11, 95% CI 0. This syndrome is known to cause a poor pupillary dilation, intraoperative complications during cataract surgery and is characterized by the following triad of intraoperative signs: Progressive pupil constriction. Referral Management centres or directly. 001). 1 Patient information. Book an Appointment: 1-403-516-2292 . The development of diabetic retinopathy (DR) occurs in nearly all persons with diabetes and remains a leading cause of blindness worldwide [ 1 ]. Abstract. Early detection and prompt intervention are critical for a good visual outcome, particularly in newborns. You may have a pad and plastic shield over your treated eye when you leave hospital, which can usually be removed the day after surgery. Age specific prevalence of both cataract (22% compared to 17. Ishrat et al. Using the latest techniques our ophthalmology team offer complete ophthalmic assessment and if required surgical procedures including cataract surgery, lendectomy by phacoemulsification with intraocular lens implantation. Cataract is the leading cause of blindness in the world. Cataract Assessment and Management; Call Us. Meta-analysis. Results. Patient-reported outcome is an important part of the evaluation of a surgical procedure. Coding Specifications. During the exam, your eye doctor will look for. However, most cases of blindness are avoidable. The rates of perioperative morbidity and mortality associated with cataract surgery are low. The mean (±SD) score of the overall participant’s attitude was 3. Douketis JD, Spyropoulos AC, Spencer FA, et al. A refraction assessment determines if you have nearsightedness or farsightedness, astigmatism, or presbyopia. Such a phenomenon, which some call “lens within a lens phenomenon,” may lead to monocular diplopia that is not correctable with spectacles, prisms, or contact lenses. Presbyopia is a normal part of aging that makes it harder for older adults to see things up close. Describe the reduced visual acuity in the physical exam findings of those with cataracts. Quality assessment. The difficulty of these cases is compounded by a thin capsule and densely packed nuclear fibers, and they often require a longer surgical time than cataracts with less-dense nuclei. “Report immediate loss of vision of pain in the affected eye. Brandon Baartman, MD. Information should be tailored to the person's needs, for example, in an accessible format. Seeing "halos" around lights. Need for brighter light for reading and other activities. Serotonin is crucial in lens. Gain the knowledge and skills you need to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 12th Edition uses a conversational writing style, a focus on nursing concepts and clinical trends, evidence-based content, and basic pathophysiology review to provide the solid foundation needed in a. Repeat treatments might be needed. Cataract surgery is a type of eye surgery to remove a cataract (cloudy lens) and improve your vision. About Us. Here are pair cataracts nursing care plans (NCP). Your eye doctor will let you know how best to deal with. The Pentacam Oculus Automated examination for cataract grading revealed that 8 eyes (2. 5. Go to: 12. 1. C O M b. 001). management of patients undergoing cataract surgery. If you would like to get a pair of Transitions® lenses and start protecting your eyes now, contact us by calling 1-403-516-2292 or filling out the online. In about 90 percent of cases, people who have cataract surgery have better vision afterward. Br J Ophthalmol. 1. Cataracts are very common as you get older. 1 Due to the different types of cataracts, the decision-making process for cataract surgery can be complex in determining the appropriate treatment, technique, devices, and complications to consider. In most cases of bilateral cataract, a causative genetic mutation can be identified, with autosomal dominant inheritance being most common in 44% of cases. Larger keloids can be flattened by pulsed-dye laser sessions. A posterior subcapsular cataract starts as a small spot that usually forms near the back of the lens, right in the path of light. Assil Eye Institute, Beverly Hills, California, US; 2. However, compared with other major age-related eye diseases, such as diabetic retinopathy, age-related. 61 3 Management 62 Indications and clinical thresholds for referral for surgical treatment. Age-related cataract is the most common type of cataract that injuries the visual function and quality of life for the elderly [1, 2]. 