Sure, kids will have congenital cataracts, and certain medications or. Both lenses show 2+ cortical spoking and 1+ nuclear sclerosis, consistent with 20/40. Request a Demo 14 Day Free Trial Buy Now. injury (trauma) of eye and orbit ( S05. The anterior vitreous of the right eye showed densely packed asteroid hyalosis (Fig. Wedge-shaped (cuneiform) or spoke-like (wheel) peripheral changes are seen. tous changes. 3: Cortical spoking cataracts Sign in. Cortical age-related cataract, bilateral (H25. 269 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. People with nuclear sclerosis often describe having a "filmy" sensation in their vision as if looking through a dirty window. T/F cortical spoking and PSC can be best graded with retroillumination of the LENS. Posterior Subcapsular Cataracts. 03 may differ. Type in any ophtho term to this translator or copy and paste entire notes to finally decode all those abbreviations. H25. Created for people with ongoing healthcare needs but benefits everyone. Produced by: Brandon Pham. Draft article posted on 01/14/2021. 6. Created for people with ongoing. 71%, while for a three-class classification, 83. Seen on slit lamp examination. She was also found to have anterior and posterior cortical spoking of the crystalline lenses, off the visual axis. H25. formación de rayos de rueda en la corteza. 2024 ICD-10-CM Range H00-H59. Official Long Descriptor. Holds the natural lens in place behind the pupil, enables accommodation of. Our ASC does a lot of cataract surgeries. No phacodonesis is evident. reveals an anterior subcapsular cataract with cortical spoking. 8 in both eyes, and ancillary testing revealed significant retinal nerve fiber layer (RNFL) deficits on optical coherence tomography (OCT) of both eyes. The revised LCD and related billing and coding article provide coverage for cataract surgery, including complex surgery. 1. Ciliary body. The other source of monocular diplopia is refractile inhomogeneity in the crystalline lens, where cortical spoking makes the image jump a bit as you move back and forth with a monocular ophthalmoscope. Study iris and lens flashcards. Key characteristics include a central dark reflex on retinoscopy and the characteristic biomicroscopic appearance of a ‘lens within a lens. Finally, the presence of a spoke-like structure throughout the lens is known as the cortical spoking cataract, shown in Fig. Dean Bonsall answered. Cortical age-related cataract, bilateral. , "Progressive reduction in cortical thickness as psychosis develops: a multisite longitudinal neuroimaging study of youth at elevated. white, wedge-like opacities that start in the periphery of the lens and work their way to the center in a spoke-like fashion LENS. The cataract looks very dense with a brunescent color behind the white cortical spoking. 61 became effective on October 1, 2023. H25. On dilated exam, note the bowing. Dilated examination revealed trace nuclear sclerosis and 1+ anterior cortical spoking outside the visual axis OD/OS. This is the American ICD-10-CM version of H25. IOP measured 18 mm Hg OU. SAS software version 9. View Full Image. 041--Posterior subcapsular polar senile cataract, right eye H25. 1c [1]. Of note, there is a prominent gap between her iris and the anterior lens capsule. Create flashcards for FREE and quiz yourself with an interactive flipper. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from. Posterior subcapsular cataracts often develop. Cortical spoking Clinically significant diabetic macular edema Central serous (chorio) retinopathy: DCR DES DME DR DSAEK: Dacryocystorhinostomy Dry eye syndrome Diabetic macular edema Diabetic retinopathy Descemet stripping automated endothelial keratoplasty: E ECCE EKC EL ELP ERM ET E(T) EsophoriaCortical spoking cataract. Various types: Spokes and vacuoles. Black dots represent all genotyped SNPs and red dots denote the imputed SNPs from CTNND2 with P<10 −5. According to the WHO, there are three main types of cataracts: 1) nuclear sclerotic cataract (NS), 2) cortical spoking cataract (CS), and 3) posterior subcapsular cataract (PSC) which are shown in. 3 OS. Cortical Cataracts. -) 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)cortical cataracts - cortical spoking increases refractive index and therefore power along that meridian - gradual change in astigmatism - look for spoking when dilated - at night patient's experience glare lens dislocation - trauma or systemic condition (Marfan syndrome - connective tissue disorder can result all over the body)Trans Am Ophthalmol Soc / Vol 102 / 2004 97 VITRECTOMY FOR EPIRETINAL MEMBRANES WITH GOOD VISUAL ACUITY BY John T. Binocular testing makes no sense in monocular diplopia. