Zonular cataract

Hard mature cataract

19/04/2015
5 seconds effective Phaco time. Direct chop with burst mode and micro pulse mode. In the bag IOL implanted.

Thirty minutes post op, cataract surgery, phacoemulsification direct chop with endo capsular emulsification and in the bag implantation of Foldable interests ocular lens.

Repaired corneal perforation with traumatic cataract

Post cataract surgery corneal stromal edema.

One day post op cataract surgery in in a patient with very hard cataract . The other photographer is showing recovery after 2 days .

Bilaterally subluxated catarctus Lens in a Marfan 's syndrome.

IOL externalization in subluxated

Repaired traumatic corneal perforation

Photo of a repaired corneal perforation due to trauma by metal rod.
Note the hypopyon which is now reducing showing resolution of intraocular inflammation.

Rosette cataract

Cortical cataract in an elderly male.

Post cataract surgery keratitis and anterior chamber reaction.

Post operative 24hrs picture of an eye after cataract surgery. Patient aged 65Years. Dense mature cataract.  Vision day one 6/24.
Second picture post op three  days. Vision BCVA 6/12.

Bilateral blue punctuate cataract.

External haptic fixation of Rigid single piece PMMA IOL for bilateral subluxated crystalline lens with aniridia.
Note the excellent centration of the IOL.

Iris claw Lens thirty years after implant.

Grand round case. Developmental cataract.

Grand Round Case    Dated:27/12/12                                                                                                                                                       Patient’s Name – Reshu, 6yrs./ Male, R/o Luchnow
Chief Complaints – Diminution of vision with whitish discolouration of central clear part of BE’s noticed 2 months back
History of present illness- History is given by the patient’s father and seems to be reliable. According to him the child was apparently asymptomatic 2 mths back when he accidentally collided with a wall following which they noticed diminution of vision and whitish discoloration of central clear part of both eyes. The next day parents took the patient to a Govt. hospital in Lucknow where he was prescribed some topical medications and was advised surgery. The parents refused surgery at that time due to economic problems.
In the meantime, there has been no progression in diminution of vision or the whitish discoloration.
2 days back, the patient came to KGMU and has been admitted for further management.
No H/o pain, redness, watering
No H/o photophobia
No H/o trauma
No H/o any drug intake by the patient
No H/o fever, diarrhea, any systemic illness
No significant family history
Birth history- No H/o any drug intake by mother during antenatal period
No H/o fever or rash during antenatal period
No significant perinatal historyFull term normal vaginal delivery in hospital
Normal cry after delivery

Examination
Patient is conscious, co-operative and well oriented to time, place and person.
General Examination                                           
Temperature : Afebrile        Pulse: 88/min.       Resp. rate: 16/min.        BP: 1100/70 mm of Hg
Local Examination     

Slit Lamp Examinaion

  
Retinosopy
RE- No glow                   LE- No glow
Fundus examination
RE- Not visible              LE- Not visible

InvestigationsHb – 13 gm% , TLC- 6800/cumm,  DLC- N70 L26 E01 M03 B00,  Platelet count- 2.8 lakhs/cumm,  RBS- 82 mg/dl
HIV-NR, HBsAg- NR, HCV-NR
B-Scan:
  Cataract both eyes. Rest WNL.

Posterior capsular opacification

Elschnig's pearls type of PCO.

Phacoemulsification in an albino patient. These patients have lack of pigment in the eyes, hairs and skin, abnormal eye movements and subnormal vision since childhood, but with the development of cataract, later in life they have increase in the symptoms of glare, intolerance to bright light and further reduction in vision.

Cataract surgery is very rewarding in these cases when indicated for the above mentioned symptoms. This patient was very satisfied and and engineer by profession, was able to resume his full working abilities.