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SYMPTOMS
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Blurry vision | Glare (especially with night driving) | Possibly altered color perception
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SIGNS
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Plaque-like opacification in the posterior cortex
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WORK-UP
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History | Slit lamp examination | Dilated fundus exam | Glare testing and/or potential acuity meter (PAM) may be useful
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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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ETIOLOGY
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Aging | Medication use (i.e. steroids) | Inflammation
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DIFFERENTIAL DX
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Nuclear sclerotic cataract | Cortical cataract | Posterior polar cataract
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NOTES
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Use retroillumination for easy visualization | PSC tends to affect younger patients and progress more rapidly than other types of cataracts
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