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . 61 : H00-H59. At that time she was also noted to have generalized ocular surface disease (OSD) with superficial punctate keratitis (SPK), a decreased tear break-up time, a scant tear prism and worsening comfort as the day progressed. 0):. View Full Image. 다른 모든 것이 동일할 때 일반적으로. 4: Posterior subcapsular cataracts Sign in. Cortical Cataract. (C) A higher magnification of an Arvcf−/− lens with a disruption at the. ’; ‘. Request a Demo 14 Day Free Trial Buy Now. An ocular health evaluation revealed early nuclear sclerosis and cortical spoking O. 5A. Approximate Synonyms. Created for people with ongoing healthcare needs but benefits everyone. 3: Cortical spoking cataracts Sign in. Advancing age. H25. 01. 0 using the lens opacities classification system LOCS II before and after pars plana. " Platelets - 487. Examination at this time showed 2+ cortical spoking and 1 + nuclear sclerosis ofboth lenses. 8. 33% was the maximum accuracy. Mature cataract. Similarly, the estimated amount of posterior subcapsular cataract (P) is determined by comparing it to another 5 photographs depicting increasing amounts of posterior subcapsular cataract. Cataract: In the context of cataract formation, cortical spoking refers to the peripheral and superficial (cortex) clouding of the lens in the pattern of spokes. 041--Posterior subcapsular polar senile cataract, right eye H25. There are 3 primary types of cataracts that represent 99% of the cataracts that you will encounter in clinic. With ICD-9 I'd use 366. 3%) in our study, the second most prevalent sign of elevated lipid levels. Scenario: A 72-year-old patient presents to the practice with blurred vision and slight yellow tinting to the left eye. Article Text. Diabetes. Neck CT "small cortical defect along the anterior aspect of the dens just below the anterior arch of C1 with adjacent bone or calcific density. 013 may differ. , with a refraction that was nearly identical to the spectacle Rx prescribed by the local optometrist. Cortical cataract demonstrating white cortical spoking. 6: Artificial lenses Sign in. 0 using the lens opacities classification system LOCS II before and after pars plana. Eyes were graded on a scale of 0 to 4. Or, simply reference the most commonly used abbreviations the old fashioned way. Cortical spoking is seen inferiorly; Less perceived lenticular opacification with retroillumination; Axial zone often appears clear with retroillumination; Ophthalmoscopy. H25. H25. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38926, Cataract Extraction (including Complex Cataract Surgery). A cataract grading system was developed by a panel of experts with the objective of making available a simple system for use with a slit lamp to allow for the reliable grading of the most common forms of cataract by relatively inexperienced observers. 0 using the lens opacities classification system LOCS II before and after pars plana. expected (x-axis) P-values from genome-wide association tests for the bivariate outcome of cortical cataract and temporal horn volume. There was no evident phacodonesis. The following code (s) above H25. To compare the results with those obtained using clinical conventional procedures. 65/0. The left eye shows 2+ nuclear sclerosis with 2+ cortical spoking. Retroillumination of the lens. There is actually a wide variety of symptoms caused by cataracts: Blurry vision. This article contains coding and other guidelines that complement the local coverage determination (LCD) for Cataract Extraction. 2 with collaterals 0. Fig. Most people recover vision quickly. Cataracts that start growing at the outer edge of the lens are called cortical cataracts. Code History“Crown” like, Cortical spoking Sutural Cataract Nuclear Cataract . Understand…Study with Quizlet and memorize flashcards containing terms like A & O (AAOx3), A/P, AAO and more. D. They may be peripheral only and therefore cause no symptoms. Senile cataract is a yellowing of the entire crystalline lens. U. Jampol, MD, 1855 West Taylor Street, Chicago, Illinois 60612, USA. When using code H25. 