3–6 The three main areas of interest in cataract surgery regard the preoperative assessment, the surgical procedure and the postoperative management. Treatment is with surgery involving an incision into the eye and removal. It can be bilateral and vary in severity. This survey provides. Intraoperative floppy iris syndrome (IFIS) is a clinical entity originally described by Chang and Campbell in 2005 [1]. Cataracts are the leading cause of vision loss among people over age 55. Most cataracts are performed on older individuals with correspondingly high systemic and ocular comorbidities. The ultrasound backscattering signal [12–16] is used for cataract assessment based on the animal model. Drag and drop the diagnostic test that would provide direct visualization of Fred's eye. Cataracts may form immediately after trauma or months to years later. Cataracts in cats can develop due to: Poor nutrition in early life. This condition develops as the eye ages, meaning that by the time we reach 80, more than half of us will have developed a cataract or will have undergone cataract surgery. Objective: To describe the implementation of a nurse-led preoperative cataract assessment and postoperative care clinic and to assess the safety, efficacy and outcomes. Worldwide, 20,000–40,000 children with congenital or childhood cataract are born every year, and there are an estimated 200,000 children blind from bilateral cataract. Frequent changes in eyeglass or contact lens prescription. Full text. VIDEO 3-1 Slit-Lamp Examination (03:17) Advanced Dry Eye Clinic and Ocular Wellness, Vision and Eye Assessment, Contact Lenses, Comprehensive Eye Exams, Glaucoma Screening, Eye Glasses/Eye Products, Myopia Control: OPTOMETRIST: Dr. Peripheral Visual Field Test: We will determine how well you can see on the "outskirts" or the side of your vision. Cataracts can develop without early clinical symptoms, so it makes sense to determine the patient's baseline status in view of his age. Symptoms include blurry vision and glare around lights. Cataract clinic Before your surgery, we will ask you to come to a cataract clinic. A cataract is a congenital or degenerative opacity of the lens. If cataracts occur bilaterally, the more advanced cataract is removed first. Initial consultation (2-4 weeks before surgery) £95. Cataracts are the most common eye disorder in North America: about 50% of people between 55 and 64 years of age and 85% of people over 75 years of age will develop cataracts within a 10-year period. These include Activities of Daily Vision Scale, Visual Disability Assessment, and VF-14. If you choose private hospital treatment with Practice Plus Group, you’ll need to consider the following costs: Procedure. He has served as Secretary since 2019 and advises Governor Newsom as a member of his cabinet. Sat: 9am - 4pm. Diplopia b. It also includes recommendations for service delivery and patient information. 3. Prevalence of cataract surgery associated DED. Cataracts in adults: management B. 2 Cataract surgery has a high level of efficacy, has minimal complications and is convenient for patients. Pediatric cataract is a treatable leading cause of childhood blindness. National Institute for Health and Care Excellence:. Cataracts form when protein builds up in the lens of your eye and makes it cloudy. 64 Specific aspects that will be considered are routine preoperative 65 assessment, biometry and risk stratification techniques. Using that threshold, sensitivity and specificity to detect cataract were 94. Cataracts develop when proteins and fibres in the lens begin to break down, which causes vision to become hazy or unclear. A cataract (karu puata kore) is when the lens of your eye becomes hazy or milky. 2. Whether you are shopping for a new pair of glasses, getting an eye exam, or treating a severe eye condition, visit any of our 3 clinics for an eye-popping experience. The surgical expertise needed is at a higher level. Qual Health Care. Mature cataract: This is a cataract that is opaque, totally obscuring the red reflex. 0 (±0. Ethnicity: Black Americans are more likely to develop cataracts and to have a visual impairment. The overall achievements seem impressive. Currently, dilated fundus biomicroscopic assessment,. Regarding the attitude, more than one-third, 205 (35. 6% in patients. 94 million people are blind or visually impaired globally, and cataract is the most common cause of blindness worldwide. 