Clinical Cases of Cataract (Senile and Other Types)

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1. Primary Cataract in an Elderly Patient

  • Age: 72 years
  • Symptoms: Gradual blurry vision over 6 months, difficulty driving at night, color changes.
  • Medical History: No significant diseases.
  • Examination: Partial white opacity in the anterior lens of the right eye, normal eye pressure.
  • Diagnosis: Primary cataract (age-related).
  • Treatment: Discuss cataract removal surgery with intraocular lens (IOL) implant; monitor vision.

2. Secondary Cataract due to Diabetes

  • Age: 58 years
  • Symptoms: Blurry vision, rapid loss of visual acuity in the left eye.
  • Medical History: Type 2 diabetes for 15 years, poorly controlled blood sugar.
  • Examination: Posterior cataract in the left eye, abnormal lens opacity.
  • Diagnosis: Secondary cataract due to diabetes.
  • Treatment: Improve blood sugar control; consider cataract surgery after stabilization.

3. Congenital Cataract in a Child

  • Age: 6 years
  • Symptoms: Difficulty seeing clearly since birth.
  • Medical History: No family history or known diseases.
  • Examination: Severe lens opacity, very low visual acuity in the affected eye.
  • Diagnosis: Congenital cataract.
  • Treatment: Early surgery to remove cataract and implant intraocular lens to improve vision and visual development.

4. Surgical Cataract

  • Age: 45 years
  • Symptoms: Sudden loss of clear vision after previous eye surgery.
  • Medical History: Underwent lens surgery 3 years ago due to prior injury.
  • Examination: Cataract formation post-surgery with lens changes, normal eye pressure.
  • Diagnosis: Surgical cataract.
  • Treatment: Surgery to correct condition; evaluate opacity extent and choose appropriate procedure.

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