01 became effective on October 1, 2023. XT. Kataria and Thompson performed a clinical records review to measure the development and rate of progression of nuclear sclerotic (NSC), posterior subcapsular (PSC), and cortical. A cortical cataract is a cloudy area of the lens that develops on the edge of your eye. Figure 8-13 . Talley Rostov, MD CASE PRESENTATION. This is the American ICD-10-CM version of H25. 1. H25. 30%. On exam, her cataracts were graded as 2+ NS (nuclear sclerotic) and 2+ cortical spoking OU. Kataria and Thompson performed a clinical records review to measure the development and rate of progression of nuclear sclerotic (NSC), posterior subcapsular (PSC), and cortical spoking (CS) cataracts in nondiabetic patients younger than age 50 years after pars plana vitrectomy (PPV). 012. While there are no scientifically approved medications designed to cure cataracts, there are several treatment options available, including: Prescription Glasses: Since cortical cataracts can result in decreased visual acuity, glasses may be prescribed to make up for the vision loss. 35. D. We review the basics of radiation dose and the potential radiation effects, particularly as they pertain to the operator. Is cortical spoking a type of cataract? 3 doctor answers • 5 doctors weighed in. C-Reactive Prot, Quant - 79. Subscribe to Codify by AAPC and get. 019 became effective on October 1, 2023. The risk factors include –. The 2024 edition of ICD-10-CM H25. Main Outcome Measures. 51 ). 5A. If the beam is lower or higher than the eye, rotate the joystick (or the joystick ring) to make the beam level with the eye. What is. and a mixed cataract with 3+ nuclear sclerosis, cortical spoking, and posterior subcapsular opacities in each eye • Tear break-up time was 5 seconds OU • Tear osmolarity was modestly elevated and asymmetric at 302 mOsm/L OD and 313 mOsm/L OS The Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire (availablecongenital or early in life usually don't interfere with vision Congenital nuclear, Anterior polar (pyramidal), Ubilicated, Axial fusiform, Sutural opacities, Coralliform, Persistent hyperplastic primary vitreous, Luxated lens, Zonular/lamellar, Galactosemia, Spherophakia, LenticonusFigure S4: Quantile-quantile (Q-Q) plot of observed (y-axis) vs. Cortical Spoking E. The oil-drop cataract is a common yet often overlooked cause of progressive vision loss. This peripheral part of. Her cup-to-disc ratios were 0. Fifteen months after the addition of quetiapine, an optometry examination revealed lenticular changes in the left eye and grade I cortical spoking in the interior aspect of the lens . . There was no evidence of pseudoexfoliation. Causes of Cortical Cataracts. Yes:. Participants were included if they had normal age-related lens changes. 2. 5–3. how do you grade a CS? consider the amount of lens tissue affected. No phacodonesis is evident. n. Cataract: Cortical cataract is a change in the peripheral portion of the crystalline lens which extends centrally. OBJECTIVE. This is the American ICD-10-CM version of H25. Through dilated pupils, her crystalline lenses were characterized by 2+ cortical spoking OU, mostly off the visual axis, as well as 2+ nuclear sclerosis OU and early PSC formation in the right eye more than the left. H25. The 2024 edition of ICD-10-CM H47. It can cause blurry vision, double vision, glare,. 5: Posterior capsular opacifications Sign in. In this study, all younger subjects were graded as clear and all older subjects were graded as +1 nuclear sclerosis or better. The three main types are: Posterior subcapsular. Learn how we can help. ICD-10 Diagnosis Codes: H25. The deep learning model identifies the type. There are three types of cataract according to the WHO (nuclear sclerotic, cortical spoking and posterior subcapsular) that are defined and graded by examining the opacities. This guide from Harvard Medical School provides evidence-based solutions, tips, and resources for people who want to know more about cataract surgery or who want to delay it. This peripheral part of the lens is call the cortex hence the term cortical spoking. Centreville Bank CD Account Promotion (RI) Town & Country Federal Credit Union CD Promotion: 3. cortical spoking (CS) cataract catarct examincation: perform GEE, perform case history, document chief complain which must indicate ___ and ___. ’. Purpose: To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts in nondiabetic patients <50 years of age after a pars plana vitrectomy. Brain problem: Cortical visual impairment is when visual function is affected by changes in the brain rather than changes in the eye. Learn how to grade nuclear sclerosing, cortical spoking, and posterior subcapsular cataracts. Create flashcards for FREE and quiz yourself with an interactive flipper. Study Spring 2012 Dis Exam 5 (Last Material for final) flashcards. Vision can be affected in various ways, depending on exact location and prominence of these spokes. 