4%–15. Cataract management is another field that can benefit from greater AI. as a Standard Assessment Tool in the Cataract Practice Kerry K Assil 1 and V Nicholas Batra2 1. This guideline covers managing cataracts in adults aged 18 and over. Rumona Dickson Paramjit Gill. Methods This retrospective, single-centre cohort study included patients diagnosed with retinoblastoma receiving eye-preserving therapies between January 2017 and June 2021. When the outer lens capsule breaks, the inner lens swells with water and turns white due to denaturation of lens proteins. GOS examination. The Department of Health in England has asked NICE ‘to develop a clinical guideline on Cataracts: diagnosis and management of cataracts’ and to consider issues surrounding ‘indications for cataract extraction’ and ‘wrong lens implant errors’. Cataract removal is one of the most common operations performed in the United States. Regular Assessment: $285 Quarterly (due on 1/1, 4/1, 7/1, & 10/1). 20 Total body irradiation, an adjuvant therapy. Guidance. Small cataracts stand out as dark defects in the red reflex. Call one of our store numbers or fill out the form below to book an appointment. Even with cataract assessment by human experts in a research context, the accuracy and consistency of diagnosis and severity classification are known to be suboptimal. Many previous risk-stratification schema have included intermediate- and high-risk classifications. Symptoms. About Us. To assess the proportion of maculopathy detectable only on optical coherence tomography (OCT) versus slit lamp indirect ophthalmoscopy (SLIO) during cataract assessment. 2 . Provide support for visual function optimization. On visual inspection, the lens appears gray or milky. Cataracts are a leading cause of blindness in the world. [] The. This blinding disease can affect infants, adults, and older people, but it predominates the latter group. Your eye, like a camera, has a lens that focuses light. Majority of the respondents (75. Preoperative assessment and biometryRecurring themes during cataract assessment and surgery Shruti Chandra 1,2. Population: Consecutive. , 66984-55) r Date of service is the date of surgery (or the date care was assumed if indicated by your Medicare carrier/ contractor) • The date care is assumed must be indicated in Item 19 (or EMC equivalent of the CMS-1500Dislocation of lens fragments into the vitreous cavity is a rare, but potentially serious, complication of cataract surgery. This cloudiness can cause a decrease in vision and may lead to eventual blindness if left untreated. Journal List. This review evaluates the various management options available and aims to propose a clinical management. PMC1055403. 6/10,000 []. 2. Freezing the scar. Here, Lam et al. Outstanding vision care across Calgary. , bilateral cataract surgery performed in the same session) can be considered in low-risk patients; whereas CPG 3 recommends that surgery should be performed in separate sessions in patients with bilateral cataract. B. We aimed to assess two strategies to measure visual outcome: recording the visual acuity of all patients 3 or fewer days postoperatively (early postoperative assessment), and recording that of only those patients who returned for the final follow. 9/10,000). For more guidance on giving information to people and discussing their preferences, see the NICE guideline. 2020 Lin et al. COVID-19 pandemic of 2020 has impacted all aspects of clinical practice in the UK. Your lens is made mostly of water and proteins. Family predisposition. An estimated 95 million people worldwide are affected by cataract. Fred is experiencing clinical symptoms consistent with a cataract, including blurred vision. 10. 2%) worried about the cost to incur for the cataract surgery and 257 (43. summarize the development of cataract and highlight how different the impact and the management of this disease are in. There are 2 options for managing cataracts: medical management or surgical removal. A cataract is any clouding or opacity of the eye’s lens, which can result in increased scattering of light. Worldwide, cases of blindness due to cataract have increased from 12. A cataract is a common eye disease in which the lens of your eye, which is usually clear, becomes cloudy or opaque. The Diploma in Therapeutics (. Results: There was a statistically significant difference between the types of cataract and individual risk factors ( p < 0. In 2002, cataract caused reversible blindness in more than 17 million (47. Despite the generally positive outcomes of cataract surgery, some patients are dissatisfied with their postoperative result due to a suboptimal refractive outcome that may be the result of unresolved issues on the ocular surface. Crossref; PubMed; Scopus (75) Google Scholar; the. 63 Optimal preoperative assessment strategies in cataract extraction. All; Cataracts; Children's Eye Health; Computer Vision Syndrome; Contact Lenses; Digital Eye Strain;Introduction. Cataract Assessment & Management; Dry Eye Syndrome Disease; Presbyopia Treatment; Astigmatism; Vision Therapy; LASIK and Refractive Surgery Co. The cataract type must be identified prior to surgery. At this stage, it may become apparent that high-quality evidence exists in the literature that exactly meets eligibility criteria for 1 or. Your ophthalmologist will examine your cornea, iris, lens and the other areas at the front of the eye. