MCQ – 84756

 The stage of senile cataract in the given image is?

A.	Sclerotic type of hypermature cataract
B.	Mature senile cataract
C.	Morgagnian cataract
D.	Intumescent cataract

Show Answer

[ads id=”53026″]

Correct Answer � C Explanation

• 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.

Clinical features:

• 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.

Management:

• B-scan ultrasound study to rule out complicated co-existing intraocular diseases.
• Cataract extraction.