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Cataract and cataract surgery By Dr. ABDULMAJID ALSHEHAH Ophthalmology consultant Anterior Segment and Uveitis consultant
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Anatomy and physiology of the human lens History of cataract and cataract surgery Current standards for cataract surgery
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Anatomy and physiology of the human lens
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Cataract
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Cataract Epidemiology Age-related cataracts are responsible for 51% of world blindness (WHO) In the United States, age-related lens changes have been reported in : 42% between the ages of 52 and 64. 60% between the ages 65 and 74. 91% between the ages of 75 and 85.
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Cataract symptoms An opacity in the lens of the eye: 00causes a painless loss of vision 00causes glare 00may change refractive error.
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Vision through cataract
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In infants, cataract may cause amblyopia failure of normal visual development. Urgent cataract surgery is needed.
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Cataract signs Reduced visual acuity Reduced contrast sensitivity. Dark or dim red reflex
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Cataract signs Pupil response ?
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Sutural cataract
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Traumatic cataract
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Causes of cataract Age related idiopathic is the most common. result of the cumulative exposure to environmental and other influences such as smoking, UV radiation and elevated blood sugar levels.
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Causes of cataract
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Cataract treatment Medications ? Surgery
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History of cataract surgery
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Cataract surgery is one of the oldest surgical procedures known, first documented in the fifth century BC. Cataract Surgery in Antiquity. American Academy of Ophthalmology. 2008. http://www.aaofoundation.org/what/heritage/exhibits/online/cataract/antiquity.cfm.
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ICCE (intra-capsular cataract extraction)
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Modern Cataract surgery
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ECCE (Extra-Capsular cataract extraction)
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ECCE (Extra Capsular cataract extraction)
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phacoemulsification
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Questions Vedios
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