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Hypermature/ Morgagnian Cataract

  • Clinical features:
    • Liquefying lens cortex
    • Sunken brownish nucleus
    • Flecks of calcium salt deposits on the anterior capsule
    • Dense capsular opacities can be from epithelial hypertrophy
    • May undergone spontaneous rupture to the anterior chamber, causing inflammatory reaction which is known as phacoanaphyllaxis uveitis
    • May also be complicated with phacolytic glaucoma as the inflammatory cells become trapped in trabecular meshwork and obstructed the filtration flow of the aqueous humor
  • Management:
    • B-scan ultrasound study to rule out complicated co-existing intraocular diseases.
    • Cataract extraction.

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