By James C. Bobrow MD
Reports the anatomy, body structure, embryology and pathology of the lens. Covers the epidemiology, review and administration of cataracts; offers an outline of lens and cataract surgical procedure; and explores the issues and precise events of cataract surgical procedure. final significant revision 2008 2009.
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Additional resources for 2011-2012 Basic and Clinical Science Course, Section 11: Lens and Cataract (Basic & Clinical Science Course)
Philadelphia: Saunders; 1994,564-575. 50 • Lens and C,a taract ~ ~ ______ ~ ~ ~ ~ ~ A ! ,,, ~CI BA B Figure 5-7 I Morgagnian Cataract A, Morgagnian cataract. , division of CIBA-GEIGY Corp. Reproduced with permission from Cli nica l Sympos ia. Illustration by John A Craig,) Genetic Contributions to Age-Related Cataracts Studies of identical and fraternal twins and of familial associations suggest that a large proportion of the risk of age-related cataracts is inherited. It is estimated that inheritance accounts for more than 50% of the risk of cortical cataracts.
Shortt AJ, Lanigan B, O'Keefe M. Pars pla na lensectomy for the manageme nt of ectopia lent is in chi ld ren. J Pediatr Ophthalmol Strabismus. 2004;41 (5):289-294. Streeten BW. Pathology of the lens. In: Albert DM, Jakobiec FA, eds. Principles and Practice of Ophthalmology. 2nd ed. Philadelphia, Saunders; 2000,chap 4. PP 3685-3749. CHAPTER 5 Pathology Aging Changes As the lens ages, it increases in we ight and thickness and decreases in accommodat ive power. As new layers of cortical fibers are formed concentrically, the lens nucleus under- goes compression and hardening (nuclear sclerosis) .
Other ocular manifestations of congenital rubella syndrome include diffuse pigmentary retinopathy, microphthalmos, glaucoma, and transient or permanent corneal clouding. Although congenital rubella syndrome may cause cataract or glaucoma, both conditions are usually not present Simultaneously in the same eye. Developmental Defects Ectopia Lentis Ectopia lent is is a displacement of the lens that may be congenital, developmental, or acquired. A subluxated lens is partially displaced from its normal position but remains 40 • Lens and Cataract in the pupillary area.
2011-2012 Basic and Clinical Science Course, Section 11: Lens and Cataract (Basic & Clinical Science Course) by James C. Bobrow MD