Mohammad Roshan Shaikh, Mahmood Saeed, Mohammad Saleh Memon.
Gross appearance of Senile Cataractous Lens.
J Coll Physicians Surg Pak Jan ;12(3):176-8.

Objective: To correlate biomicroscopic examination of human senile cataractous lens with its gross appearance after intracapsular cataract extraction. Design: A prospective study. Place and Duration: Jinnah Postgraduate Medical Centre, Karachi from 1990 -1994. Patients and Methods: Fifty-one senile cataractous lenses were examined on slit-lamp biomicroscope preoperatively after intracapsular extraction. The gross appearance of extracted lenses were graded from I to V depending upon the color and distribution of its shades. This was correlated with the type of cataract as seen in slitlamp biomicroscope pre-operatively. Results: We noticed that the cortical type of cataract on slit-lamp biomicroscope was not of amber or brown color. Similarly, post-subcapsular cataract was not of pale yellow color and nuclear sclerosis was not of uniform color. The degenerative process in the genesis of human senile cataract is found to be different in different parts of lens. Conclusion: Difference in the pattern of degeneration of human senile cataract might be due to hereditary, dietary, ocular and other etiological factors. Pre-operative slit-lamp biomicroscopy is extremely helpful for the surgeons to plan type of surgical procedure to be carried out.

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