Lens

Hypermature Cataract SYMPTOMS Significantly reduced vision | Glare (especially with night driving) | Possibly altered color perception SIGNS Liquified cortex | “Free floating” lens nucleus WORK-UP History | Slit lamp examination | Dilated fundus exam | Glare testing and/or potential acuity meter (PAM) can be used | B-Scan may be used to evaluate posterior segment…

Posterior Subcapsular Cataract SYMPTOMS Blurry vision | Glare (especially with night driving) | Possibly altered color perception SIGNS Plaque-like opacification in the posterior cortex WORK-UP History | Slit lamp examination | Dilated fundus exam | Glare testing and/or potential acuity meter (PAM) may be useful TREATMENT Observation | Cataract surgery FOLLOW-UP Annually if no surgery…

Cortical Cataract SYMPTOMS Mostly glare (especially with night driving) | Blurry vision | Possibly altered color perception SIGNS Radial/spoke-like cortical opacification | Lens vacuoles WORK-UP History | Slit lamp examination | Dilated fundus exam | Glare testing and/or potential acuity meter (PAM) may be useful TREATMENT Observation | Cataract surgery FOLLOW-UP Annually if no surgery…

Nuclear Sclerotic Cataract SYMPTOMS Blurry vision | Glare (especially with night driving) | Possible altered color perception (rarely noticed) SIGNS Central lens opacification | Stiffening | Brunescence WORK-UP Thorough history | Slit lamp examination | Dilated fundus exam | Glare testing and/or potential acuity meter (PAM) may be usefulHis TREATMENT Observation | Cataract surgery FOLLOW-UP…