Cataract Classification

The following is a classification of the various types of cataracts. This is not comprehensive and other unusual types may be noted.

  • Classified by etiology
    • Age-related cataract
      • Cortical Senile Cataract
        • Immature senile cataract (IMSC): partially opaque lens, disc view hazy
        • Mature senile cataract (MSC): Completely opaque lens, no disc view
        • Hypermature senile cataract (HMSC): Liquefied cortical matter: Morgagnian cataract
        • Senile Nuclear Cataract
          • Cataracta brunescens
          • cataracta nigra
          • cataracta rubra
          • Congenital cataract
            • Sutural cataract
            • Lamellar cataract
            • Zonular cataract
            • Total cataract
            • Secondary cataract
  • Drug-induced cataract (e.g. corticosteroids)
  • Traumatic cataract
    • Blunt trauma (capsule usually intact)
    • Penetrating trauma (capsular rupture & leakage of lens material—calls for an emergency surgery for extraction of lens and leaked material to minimize further damage)
  • Classified by location of opacity within lens structure (However, mixed morphology is quite commonly seen, e.g. PSC with nuclear changes & cortical spokes of cataract)
    • Anterior cortical cataract
    • Anterior polar cataract
    • Anterior subcapsular cataract

photo of posterior capsular opacification visible a few months after implantation of Intraocular lens in eye, seen on retroillumination]]

  • Nuclear cataract—Grading correlates with hardness & difficulty of surgical removal
    • 1: Grey
    • 2: Yellow
    • 3: Amber
    • 4: Brown/Black (Note: "black cataract" translated in some languages (like Hindi) refers to glaucoma, not the color of the lens nucleus)
    • Posterior cortical cataract
    • Posterior polar cataract (importance lies in higher risk of complication—posterior capsular tears during surgery)
    • Posterior subcapsular cataract (PSC) (clinically common)
    • After-cataract: posterior capsular opacification (PCO) subsequent to a successful extracapsular cataract surgery (usually within three months to two years) with or without IOL implantation. Requires a quick & painless office procedure with YAG laser capsulotomy to restore optical clarity.

Further Reading


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