In senile nuclear cataract, type of myopia seen is
Correct Answer: Index myopia
Description: Index myopia results from an increase in the refractive index of the crystalline lens associated with nuclear sclerosisVisual deterioration due to senile cataract has some typical features. It is painless and gradually progressive in nature. Patients with central opacities (e.g., cupuliform cataract) have early loss of vision. These patients see better when the pupil is dilated due to dim light in the evening (day blindness). In patients with peripheral opacities (e.g. cuneiform cataract) visual loss is delayed and the vision is improved in bright light when the pupil is contracted. In patients with nuclear sclerosis, distant vision deteriorates due to progressive index myopia. Such patients may be able to read without presbyopic glasses. This improvement in near vision is referred to as 'second sight&;. As opacification progresses, vision steadily diminishes, until the only perception of light and accurate projection of rays remains in the stage of mature cataract.Ref: Khurana comprehensive ophthalmology 4th ed; Pg179
Category:
Ophthalmology
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