Medical history (history of the patient) represents an important component in the diagnosis of cataract (cataract). Family History Is there a history of frequent eye disease in your family? Social history What is your profession? Are you exposed to harmful working substances in your profession? Current medical history/systemic medical history (somatic and psychological complaints). Have … Cataract: Medical History
Eyes and ocular appendages (H00-H59). “Age-related cataract” Cataracta complicata – cataract secondary to another eye disease such as uveitis (inflammation of the medial membrane of the eye, which consists of the choroid, the corpus ciliare, and the iris) or an old retinal detachment Cataract concomitant with a systemic disease such as diabetes mellitus (diabetes). Congenital … Cataract: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by cataract: Eyes and eye appendages (H00-H59). Age-related macular degeneration (is suspected). Rapidly increasing lens swelling may cause spontaneous rupture of the thinned lens capsule. This causes lens protein to leak out, which can cause uveitis (inflammation of the middle eye skin, … Cataract: Secondary Diseases
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Eyes Ophthalmological examination – examination of the eye with a slit lamp, determination of visual acuity and determination of refraction (examination of the refractive properties … Cataract: Examination
Drug therapy for a cataract (cataract) is unsuccessful. Surgery must be performed to cure the disease.
Mandatory medical device diagnostics. Ophthalmoscopy (ocular funduscopy). Slit-lamp examination (slit-lamp microscope; viewing the eyeball under appropriate illumination and high magnification), in mydriasis (pupil dilation). A clear opacity in mature (mature) or hypermature (overmature) cataract, is often already visible to the naked eye.
Another way to prevent cataract is to strengthen the antioxidant protective system of the eye lens. Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prevention: In studies so far, the vital substances vitamin C, vitamin E, folic acid, vitamin B2 (riboflavin), beta-carotene, lutein, zeaxanthin and zinc were … Cataract: Micronutrient Therapy
The goal of cataract therapy is to improve vision, which can only be achieved by surgery in cases of manifest cataract. In cases of severely impaired vision or at the patient’s request, cataract surgery is performed. In this case, the clouded lens of the eye is surgically removed, which can usually be done on an … Cataract: Surgical Therapy
To prevent cataract (cataract), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – the eye lens of healthy patients shows significantly lower concentration of ascorbic acid compared to patients with cataract. In the eye, constant contact with sunlight produces free radicals, which are neutralized by ascorbic … Cataract: Prevention
The following symptoms and complaints may indicate a cataract: Lens opacity Glare sensation, especially at night and at dusk Decrease in visual acuity Fading of colors and contrasts Liquid absorption into the lens Blurred and/or distorted vision Increased sensation of glare in bright light Decreased perception of contrasts Occasional double or multiple vision Decrease in … Cataract: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Cataract (cataracta senilis) develops due to aging processes by slowing down the metabolism of the lens. This causes the lens to become cloudy.Genetic factors are also thought to influence the development of a cataract. Etiology (Causes) Biographic causes Genetic burden By parents, grandparents: cataract is usually inherited in an autosomal dominant … Cataract: Causes
General measures Nicotine restriction (abstaining from tobacco use) – early smoking cessation reduces the likelihood in men that cataract surgery will be necessary Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss … Cataract: Therapy