Nuclear Sclerotic Cataract

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	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	Glare testing \| Potential acuity meter
		ETIOLOGY	Senescence
		DIFFERENTIAL DX	Cortical cataract \| Posterior/anterior subcapsular cataract
		NOTES	A myopic shift may cause a phenomenon referred to as “second sight"