80 OD and 0. 011 became effective on October 1, 2023. 1: Anatomy of the lens. This is the American ICD-10-CM version of H26. Pediatric Ophthalmology 29 years experience. Often, a shift in nearsightedness is noted, ranging from one to six diopters. Views 491. Short description: Infantile and juv cortical/lamellar/zonular cataract, r eye; The 2024 edition of ICD-10-CM H26. This was the slit lamp appearance of the right eye: A prominent conjunctival vessel was visible inferonasally, and the lens opacity was more prominent in that quadrant. 01 may differ. 4: Posterior subcapsular cataracts Sign in. ; atrophic hole inf/nasal OS: lattice, pigmented superior, inferior, temporal Vitreous: syneresis, PVD OU OD: 30. Trial lenses were utilized to optimizeImages from patient 6. 1. . Learn how to grade nuclear sclerosing, cortical spoking, and posterior subcapsular cataracts. Plus resources to find the right surgeon and a step-by-step guide to everything you need to know about surgery if you choose to have it. 35 became effective on October 1, 2023. Because ofthe patient's cataract-related complaints, phacoemulsification was performed first on the left eye and then on the right. Corneal topography or tomography. I measured contrast sensitivity and glare in 51 cataract patients who had Snellen visual acuities of 20/60 or better. nuclear cataract is cloudiness in the "core" of your lens. The following code (s) above H25. [Show full abstract] support vector machines (SVM), classifies nuclear, cortical spoking, and capsular cataract eyes. A type 1 excludes note indicates that the code excluded should never be used at the same time as H26. 40 round with healthy rim tissue OD, OS, without neovascularization of the disc (NVD). D. 35 OD 0. The hardening occurs gradually. 6: Artificial lenses Sign in. cortical spoking. It's one of the most common types of cataracts. PSCs may also be seen with steroid use and diabetes, which can confound assessment of cataract cause . Quetiapine was tapered off over 9 days, and an eye examination conducted. No phacodonesis is evident. The key causes of cortical cataracts are eye injury, aging, and a family history of cataracts. Smartphone applications for detecting cataract rely on lens color and texture features, but as noted before, the color-based methods they use aren’t universally. Slit lamp examination showed mild NS, mild cortical spoking OU on the lens, with no other significant findings noted. The 2024 edition of ICD-10-CM H25. Cortical spoking was not routinely recorded, so this cataract variable was not analyzed, but prior reports have shown minimal effects of vitrectomy on cortical cataract. a cortical spoking cataract is often first seen where due to sun exposure? inferonasal. ICD-10 code H25. Cornea, Cataract, & Refractive (LASIK & PRK) Surgery 20 years experience. Methods : Clinical records of 27 eyes of 27 patients that had undergone a pars plana vitrectomy younger. Scenario: A 72-year-old patient presents to the practice with blurred vision and slight yellow tinting to the left eye. 013 is a billable diagnosis code used to specify a medical diagnosis of cortical age-related cataract, bilateral. How is cortical spoking cataract treated? Learn the truth about cataracts, how to catch them early, and how to protect your eyes and vision at any age. 04 may differ. Ophthalmology 11 years experience. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking. Create flashcards for FREE and quiz yourself with an interactive flipper. and the constancy of symptoms support the concept that the pathology is cortical. 619 - other international versions of ICD-10 H47. you can tell it's an anterior cortical cataract because the iris is still pretty clear and in focus. Description. Adrenocortical carcinoma (ACC) is a rare tumor with an annual incidence of 2 cases per 1 million population. Inferior nasal cortical spoking with early nuclear sclerosis. This is the most common form of cataract. Dilated fundus examination revealed 1+ nuclear sclerosis, 1+ anterior cortical spoking, and 2+ posterior capsular cataracts OU. Intraocular pressures were measured as 22mm Hg OD and 21mm Hg OS. Figure 8-12. Z codes represent reasons for encounters. Grading helps to track how severe the cataract is, whether it’s growing or stable. 