Sclerotic type of hypermature cataract
Mature senile cataract
- The given image is of Morgagnian cataract.
- Morgagnian cataract is a form of hyper mature cataract formed by liquefaction of the cortex and sinking of the dense nucleus to the bottom of the capsular bag.
The small, brownish nucleus settles at the bottom, altering its position with change in the position of the head.
- Liquefying lens cortex
- Sunken brownish nucleus
- Flecks of calcium salt deposits on the anterior capsule
- Dense capsular opacities can be from epithelial hypertrophy
- May undergone spontaneous rupture to the anterior chamber, causing an inflammatory reaction which is known as phacoanaphylaxis uveitis
- May also be complicated with phacolytic glaucoma as the inflammatory cells become trapped in the trabecular meshwork and obstructed the filtration flow of the aqueous humor.
- B-scan ultrasound study to rule out complicated co-existing intraocular diseases.
- Cataract extraction.