dr. Angela Shinta D.

A, SpM
SMF I.K. Mata RS Atma Jaya
Jakarta

What is Cataract ?
Anatomy of the lens

Komposisi Lensa:
33 % protein , tdd:
-water soluble protein (80%) crystallins
bersifat transparan Lensa
kristalina
-water insoluble
Perubahan water soluble prot insoluble
(penyebab katarak pada orang tua)

Lenss protein change lens

opacity
Classification of cataract
1. Pathologic process
* aging changes
* drug- induced
* trauma
* metabolic
* nutritional effect
* associated with other eye disease
Morfologic

see LOCS

LOCS (Lens Opacity Classification

System)

Visual acuity chart

How to prevent ?
Most cataract is a NORMAL aging

process.
Its one of the degenerative
disease
But some cataracts process speed
up by several conditions
So, we cant prevent the normal
process , but we can slow it down

To slow down cataracts process :

Avoid UV exposure
Take lutein and zeaxanthin regularly
Control blood sugar
Minimizing some particular drugs (statin,
corticosteroid, amiodaron, phenotiazine)
Avoid eye trauma, treat other eye
diseases
Avoid free radicals dont smoking

How to cure ?
Only by surgery to replace the

cataract lens with new Intra Ocular

Lens (IOL)
ICCE
ECCE
SICS
Phacoemulsification

Biometri A scan
to measure the anterior segment depth
and IOL power

Sub tenon anaesthesia

SICS ( Small Incision Cataract

Surgery )

SICS ( Small Incision Cataract

Surgery )

SICS IS THE BEST TECHNIQUE

FOR GOOD AND CHEAP
CATARACT SURGERY.
OPHTHALMOLOGIST IN EVERY
CORNER OF THE WORLD CAN
PROVIDE THEIR PATIENTS
WORLD CLASS VISUAL
RESULT.

PHACOEMULSIFICATION

PHACOEMULSIFICATION

INTRA OCULAR LENS

COMPLICATION

THANK YOU