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. Cataracts are the leading cause of visual impairment worldwide, accounting for >50% of cases of blindness in low-income and middle-income countries. 1 It can be due to congenital, developmental, and acquired causes. Batra Vision, San Leandro, California, US C omprehensive evaluation of retinal health prior to and following cataract surgery is critical to supporting optimal outcomes. This blinding disease can affect infants, adults, and older people, but it predominates the latter group. Preoperative assessment and biometry. - PMC. The integrity of the zonular support of the lens can also be determined by slit-lamp examination (Video 3-1). These drugs are injected using topical. More of what you can do to slow down development of cataracts is on pages 6 and 7. Sensitivity to light and glare. 2 . description of the type, severity, and location of the cataract. Book an Appointment: 1-403-516-2292. g. Cataract surgery has become a combined rehabilitative and refractive procedure, and patient expectations for an excellent postoperative final uncorrected distance visual acuity are increasing. The rising popularity of artificial intelligence (AI) in ophthalmology is fuelled by the ever-increasing clinical "big data" that can be used for algorithm development. Dry eye disease (DED) is found to coexist in most patients with cataracts due to the overlapping age groups of both these conditions. 1. Crowfoot West Springs Creekside. 1. Trauma. A cataract is a cloudy or opaque lens. Most cases of cataract occur after birth and share ageing and oxidative stress as primary causes, although several non-modifiable and modifiable. The total prevalence of blindness in Kenya is estimated at 0. Small keloids might be reduced or removed by freezing them with liquid nitrogen (cryotherapy). Symptoms & causes Diagnosis & treatment Doctors & departments Diagnosis To determine whether you have a cataract, your eye doctor will review your medical history and symptoms. Cataract Assessment & Management; Dry Eye Syndrome Disease; Presbyopia Treatment; Astigmatism; Vision Therapy; LASIK and Refractive Surgery Co. Cataract is one of the leading causes of visual impairment worldwide. Ocular surface evaluation and Dry-eye Disease (DED) management Ocular surface disease (OSD), most commonly DED, can reduce vision or visual quality and adverselyIn Scotland, 33,064 cataract extractions were performed in the year 2010/2011 compared to 20,578 in the year 2001/2002 with an increasing trend year upon year, despite a stable population. Variation in prevalence between populations is likely due to better identification rates in. Symptoms. In fact, more than half of all Americans age 80 or older either have cataracts or have had surgery to get rid of cataracts. Currently, the only effective treatment of cataract is surgical removal with, in most cases, insertion of an intraocular. The physician must still determine a patient’s health status through history taking and physical examination. A cataract is a clouding or opacification of the normally clear lens of the eye or its capsule (surrounding transparent membrane) that obscures the passage of light through the lens to the retina of the eye. Genetics. There are no medicines that can slow down cataracts. 7%) were Grade 0, 129 (43%) Grade 1, 127 (42. Our data demonstrated that 99% of the patients. 14 With the global trend of population ageing, the prevalence of. They also will perform an eye exam. Laser treatment. You should be able to go home on the same day as your cataract surgery. See Page 1Discussion. Three drugs are approved by the U. Cataract is one. 12. Cataracts are a common and frequently curable cause of blindness in children. • It is estimated that 243,139 Australians are currently living with visually significant cataract (visual acuity worse than 6/12), including 10,616 Aboriginal and Torres Strait Islander people and 232,523 non-Indigenous Australians. 