Retinopathy hypertension

Differential
diagnosis Glaucoma

Lens: biconvex, avascular, and transparent Anatomy, physiology

and metabolism
1.  Sebagai media refraksi  Anamnesis
2. Terlibat dalam proses akomodasi 
3. Mengabsorpsi sinar ultraviolet Vision check

Oblique illumination Examination

The lens obtains energy mainly through anaerobic glucose Diagnosis
metabolism, another important component required for Shadow test
reduced NADPH  

Direct ophthalmoscopy examination

1.Age Slit lamp

2. Diabetes mellitus
3.Drug
4.Therapy Risk factor
5.Exposure to UVB radiation
6.Smoking Extracapsular Cataract Extraction
7.Poor nutrition
Intracapsular Cataract Extraction (ICCE)
Therapy Surgery
Small Incision Cataract Surgery (SICS)

Phaco Emulsification

Patophysiology Cataract surgery results in about 95% visual

Prognosis improvement to a visual acuity of 20/40 or
better.

SENILE CATARACT Phacoanaphylactic uveitis

Glaukoma ‘lens-induced
Complication
Immature cataract (intumescent lens) -->
Glare
Phacomorphic glaucoma

Double vision
Hypermature cataract --> Phacolytic glaucoma

Colored halos
Symptoms
Black dot 

Foggy vision
Glasses/contact lenses
Rehabilitation 
Decreased vision
intraocular lens implantation

Opacification within the lens cortex

Sign CASE REVIEW
Iris shadow •60 years old man
•Decreased vision in both eyes since ± 2 years, getting worse in 2 months
•Vision: like seeing white smoke, and more clearly at night
•Recurrent pain in both eyes since 4 days, radiating to the forehead
•10 years history of hypertension, irregular medication
•Generalized status: Moderately ill/ Adequate Nutrition/ Compost Mentis
•Td : 170/100 mmHg
•Visual acuity : VOD : 3/60 uncorrected VOS : 3/60 Uncorrected.
•Eyeball pressure: TOD: 32 mmHg, TOS: 29 mmHg
•Anterior: hyperemic bulbar conjunctiva OD/OS, lens opaque (cloudy) with
pseudoiris appearance