POSITIVE

FINDINGS
 IMMATURE CORTICAL MATURE CORTICAL NUCLEAR CATARACT

1. COMPLAINTS: DIMINUTION OF VISION- gradual DIMINUTION OF VISION- DIMINUTION OF VISION- gradual

and painless, for both distance gradual and painless, for both and painless, more for distance
and near distance and near (near vision better)
Intumescent
2. VA: stage, AC
̶ Distance 6/9 to CF+ shallow HM+ to PL+ 6/9 to PL+
̶ Near: N 12 N 18 N 10

3. PUPIL:
̶ Colour Grayish white Pearly white Yellowgreen/ amber/ brown/black
̶ Iris shadow PRESENT Absent Absent

4. LENS Grayish white Pearly white Yellowgreen/ amber/ brown/black

DIAGNOSIS: 1. Pre-senile / Senile

2. Immature / Mature
3. Cortical / Nuclear
4. CATARACT
T/T: Extracapsular cataract extraction with phacoemulsification along with foldable Posterior Chamber -
IOL implantation in the capsular bag under topical anesthesia
PSEUDOPHAKIA APHAKIA

1. COMPLAINTS: DOV- gradual, painless 1. COMPLAINTS: DOV- gradual, painess

2. H/O DOV followed by H/O Surgery followed by 2. H/O sx / trauma

improvement of vision
3. Scar may be present if Sx
3. Scar present  2mm from the limbus / absent in phaco
4. ANT. CHAMBER: deeper
4. ANT. CHAMBER: deep
5. IRIS: tremulousness/ iridodonesis present
5. PUPIL: jet black with shining reflex
6. PUPIL: jet black with NO SHINING REFLEX
6. LENS: natural lens absent, artificial lens present On
examination 7. LENS: natural lens absent
7. VA: improves with pinhole
8. VA: doesn’t improve until with +10D glasses

DIAGNOSIS : Pseudophakia with PC-IOL with refractive error

PTERYGIUM CORNEAL OPACITY
i. COMPLAINTS : FB sensation / Redness / Ocular i. H/O: ocular injury followed by redness for which he/she
discomfort / irritation / fleshy growth took treatment. He then noticed whiteness on cornea

ii. On EXAMINATION: ii. COMPLAINTS: DOV – gradual, painful / WHITENESS on

cornea
1) A fleshy mass in RE/LE/BE can be seen from nasal side
2) Which is ___mm in length and ___mm in width iii. ON EXAMINATION:
3) Encroaching the cornea ___mm 1) NO. :
4) Fleshy / atrophic 2) SIZE:
5) Corneal transparency : Lost at the site of pterygium 3) SHAPE:
6) VA  Diminished (corrected with glasses) 4) LOCATION: (in terms of __ o’clock position wrt limbus
and pupil)
7) Diagram 5) GRADING:
6) IRREGULAR AC DEPTH (due to iris incarceration)
iii. DIAGNOSIS: I  2mm on cornea
1) Grade I/II/III – encroaching __mm on cornea iv. DIAGNOSIS: location , grade of opacity
2) Progressive/Regressive II  2-4mm
3) True/ pseudopterygium III  > 4mm
4) On the nasal/temporal side
iv. TREATMENT: excision of pterygium with limbal autograft v. TREATMENT:
under local/topical anesthesia
CHALAZION , DACRYOCYSTITIS