattern of the individual. [ikeyes.blogspot.com]
Etiology and morphology of pediatric cataracts. In: Wilson ME, Trivedi RH, editors. Pediatric cataract surgery. Philadelphia: Lippincott Williams & Wilkins; 2014. p. 9–21. Google Scholar 22. Gass JD. [link.springer.com]
Epidemiology
From Epidemiology common type of infantile cataract Pathology concentric opacities, broad or narrow, usually consisting of powdery white dots affecting one lamella or zonule of an otherwise clear lens the opacity may be so dense as to render the entire [anvita.info]
THE EPIDEMIOLOGY OF CATARACT PEDIATRIC CATARACTS: EPIDEMIOLOGY AND DIAGNOSIS RETROSPECTIVE REVIEW OF 79 CASES This article describes various aspect of pediatric cataract in a hospital based study. [v2020eresource.org]
“Blindness Due to Cataract: Epidemiology and Prevention.” Annual Review of Public Health 17 (1996): 159-77. ↑ Klein, Barbara, Ronald Klein, Kristine Lee, and Lisa Grady. Statin Use and Incident Nuclear Cataract. [psychology.wikia.com]
Epidemiology and molecular genetics of congenital cataracts. Int J Ophthalmol. 2011;4(4):422-32. 22. Papania MJ, Wallace GS, Rota PA, et al. [reviewofoptometry.com]
Epidemiology:• The incidence is about 1 in 2000, andapproximately one-third of congenital cataractsare familial, one-third are associated with asyndrome, and one-third are isolated.(Friedman, NJ & Kaiser, PK, 2009) 5. [slideshare.net]
Pathophysiology
Pathophysiology The lens forms during the invagination of surface ectoderm overlying the optic vesicle. The embryonic nucleus develops by the sixth week of gestation. Surrounding the embryonic nucleus is the fetal nucleus. [emedicine.medscape.com]
Prevention
By means of concise text supported by a wealth of color illustrations the authors' aim is to enable the reader to reach a fast and accurate diagnosis, to ensure early treatment which may ultimately prevent the occurrence of further disease. [books.google.com]
Early detection is important to prevent lazy eye (amblyopia). Inherited forms of cataracts are usually bilateral as is the case in this disorder. [disorders.eyes.arizona.edu]
Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light. [icdlist.com]
Causes of Cataract Blindness and the challenges are to prevent or delay Cataract formation and cure that which does occur, Preventive interventions, changes in government policy and legislation, and modification of community and individual behavior. [v2020eresource.org]