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Pseudophakia and Cataract

RE -0.50 DS LE -2.00 -0.50 x 180 • Fundus Examination RE: Normal fundus LE: Posterior capsular opacification seen with early cataractous changes. Assessment: 1. Pseudophakia OD 2. Early cataractous changes with posterior capsular opacification OS Plan: 1. Tab. Latanoprost OD HS 2. Tab. Acetazolamide 250 mg BD for 1 week 3. LE cataract surgery advised.

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Nandita Jali
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701 views9 pages

Pseudophakia and Cataract

RE -0.50 DS LE -2.00 -0.50 x 180 • Fundus Examination RE: Normal fundus LE: Posterior capsular opacification seen with early cataractous changes. Assessment: 1. Pseudophakia OD 2. Early cataractous changes with posterior capsular opacification OS Plan: 1. Tab. Latanoprost OD HS 2. Tab. Acetazolamide 250 mg BD for 1 week 3. LE cataract surgery advised.

Uploaded by

Nandita Jali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Pseudophakia and Cataract

History
A 65 year old, male patient
c/o Diminution of Vision in LE since 6 months
History of Presenting Illness
He was apparently normal 6 months back. He noticed diminution of
vision in left eye (LE) which is painless and insidious in onset, gradually
progressive in nature, associated with glare at night while driving, and
coloured halos .
No history of flashes/ floaters
Past history
He was operated for right eye cataract surgery at MGM MCH hospital
1years back, surgery was uneventful, with good gain in vision.
No history of ocular trauma in the past
Systemic history
History of DM since 5 years under OHA
No h/o HTM / BA / COPD/ IHD
Personal history - Not significant
Family history – Not significant
Visual Acuity Without glasses With glasses

Right eye 6/9 6/6

Left eye 6/36 6/18

Head Posture Normal

Facial symmetry Symmetrical

Ocular position / Visual Axes Parallel

Ocular Movements Full and Free in all Directions


Right eye Left eye
Eyebrows Normal Normal
• Position
• Cilia
Eyelid Normal Normal
• Position,
• Lid margin
• Eyelash
• Lid proper
Conjunctiva Normal Normal
• Bulbar
• Palpebral
Right eye Left eye
Sclera Normal Normal
Cornea Incision scar mark Clear
• Size present at 12 , 9, 2 o’
• Shape clock
• Surface
• Curvature Rest Normal
• Transparency

Anterior Chamber Deep, no cells and flare Normal depth and


content
Right eye Left eye

Iris Normal colour, Normal Normal colour, Normal


pattern pattern

Pupil Normal size Normally Iris shadow present,


reacting to light Normal size Normally
reacting to light

Lens Shimmering reflex Greyish white in color


• Position Central Iris Shadow present
• Colour Stable
RE LE

RE LE
• IOP RE 14 mmHg , LE 12 mmHg on GAT.
• Sac Syringing- patent both sides
• Refraction ( with eye drop tropicamide)

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