Cataract: The Daily PANCE Blueprint

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Cataract: The Daily PANCE Blueprint

A 65-year-old male with a history of tobacco abuse and diabetes presents to your clinic complaining of a 10-month history of worsening blurred vision, especially at night while driving. On funduscopic examination, there is no red reflex and a cloudy lens. Which of the following is the most likely diagnosis?

A. Retinal detachment
B. Chronic glaucoma
C. Age-related macular degeneration
D. Cataracts
E. Conjunctivitis

Answer and topic summary

The answer is D. Cataracts

Cataracts are opacifications of the natural lens of the eye. About half of people over the age of 75 years old have cataracts. Clinical features include a loss of visual acuity that progresses slowly over many years. Patients may complain of glares and difficulty driving at night. Risk factors include cigarette smoking, steroid usage, UV radiation exposure, diabetes, old age, and Wilson disease. Surgery is the definitive treatment. It is very effective!

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint EENT ⇒ Disorders of the Eye (PEARLS) ⇒ Corneal disorders (PEARLS) ⇒ Cataract

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