Posterior Subcapsular Cataract

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