Diagnosing and Grading of #Cataract using both Slit Lamp and OCT. | OOLS | Optom. J. Jothi Balaji

OOLS - Online Optom Learning Series - Session 93 (09th December 2020) Here we bring you the 93rd session of our online learning series which was live on 09th December 2020 at 07:00pm IST. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ All about this Session: Introduction (00:00) Mr. Jothi Balaji, a practicing optometrist, and researcher begin with a series of questions that help the audience to understand their level of knowledge in cataract grading. He introduces the need to learn about cataract grading by sharing that it has been the most common cause of preventable blindness globally for the past few decades. Mr. Balaji says that most individuals suffer through cataracts in their lives since it is an age-related condition. He explains that most cataracts can be classified into three primary types depending on the area where the cataract starts to develop. (8:55) 1. Nuclear sclerosis – opacification occurs in the nucleus of the crystalline lens. 2. Cortical spokes cataract – opacification occurs in the cortex capsule 3. Posterior subcapsular cataract – opacification develops in the posterior capsule. He explains the need to grade cataracts as the patients with functional vision loss associated with cataracts must undergo surgery. We learn about the three commonly slit lamp illumination techniques used to grade cataracts. (13:05) 1. Diffuse illumination(13:40) 2. Optic section (15:44) 3. Retro-illumination (17:06) Mr. Jothi Balaji explains that when grading a cataract, LOCS 3 is the most commonly used method. Grading for different cataract types 1. Nuclear sclerosis (20:28) 2. Cortical spokes cataract (23:00) 3. Posterior subcapsular cataract (24:35) We learn about the Posterior polar cataract in detail Prevalence and risks(27:00) Clinical presentation (30:30) Clinical diagnosis (32:50) Classification and grading (33:37) Schroeder posterior polar cataract grading in children(34:45) Lastly, Mr. Balaji explains how anterior segment OCT is being used to diagnose and manage posterior polar cataracts. The session ends with an engaging question-and-answer session with the live audience. Question and Answer Segment (39:12) References: Papers: Posterior Polar Cataract Lee MW, Lee YC. Phacoemulsification of posterior polar cataracts--a surgical challenge. Br J Ophthalmol. 2003 Nov;87(11):1426-7. https://pubmed.ncbi.nlm.nih.gov/14609... Vogt G, Puhó E, Czeizel AE. Population-based case-control study of isolated congenital cataract. Birth Defects Res A Clin Mol Teratol. 2005 Dec;73(12):997-1005. https://pubmed.ncbi.nlm.nih.gov/16323... Kalantan H. Posterior polar cataract: A review. Saudi J Ophthalmol. 2012 Jan;26(1):41-9. https://pubmed.ncbi.nlm.nih.gov/23960... Schroeder HW. The management of posterior polar cataract: the role of patching and grading. Strabismus. 2005 Dec;13(4):153-6. https://pubmed.ncbi.nlm.nih.gov/16361... Chan TC, Li EY, Yau JC. Application of anterior segment optical coherence tomography to identify eyes with posterior polar cataract at high risk for posterior capsule rupture. J Cataract Refract Surg. 2014 Dec;40(12):2076-81. https://pubmed.ncbi.nlm.nih.gov/25465... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ We would like to thank Optom. J. Jothi Balaji for this wonderful session where he explained how to diagnose and grade, the commonest eye condition 'Cataract'. We thank all the participants who attended the lecture and asked a few important questions so that we learn and go home with a great message. Do leave a comment below for any suggestions you want to convey. Like and Share the Video if you think it's informative to your friends and colleagues. Subscribe to our channel to view more OOLS sessions and eyecare related videos in the upcoming future. Online Optom Learning Series(OOLS) is managed by S.K. Optics. OOLS is accredited by the Optometry Council Of India (OCI), Integrated Philippine Association of Optometrist (IPAO), Philippine Society of Public Health, and Occupational Optometry (PSPHOO), and Optometry Vietnam. Education Supported by SEGi University Online Connect With Us - Website : https://www.ools.co.in || https://www.skoptics.org WhatsApp : https://bit.ly/skopticswhatsapp Facebook : https://bit.ly/skopticsfb Instagram : https://bit.ly/oolsinstagram Twitter : https://bit.ly/skopticstwitter Email : [email protected] LinkedIN : https://bit.ly/skopticslinkedin || https://bit.ly/oolslinkedin Credits - Intro Video Music by Diego Nava - You Got Jazz Outro Music by X Ray Vision - Slynk Video Editor - Wondershare Filmora 9