Cataract physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor-In-Chief: Joseph Nasr, M.D.[2]

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Overview

The diagnosis of cataract is established through slit-lamp biomicroscopy following pupillary dilation, allowing direct visualization of lens opacification and classification of cataract type.^[1]

Visual acuity testing is used to quantify impairment, including under simulated glare conditions when indicated.^[1]

Physical Examination

Bilateral cataracts in an infant due toCongenital rubella syndrome, courtesy CDC

Slit lamp photo of Anterior capsular opacification visible a few months after implantation of Intraocular lens in eye, magnified view

Slit lamp photo of Posterior capsular opacification visible a few months after implantation of Intraocular lens in eye, seen on retroillumination

References

↑ ^1.0 ^1.1 Miller KM, Oetting TA, Tweeten JP, et al; American Academy of Ophthalmology Preferred Practice Pattern Cataract/Anterior Segment Panel. Cataract in the adult eye preferred practice pattern. Ophthalmology. 2022;129(1):1-P126. doi:10.1016/j. ophtha.2021.10.006

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[:0-1] 1.0 ^1.1 Miller KM, Oetting TA, Tweeten JP, et al; American Academy of Ophthalmology Preferred Practice Pattern Cataract/Anterior Segment Panel. Cataract in the adult eye preferred practice pattern. Ophthalmology. 2022;129(1):1-P126. doi:10.1016/j. ophtha.2021.10.006

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