CATARACT- TYPES & CAUSES

CATARACT- TYPES & CAUSES


TYPES OF CATARACT & THEIR CAUSES

TYPES OF CATARACT

CAUSES

Posterior subcapular

Myotoic dystrophy

Wilson’s disease

DM

Atopic dermatitis

Down’s syndrome

Corticosteroids

Ionizing radiation

Anterior subcapular

Wilson’s disease

Down syndrome

Senile cataract

Galactosemia

Anterior capsular

Voissious ring (Blunt trauma)

Nuclear

Cigarette smoking

Congenital rubella

Cortical

Stickler syndrome

Senile cataract

Anterior capsule (Polar)

Penetration of cornea

Congenital cataract

Posterior capsular (Polar)

Congenital cataract

 

DISEASE

TYPE OF CATARACT

Myotonic dystrophy

Christmas tree cataract

Blue dot cortical cataract

Posterior subcapular cataract

Wilson’s disease

Copper deposition (Chalcosis)

Penetrating trauma

Sunflower cataract

Diabetes mellitus

Snowflake cataract or Snowstrom cataract

Down’s syndrome

Snowflake cataract

Hypoparathyroidism (Hypocalcemia)

Hypovitaminosis D

Discrete white cortical opacities

Congenital lamellar (zonular) cataract

Atopic dermatitis

Blue dot cortical cataract

Posterior subcapular cataract

Congenital rubella

Nuclear cataract

Total congenital cataract

Galactosemia

Oil drop cataract

Dust like lenticular opacities

Complicated cataract (Iridocyclitis, high myopia)

Posterior cortical bread’s crumb appearance

Polychromatic lusture

Rainbow cataract

Blunt trauma

Voissius ring on anterior surface of lens

Rosette shaped cataract

Exam Important

  • Most common cause of cataract is Age related.
  • Oil drop cataract is characteristic of Galactosemia.
  • Cataract in galactosemia is the only reversible cataract.
  • Polyopia/diplopia is seen in Cortical cataract.
  • The commonest type of cataract in adults is Cortical cataract.
  • Drug causing cataract? Dexamethasone.
  • Sunflower cataract is seen in Wilson’s disease.
  • Sunflower cataract is associated with Chalcosis.
  • Sunflower cataract is due to deposition of Copper.
  • Snowflake cataract is associated with Juvenile diabetes.
  • A true diabetic cataract is also known as Snow-storm cataract.
  • Rossette shaped cataract is seen in Blunt trauma to eye.
  • Posterior subcapsular cataract is most visually handicapping.
  • Most common type of cataract following radiation is Posterior subcapsular.
  • Intumescent cataract is associated with Phacomorphinc glaucoma.
  • Diabetic cataract is due to accumulation of Sorbitol.
  • Complicated cataract is associated with Uveitis, Retinitis pigmentosa & Degenerative myopia.
  • Minimum vision loss with Blue dot cataract.
  • Most common type of congenital cataract is Blue dot.
  • Congenital morgagnian cataract is a feature of Rubella cataract.
  • Christmas tree cataract is seen in Myotonic dystrophy.
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