Patient presents with → slowly progressive vision loss over months or years, blurriness, double vision, halos around lights along with clouding of the Lens (versus clouding of cornea = glaucoma)
Cataracts are an opacity of the lens that affects the vision the leading cause of blindness worldwide
- Risk factors include: Age, smoking, ETOH, systemic or inhaled steroid use, sunlight exposure, diabetes, metabolic syndrome or congenital TORCH infections = kids (Toxoplasmosis, other (syphilis), rubella, CMV, Herpes simplex)
- Treatment is with cataract removal
Cataract appears dark against the red reflux on exam
- Slit lamp to magnify, difficult to see the fundus
Glasses and dilation may improve vision
- Definitive treatment is with cataract removal
all of the above
Conjunctival injection is associated with conjunctivitis and other inflammatory conditions of the eye.
poorly visualized optic disc
central visual field loss
Central field loss is associated with macular degeneration.
While arcus senilis may be seen in geriatric patients and is not associated with cataracts.
In retinal detachment the retina is seen hanging in the vitreous like a gray cloud.
In chronic glaucoma there will be slight cupping of the optic disc observed.
Age-related macular degeneration
Findings in age-related macular degeneration include drusen, degenerative changes in retinal pigmentation, and subretinal neovascular membrane changes.