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"