Mature

Clinical Features

• Symptoms: usually severe decrease in vision.
• Signs:
  • Total opacification of the lens capsule, cortex and the nucleus
  • May progress to hypermature cataract, which is characterized by wrinkling of the capsule due to liquefied lens cortex and Morgagnian cataract (sinking of lens nucleus inferiorly within the capsule)
  • May be complicated with phacolytic glaucoma.

Work-up

• Check pupils for relative afferent pupillary defect and retinal function assessment.
• B-scan ultrasound study to rule out posterior segment pathologies.

Management

• Control of intraocular pressure if elevated
• Surgical removal