Posters

Intralenticular changes in mature cataracts on a modified posterior segment optical coherence tomography

Poster Details

First Author: M.Asif INDIA

Co Author(s):    A. Pujari   N. Sharma   H. Selvan   J. Urkude   R. Mukhija        

Abstract Details

Purpose:

To study the morphological changes within the mature cataracts on a modified OCT and its correlation with the slit lamp findings.

Setting:

Dr RP Centre for Ophthalmic Sciences, AIIMS, New Delhi.

Methods:

Patients undergoing routine cataract surgery were included in the observation. A total of 22 mature cataracts underwent detailed slit lamp examination to document the findings along anterior capsule, anterior sub-capsular layer, anterior cortex and the anterior most part of nucleus whenever possible. The same eyes were assessed on a modified posterior segment OCT to look for the intra lenticular changes along the clinically defined layers. In addition, intra operative experiences were also noted in comparison to the OCT findings.

Results:

The average age was 56 years, 14 patients were male and 16 patients had right eye examination. The slit lamp findings were sub-capsular vacuoles and partial separation along the anterior cortical fibres. The modified OCT findings includes, clinically corresponding sub-capsular vacuoles, and graded intra lenticular separation/cavitation’s along the anterior cortical matter to a varying grade.

Conclusions:

This observation highlights the existence of intra lenticular anterior cortical fibre separation or existence of cavitation in cases of mature senile cataracts.

Financial Disclosure:

None