Hypermature Cataract

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
TREATMENT Observation | Cataract surgery
FOLLOW-UP 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
ADDITIONAL LAB | TESTS B-scan | Possibly glare testing and/or PAM
ETIOLOGY Senescence
DIFFERENTIAL DX Mature cataract | Nuclear sclerotic cataract | Posterior subcapsular cataract | Traumatic cataract
NOTES May lead to glaucoma (phacolytic, phacoantigenic)