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Cataract and cataract surgery. By Dr. ABDULMAJID ALSHEHAH Ophthalmology consultant Anterior Segment and Uveitis consultant. Anatomy and physiology of the human lens History of cataract and cataract surgery Current standards for cataract surgery. Anatomy and physiology of the human lens.
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Cataract and cataract surgery By Dr. ABDULMAJID ALSHEHAH Ophthalmology consultant Anterior Segment and Uveitis consultant
Anatomy and physiology of the human lens • History of cataract and cataract surgery • Current standards for cataract surgery
Cataract Epidemiology • Age-related cataracts are responsible for 51% of world blindness (WHO) • In the United States, age-related lens changes have been reported in : • 42% between the ages of 52 and 64. • 60% between the ages 65 and 74. • 91% between the ages of 75 and 85.
Cataract symptoms • An opacity in the lens of the eye: • •00causes a painless loss of vision • •00causes glare • •00may change refractive error.
In infants, cataract may cause amblyopia • failure of normal visual development. • Urgent cataract surgery is needed.
Cataract signs • Reduced visual acuity • Reduced contrast sensitivity. • Dark or dim red reflex
Cataract signs • Pupil response ?
Causes of cataract • Age related idiopathic is the most common. • result of the cumulative exposure to environmental and other influences such as smoking, UV radiation and elevated blood sugar levels.
Cataract treatment • Medications ? • Surgery
History of cataract surgery • Cataract surgery is one of the oldest surgical procedures known, first documented in the fifth century BC. Cataract Surgery in Antiquity. American Academy of Ophthalmology. 2008. http://www.aaofoundation.org/what/heritage/exhibits/online/cataract/antiquity.cfm.
ICCE (intra-capsular cataract extraction) • ICCE (intra-capsular cataract extraction)
Questions • Vedios