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SYMPTOMS
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Significantly reduced vision | Glare (especially with night driving) | Possibly altered color perception
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SIGNS
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Liquified cortex | "Free floating” lens nucleus
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WORK-UP
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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
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TREATMENT
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Observation | Cataract surgery
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FOLLOW-UP
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Annually if no surgery | If cataract surgery is performed, a typical post-op schedule includes 1 day, 1 week, and 1 month post-op exams
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ADDITIONAL LAB | TESTS
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B-scan | Possibly glare testing and/or PAM
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DIFFERENTIAL DX
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Mature cataract | Nuclear sclerotic cataract | Posterior subcapsular cataract | Traumatic cataract
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NOTES
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May lead to glaucoma (phacolytic, phacoantigenic)
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