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SYMPTOMS
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Blurry vision | Glare (especially with night driving) | Possible altered color perception (rarely noticed)
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SIGNS
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Central lens opacification | Stiffening | Brunescence
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WORK-UP
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Thorough history | Slit lamp examination | Dilated fundus exam | Glare testing and/or potential acuity meter (PAM) may be usefulHis
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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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Glare testing | Potential acuity meter
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DIFFERENTIAL DX
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Cortical cataract | Posterior/anterior subcapsular cataract
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NOTES
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A myopic shift may cause a phenomenon referred to as “second sight"
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