19 second-eye cataract surgery if there is a cataract in the non-operated 20 eye 21 arrangements for managing ocular comorbidities. The Department of Health in England has asked NICE ‘to develop a clinical guideline on Cataracts: diagnosis and management of cataracts’ and. Vision may become blurred or cloudy, colours may be seen differently, and people may experience problems with glare. London: National Institute for Health and Care Excellence (NICE); 2017 Oct. Introduction. Cataracts can develop due to normal aging. MLS #2168760. Swelling in or. Most traumatic cataracts are intumescent, but their type and clinical course depend on trauma mechanism and the integrity of the capsular bag. Nursing care for cataracts revolves around patient training and providing safety. Visual Acuity Test: Read letters from each side as you're covering one eye. It also is one of the safest and most effective types of surgery. Cataract surgery in the presence of glaucoma poses certain challenges that need to be addressed to offer the maximum benefit without complications. Extracapsular. The Cataract Workforce Guidance document is intended to provide information on the optimum workforce required to deliver the hospital component of the cataract patient pathway but acknowledge the primary care pre- and post-operative assessment options as well. With the advancement of surgical technology and techniques, cataract surgery has evolved to small-incisional surgery with rapid visual recovery, good visual outcomes, and minimal. 99, 95% CI 0. A subset of the full test set was designed as a very challenging test set,. 2014; 40:716–721. Slit-lamp exam. 1 Despite the rapid development in recent years of techniques for pediatric cataract surgery, posterior lens opacity remains a considerable challenge even for experienced cataract surgeons. This keeps light from passing through clearly. Patient information. 5 per 10,000 children, with most occurring within the first year of life. Treatment is with surgery involving an incision into the eye and removal. Cataract surgery can help reduce the intraocular pressure alone or. Cataract is one of the most common reasons for visual loss in elderly people. When your eye is dilated, the pupils are wide open so the doctor can more clearly see the back of the eye. The nurse is teaching about signs and symptoms of cataracts. the coordination and management of eye care both nationally and regionally. Cataract is an opacity in the lens which can block or scatter light. A cataract can form after blunt or penetrating injuries to the eye and entry of a difficult-to-remove foreign object, leads to physical damage and discontinuation of the eye lens capsule. 20 Crowfoot Crescent NW #750, Calgary, AB T3G 2P6, Canada: OPENING TIMES: Monday: 10am–6pm. Your doctor will then sit you down to explain the results of your tests and outline any available treatment options, giving. Wade Crowfoot serves as California’s Natural Resources Secretary, leading efforts to conserve California’s environment and natural resources. It is known as a. Hypermature cataract 5. Slit-lamp exam. This guideline covers managing cataracts in adults aged 18 and over. 1 The nucleus can be the primary structure affected in some eyes. To find out more about our comprehensive contact lens fittings and how our optometrists can help safely correct your vision, visit one of our three branches, Crowfoot (67 Crowfoot Terrace NW, T3G 4J8), West Springs (1009 873 85 St SW, T3H 0J5) or Creekside (12192 Symons Valley Rd NW, T3P 0A3). 03/10,000 children (0. Monitoring and classification of morphology is a fundamental and critical issue for pediatric cataracts. With population ageing, thisAssessment Level of Awareness… 2102 Table (4): Knowledge of subjects about steroid cataract: Correct Incorrect 1- Cataract is a disease of the eye 735 (80. Introduction. Detection and management of OSD in all patients before any cataract/refractive surgery is critical, as the health of the tear film can have significant effects on postoperative visual outcomes. 3%) Grade 3, 1 Grade 4, and one Grade 5 according to the PNS grading scale. Cataract Assessment & Management; Dry Eye Syndrome Disease; Presbyopia Treatment; Astigmatism; Vision Therapy; LASIK. This proliferative opaque membrane causes decreased visual acuity, blurred vision, or glare. California’s Fourth Climate Change Assessment, projects that California’s wildfire burn area likely will. When your eye is dilated, the pupils are wide open so the doctor can more clearly see the back of the eye. " Diagnosis. Fig. Book Online. Other possible risk factors for developing cataracts can include: Increasing age. Crowfoot Vision Centre is a family eye health clinic and full optical dispensary. Another metric that has been used to evaluate the success of astigmatism correction is independence from spectacles after cataract surgery, as the use of spectacles is correlated with a higher financial. Evidence review flow charts. If you suspect you have cataracts, have an assessment with your optometrist as soon as possible. Pediatric cataract is an treatable leading cause of childhood blindness. Nursing Problem Priorities. 