0 mm pupil in the cortical, nuclear, and posterior subcapsular cataract groups. Lens: Trace nuclear sclerosis and cortical spoking OU; Dilated fundus examination (DFE): Vitreous: Normal OU; Disc: Normal, pink optic nerves OU; Cup-to-disc ratio: 0. 1. H25. Slit-lamp exam revealed age-related cataracts (2+ nuclear sclerosis, trace posterior subcapsular) and cortical spoking OU. The 2024 edition of ICD-10-CM H25. Cortical spoking cataract (CS) - Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. The results of eye examinations at baseline, 6 months, and 12 months were unremarkable. 80% APY 12-Month, 5. The 2024 edition of ICD-10-CM H25. Advancing age. I inherited this patient as a referral on the grounds of suspicion of glaucoma. 0. Posterior subcapsular haze? A posterior subcapsular cataract reveals a "frost-like" haze just anterior to the pos-terior lens capsule which is the back sur-Will present with cortical spoking with vacuoles between lens fibers due to cortical hydration. 16. cortical spoking. The images undergo various image processing techniques to detect the presence of cataracts. Figure 8-13 Mature cataract with white, liquefied cortex. 1 In the UK, childhood cataract affects 2. 011Cortical age-related cataract, right eye. Article Text. Back of the eye . Color vision D. C0. Background: Differentiation between acute cortical and subcortical ischemic stroke may be problematic when cortical stroke presents without obvious cortical deficits such as aphasia, neglect or hemianopia. Cyclophotocoagulation. While the majority of cataracts in the population are age-related, or senile, cataracts, there are many types and causes of cataract. Radiation-induced cataracts are predominantly PSCs, although cortical and mixed-type cataracts have been shown . grade by quadrants-. It is more common in people with diabetes and hypertension. 039 is a valid billable ICD-10 diagnosis code for Anterior subcapsular polar age-related cataract, unspecified eye . The median age at diagnosis is 46 years. METHODS —Eight women and 12 men, mean age 73 years, were included in this study, which was carried out from 1 January 1994 to 30 November 1996. Symptoms of cortical. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. 042--Posterior subcapsular polar senile. 04 : H00-H59. Cataract caused by blunt trauma that can be anterior or posterior subcapsular and is shaped like a floweranterior cortical lenticular changes and to ascertain the precise position of the IOL. The revised LCD and related billing and coding article provide coverage for cataract surgery, including complex surgery. Dark/hypoechoic texture is usually better. Cataracts may occur together, and they are. Fundus examination revealed optic nerves with distinct margins and intact rim tissue with cup-to-disc ratios. Eyes were graded on a scale of 0 to 4. There are three different kinds of cataracts: nuclear sclerosis, cortical spoking and posterior. Add to My Bookmarks. Yes: Therre are three areas of the lens that mau be affected by acquired cataract: the nucleus, the cortex and the posterior subcapsular region. In our office, his best-corrected visual acuity measured 20/50 O. do_shortcode ( ‘ ‘ ) . Created for people with ongoing healthcare needs but benefits everyone. Dr. The symptoms of a cortical. more extensive opacification with small minispokes. Posterior segment findings revealed mild attenuation of vessels secondary to hypertension. They may be peripheral only and therefore cause no symptoms. There is no phacodonesis evident. SLE: Anterior cortical spoking cataract OS; Optic nerves were normal OU; DFE: Atrophic holes OD, macula striae OS; Palpebral fissure: 10mm OD and OS; Hertel: 92mm base; 17mm OD and 18mm OS; Figure 1: GVF GVF OS with supero-nasal and infero-nasal constriction of all isopters. Follow-up is in 6-12 months as these are generally slowly progressing; Even significant cortical spoking tends not to greatly affect visual acuity; Posterior Subcapsular: migration / thickening of lens epithelial cells in. In this paper, we propose an automatic approach to grade cortical and Posterior Sub-Capsular (PSC) cataracts using retroillumination images. Eyes Forward – Cataracts – Part 1: Choosing When To Proceed With Surgery – 01. 4 cup-to-disc ratio in both eyes. H25. Image License and Citation Guidelines. Symptoms of Cortical Cataracts. 