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Senile Cataract

This document summarizes different stages and types of senile cataract, including immature senile cataract, Morgagnian hyper-mature cataract, and sclerotic hyper-mature cataract. It also lists potential complications of senile cataract such as phacoanaphylactic uveitis and lens-induced glaucoma. Finally, it outlines the 12 steps of manual small incision cataract surgery, including conjunctival flap exposure, capsulotomy, hydrodissection, nuclear management, cortex aspiration, IOL implantation, and wound closure.

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133 views56 pages

Senile Cataract

This document summarizes different stages and types of senile cataract, including immature senile cataract, Morgagnian hyper-mature cataract, and sclerotic hyper-mature cataract. It also lists potential complications of senile cataract such as phacoanaphylactic uveitis and lens-induced glaucoma. Finally, it outlines the 12 steps of manual small incision cataract surgery, including conjunctival flap exposure, capsulotomy, hydrodissection, nuclear management, cortex aspiration, IOL implantation, and wound closure.

Uploaded by

amraayman21
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SENILE CATARACT

Dr. PRANESH KULKARNI


PROF. & HOD
Dept. of Ophthalmology
KBNIMS
Immature senile cataract
 Opacification becomes more diffuse and irregular.
 Lens is swollen
 Iris shadow +
 AC: shallow
Morgagnian hyper-mature cataract
● Complete cortex is liquefied and appears milky
white in colour.
● Nucleus settles at the bottom
● Calcium deposits may also be seen on the lens
capsule.
Sclerotic hyper-mature cataract
 Disintegrated cortex.
 Shrunken lens
 Wrinkled anterior capsule
 Dense white capsular cataract in pupillary area.
 Deep anterior-chamber.
 Tremulous Iris
Complications of senile cataract

1.Phacoanaphylactic uveitis
2.Lens induced glaucoma
3.Subluxation or dislocation of lens
Manual Small Incision Cataract Surgery

I . Superior rectus bridle suture is taken and secured


2. Conjunctival flap and exposure of sclera
3. Haemostasis is achieved by wet field cautery
4 . A self-sealing sclerocorneal tunnel incision is
made
5. Side-port entry made
6. Anterior capsulotomy
7. Hydrodissection
8. Nuclear management. Il consists of following
manoeuvres:
i. Prolapse of nucleus by rotating the nucleus with
Sinskey's hook
ii. Delivery of the nucleus
• Irrigating wire vectis method
• Blumenthal's technique
• Phacosandwich technique
• Phacofracture technique
• Fishhook technique
9 . Aspiration of cortex: The remaining cortex is
aspirated out using a two-way irrigation and
aspiration cannula
1O. IOL implantation
11. Removal of viscoelastic material with the help of
two-way irrigation aspiration cannula
12. Wound closure

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