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)