Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- subjective decrease in vision
- blurred or cloudy vision
- glare
- washed-out color vision
- reduced visual acuity
- blunted red reflex
Outros fatores diagnósticos
- inadequate glasses prescription
- disruption of activities of daily living
Fatores de risco
- age >60 years
- female sex
- smoking
- long-term UV exposure
- diabetes mellitus
- eye trauma
- long-term corticosteroid use
- family history of congenital cataract or congenital influences (e.g., toxins)
- uveitis
- myopia
- other metabolic or hereditary conditions
- exposure to ionizing radiation
- high body mass index (BMI)
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- dilated fundus exam
- measurement of intraocular pressure
- glare vision test
- slit lamp exam of the anterior chamber
Investigações a serem consideradas
- assessment of best visual potential
- B-scan ultrasonography
Algoritmo de tratamento
cataract without concomitant eye pathology
cataract with concomitant eye pathology
postsurgical opacification of the posterior capsule + significant visual impairment
Colaboradores
Autores
Robert T. Chang, MD
Associate Professor of Ophthalmology
Byers Eye Institute
Stanford University School of Medicine
Stanford
CA
Declarações
RTC declares that he is an ad hoc consulting advisory for Alcon, which makes cataract equipment.
Agradecimentos
Dr Robert T. Chang would like to gratefully acknowledge Dr Creig Hoyt, Dr Leela V. Raju, and Dr M. Bowes Hamill, previous contributors to this topic.
Declarações
CH, LVR, and MBH declare that they have no competing interests.
Revisores
Michael P. Ehrenhaus, MD
Assistant Professor of Ophthalmology
Cornea External Disease and Refractive Surgery Local Director
Long Island College Hospital Eye Center
Brooklyn
NY
Declarações
MPE declares that he has no competing interests.
Parwez Hossain, PhD, FRC Ophth, FRCS(Ed)
Associate Professor/Consultant in Ophthalmology
University of Southampton
Southampton
UK
Declarações
PH declares that he has no competing interests.
Bob Avery, MD, PhD
Assistant Professor
Ophthalmology
University of New Mexico Medical School
Albuquerque
NM
Declarações
BA declares that he has no competing interests.
Referências
Principais artigos
American Academy of Ophthalmology. Preferred practice pattern: cataract in the adult eye. Nov 2021 [internet publication].Texto completo
American Academy of Ophthalmology. Cataract/anterior segment summary benchmark - 2023. Dec 2023 [internet publication].Texto completo
National Institute for Health and Care Excellence (UK). Cataracts in adults: management. Oct 2017 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Refractive error
- Dry eye
- Glaucoma
Mais Diagnósticos diferenciaisDiretrizes
- Cataract/anterior segment summary benchmark - 2023
- Vision rehabilitation: preferred practice pattern
Mais DiretrizesFolhetos informativos para os pacientes
Cataracts: should I have surgery?
Cataracts: questions to ask your doctor
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