1. Move the stage to the right (keeping forward as much as possible without physically contacting the patient), allowing the beam to fall on the patient's face. 011 became effective on October 1, 2023. Simply stated, a cataract is present when the physiologi. Connect with a U. in a. 67mm 2 14yo African American Female VA: cc through CL Distance. Methods: The visual results and. The code H25. board-certified doctor by text or video anytime, anywhere. Cortical versus Subcortical Strokes Gray matter (neuronal cell bodies) of the brain forms a rim over the cerebral hemispheres, forming the cerebral cortex. protein aggregation b. Moran CORE. Diagnostic Radiology 35 years experience. The stereo coaxial illumination extends. Cortical spokes are wedge shaped areas of clouding of the cortex. change in the cortex of the posterior lens of the eye. Eyes were graded on a scale of 0 to 4. Thompson MD* ABSTRACT Purpose: To evaluate the visual results of vitrectomy for epiretinal membrane in eyes with a preoperative visual acuity of 20/50 or better. X (T) exotropia. plan indicates risk, benefits, and alternatives discussed. Bressler, MD, James Heyward, BA, Ava K. Moran CORE. 0):. Coding Guidance. 3 OS Periphery: OD: lattice, pigmented sup. XT. Where will they synapse?Age-related cataract typically has three components: nuclear sclerosis, cortical spoking, and posterior subcapsular haze. you can tell it's an anterior cortical cataract because the iris is still pretty clear and in focus. A 64-year-old white male presents for cataract surgery evaluation with best-corrected visual acuity of 20/60 OD and 20/40 OS. When we see this gap it is often associated with zonular laxity which allows the cataract to fall towards the vitreous cavity. 61 may differ. Cataract: In the context of cataract formation, cortical spoking refers to the peripheral and superficial (cortex) clouding of the lens in the pattern of spokes. Senile cataracts are classified into three main types: nuclear cataract, cortical cataract, and posterior subcapsular cataract. grade ONLY THE NUCLEUS!-Optical Separation - dark line showing border between nucleus and cortex (not grade 1 until this is seen)-Brunescence - brown/orange nucleus; reserved for. ICD-10-CM Codes. Senile cataract is a yellowing of the entire. All of the above are likely to be found F. e. Fig. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38926, Cataract Extraction (including Complex Cataract Surgery). Define spoking. Early cortical cataract development as viewed at the slit lamp using retroillumination. Cortical versus Subcortical Strokes. The second type is called nuclear sclerosis and is characterized by a hardening and yellowing of the lens. Cataract surgery. H25. Cortical spoking cataract (CS) – Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. Posterior segment exam shows no abnormality and the fundus pigmentation is normal OU. Pupillary response, extraocular motility, and confrontation visual fields were all normal. Nuclear sclerosis is a condition in which the nucleus, or central part of the lens of the eye, hardens or gets cloudy. Main Outcome Measures: The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. 04 (anterior subcapsular polar infantile and juvenile cataract…)D. Diagnosis 2: Nuclear Cataracts. What is a cortical spoking cataract? Moderate cortical changes. Ophthalmology 32 years experience. 1. 0. sclerotic cataract, cortical spoking, posterior subcapsular cataract of more than grade 2 per Age-Related Eye Disease Study scale,15 or any other ophthalmologic condition that reduced the clarity of the media and interfered with ophthalmologic examination, surgery, or imaging of the study eye; myopia of more than fl8 diopters,The crystalline lens of his left eye showed 1+ cortical spoking, with 2+ diffuse, ground-glass posterior subcapsular changes and a denser central posterior capsular opacity. The lack of monocular or homonymous visual field defect makes. Pseudoexfoliation syndrome (also called PXF, PXE or PEF) involves these parts of the eye: Aqueous humor. Even better, you’ll find out the secrets to protecting your. This is the most common form of cataract. White cataracts, characterized by a golden center and cortical spoking, clefting or cracking, adhesions to the capsule, and severe cortical opacification. OBJECTIVES—To analyse the clinical features induced by lenticular infarction found in 20 patients, and to analyse the radiological and clinical correlations.