Posterior subcapsular cataract and steroids

Glucocorticoids such as prednisolone cause profound and varied metabolic effects. In addition, they modify the body's immune responses to diverse stimuli. Medication Guide

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Guidance on accommodating intraocular lenses from the National Institute for Health and Clinical Excellence (NICE, 2007) concluded: "Current evidence suggests that there are no major safety concerns associated with the implantation of accommodating lenses for cataract.  There is evidence of short-term efficacy in correcting visual acuity but there is inadequate evidence that the procedure achieves accommodation.  Therefore, the procedure should not be used without special arrangements for consent and for audit or research."  The assessment stated that publication of long-term efficacy outcomes of the procedure will be useful, particularly on the effects on accommodation.

Biomicroscopically lenticonus is characterized by a transparent, localized, sharply demarcated conical projection of the lens capsule and cortex, usually axial in localization. In an early stage, retro-illumination shows an «oil droplet» configuration. Using a narrow slit, the image of a conus is observed. In a more advanced stage associated subcapsular and cortical opacities appear. Retinoscopically the oil droplet produces a pathognomonic scissors movement of the light reflex. This phenomenon is due to the different refraction in the central and the peripheral area of the lens. Ultrasonography also can illustrate the existence of a lenticonus . A-scan ultrasonography may reveal an increased lens thickness and B- scanultrasonography may show herniated lenticular material, suggestive of a lenticonus. Amblyopia, cataract, strabismus and loss of central fixation may be observed in association with lenticonus posterior. Cataract, flecked retinopathy, posterior polymorphous dystrophy and corneal arcus juvenilis may be encountered in association with lenticonus anterior that occurs as a part of the Alport syndrome. [2]

Cataract surgery is a fairly common procedure to remove a cloudy lens, that is a cataract, from inside the eye to restore vision. The cloudy lens inside the eye is replaced with an artificial lens or intraocular lens (IOL). Cataracts generally occur as a natural aging process. However, they can also occur at birth (congenital) or caused by a drug, chemical, or physical injury. Cataracts may go unnoticed at the onset because the cloudiness presents gradually and vision is only mildly affected. Eventually, cataracts worsen and begin to impair vision and ultimately require cataract surgery.

Posterior subcapsular cataract and steroids

posterior subcapsular cataract and steroids

Cataract surgery is a fairly common procedure to remove a cloudy lens, that is a cataract, from inside the eye to restore vision. The cloudy lens inside the eye is replaced with an artificial lens or intraocular lens (IOL). Cataracts generally occur as a natural aging process. However, they can also occur at birth (congenital) or caused by a drug, chemical, or physical injury. Cataracts may go unnoticed at the onset because the cloudiness presents gradually and vision is only mildly affected. Eventually, cataracts worsen and begin to impair vision and ultimately require cataract surgery.

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