CATARACT

HISTORY TAKING

Riwayat Penyakit Sekarang

1. Onset: Develop slowly

2. Location: Central / Peripheral
3. Duration: -
4. Characteristic:
Change in refractive index
Irregular astigmatism with light scatter, sometime with monocular diplopia
Cant be corrected by spectacle
Scare of glare in sunshine, thus tend to stay indoors, wear sunglasses or cap
Object change of colour (white object become yellowish)
Far eye-sight affected first slowly affect the near eye-sight (myopiahyperopia)
Loss of color intensity (contrast)
Difficult to see at night
Progressive to dimming of vision
Halo around the light
Foggy, cloudy, fuzzy kabur kayak asap putih
5. Aggravating Factor: -
6. Relieving Factor:-
7. Risk Factor:
Glucocorticoid,
Radiation,
Old age
Systematic disease (DM)
Uveitis
Surgery
Trauma
Intraocular foreign body
8. Other sign and symptom: Based on risk factor

PHYSICAL EXAMINATION

1. Vital Sign
2. Eye Examination:
A. Pemeriksaan Visus : Turun
Cataract incipient Better than visus 1/60
Immature Visus 1/60
Mature Light perception only ; negative fundal reflex
No light perception No light perception
 B. Anterior Segment Examination
I. Super cilum : Hitam
II. Kelopak Mata : Tenang, symmetry
III. Eye lashes : Normal
IV. Conjunctiva : Normal
V. Sclera : Putih
VI. Cornea : Licin dan jernih
VII. Kamera Oculi anterior : Dalam dan jernih
VIII. Iris : Warna hitam, gambaran kripte baik
IX. Pupil : Bulat, Central
Refleks direk dan indirek positif
X. Lensa : Keruh
C. Posterior Segment Examination: Normal
Refleks fundus 30cm infront see reflex
Abnormal dim red reflex in retina
D. Gerak Bola Mata : Normal
E. Confrontation : Normal
F. Intraocular Pressure : Normal

TREATMENT

Surgery

R/ Vitamin C

EDUCATION

Stop smoking
Diabetes control