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Intumescent Cataract

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Challenges in Cataract Surgery
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Abstract

The intumescent cataract (Fig. 1.1) is not infrequent challenges we encounter in clinical practice. Progression of the cataract to intumescent stage is not predictable, however, systemic conditions such as DM frequently accompanies the intumescent cataract. Because of the distended lens capsule, capsule is thin, stretched zonules are weak or absent, intracapsular pressure is high, there’s no red reflex, and they have large rock hard lens nucleus inside. Intumescent cataract,with its distended and disintegrated lens capsule, could develop phacolytic glaucoma (obstruction of the trabecular flow by macrophages scavenged the lens protein released though the loose lens capsule) or phacoanalylaxis (severe inflammation caused by released protein).

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© 2016 Springer-Verlag Berlin Heidelberg

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Kim, W.S., Kim, K.H. (2016). Intumescent Cataract. In: Challenges in Cataract Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46092-4_1

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  • DOI: https://doi.org/10.1007/978-3-662-46092-4_1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46091-7

  • Online ISBN: 978-3-662-46092-4

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