Signs and Symptoms
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Diagnosis and Symptoms
Diagnosis and Symptoms
1. Cataract Diagnosis Criteria
Vision less than or equal to 6/9, not improving with pinhole or glasses, accompanied by lens opacity, indicates cataract.
Diagnosis and Symptoms
2. Symptoms of Cataract
Common symptoms include decreased vision, progressive change in glasses' power, glare, uniocular polyopia, and white pupillary reflex.
Examination Procedures
Examination Procedures
3. Systemic and Ophthalmic Assessment
Conduct a detailed medical history review and assess vision, refraction, IOP, slit lamp examination, and fundus.
Examination Procedures
4. Essential Investigations for Cataract
Perform blood pressure, blood sugar tests, and ophthalmic biometry for IOL power calculation.
Surgical Indications
Surgical Indications
5. Indications for Cataract Surgery
Surgery indicated if BCVA < 6/12 with visual handicaps, glare, or contrast loss, or if cataract impedes treatment.
Surgical Instructions
Surgical Instructions
6. Pre-Operative Preparation
Prepare with topical antibiotics, confirm general health stability, and follow aseptic procedures in surgery.
Surgical Instructions
7. Surgical Options for Cataract
Options include SICS with PMMA IOL, phacoemulsification with foldable IOL, or ECCE with PMMA IOL.
Post-Operative Care
Post-Operative Care
8. Post-Operative Care Guidelines
Use topical antibiotics, steroids, follow-up visits, and provide glasses prescription 2-4 weeks after surgery.
Post-Operative Care
9. Quality Assessment Parameters
Record patient identifiers, pre- and post-operative vision, and track surgical outcomes to evaluate success.
Comorbidity Considerations
Comorbidity Considerations
10. Cataract with Systemic Comorbidity
Refer to specialists for systemic conditions like heart disease, diabetes, and thyroid disease for integrated care.
Signs and Symptoms