6/10,000 per year and the median prevalence is about 1. Advanced age is a risk factor for dry eye syndrome, and thus elderly individuals, in particular, must have a thorough ocular. Epidemiology and risk factors for cataract. A cataract is a cloudy area in the lens of your eye (the clear part of the eye that helps to focus light). If left untreated, cataracts worsen over time and interfere with everyday activities such as reading or driving. Relevant peer-reviewed literature was identified, and 21 clinical research questions associated with the definition, classification,. Hard cataracts make preoperative assessment of intraocular structures difficult, and operating on them is an even greater challenge. The study by Taipale et al. 3%) Grade 3, 1 Grade 4, and one Grade 5 according to the PNS grading scale. Our study comprised 192 eyes of 192 patients (mean age, 71. Cataract management is another field that can benefit from greater AI application. g. The main symptom is gradual, painless vision blurring. Cataract diagnoses and surgeries, though not type of cataract, were successfully identified using electronic algorithms. To find out more about the costs and benefits of LASIK eye surgery, or to learn if you are a suitable candidate for this procedure, our team of Calgary eye doctors can help! To book an appointment, contact us at our Crowfoot, West Springs, or Creekside branches or give us a call 403-516-2292. Cataract is one. Monitor visual acuity and limitations. 71 A visually significant cataract may be defined as a 3 mm or larger central opacity. Assessment/Fees. The Way Forward project commissioned by the Royal College of Ophthalmologists (RCOphth) in 2015 21 set about collating best practice guidelines to support the increasing demand for cataract surgery and reported on the global estimations that a 52% rise in cataract cases is to be expected between 2015 and 2035. This survey provides. A large cataract may obliterate the red reflex. Montés-Micó R. The universal AI platform and multilevel collaborative pattern showed robust diagnostic performance and effective service for cataracts. 7 percent in North America to 42 percent in Southeast Asia [ 1 ]. The main objectives of the guidance are:Management of cataract. The Framework, now named the Ophthalmic Common Clinical Competency Framework (OCCCF), has been developed into a curriculum, with corresponding workplace-based assessments and resources, covering four clinical areas; acute and emergency eye care, cataract assessment, glaucoma and medical retina. Among the variety of foldable IOL, hydrophobic acrylic IOL was better suited for children. 1–4 The majority of work assessing patient-reported visual function outcomes has included a wide range of pre-operative BCVA. 11 /18. Immature cataract 3. Postoperative assessment may therefore take place outside the cataract operating unit. In this paper, we are reviewing the preoperative assessment, surgical options, the planning, and postoperative care. Moderate to high quality evidence. Book an Appointment: 1-403-516-2292. This cataract assessment visit can take up to 3 hours. [ 5] Cataracts continue to be an important cause of blindness. The results are presented in Table 2. Evaluation Discharge and Home Care Guidelines Documentation Guidelines Practice Quiz: Cataract See Also What is Cataract? One of the most common eye. Cataracts Assessment of Visual Functional Status. 1–3 A thorough preoperative evaluation before cataract surgery is crucial for appropriate patient management. Bannock St. Diagnosis is by ophthalmoscopy and slit-lamp examination. 4% and 94. • what cataract surgery involves, including possible risks and benefits • how the person's quality of life may be affected if they choose not to have cataract surgery • whether the person wants to have cataract surgery. Unfortunately, there are currently no medications or other treatments proven to slow, halt, or reverse the vision loss caused by cataract development. Shop Now. Cataract Causes and Types. One hundred percent of the respondents agreed that funduscopy was significant in diagnosis of cataract. 9%) 2- Cataract is an opacity of the eye lens 514 (56%) 404 (44%) 3- Cataract has increased risk with positive family history 421 (45. Radiation. Cataracts usually develop in both eyes, but sometimes they only affect one. Crowfoot West Springs Creekside. Interventions to prevent retinal detachment in people with myopia. Moreover, intraocular magnifying devices recently developed can further increase the quality of vision in this group of patients ( 18 ). 1-stop Cataract clinic assessment 22. DIF:. 1 – 3 Ongoing and increasing awareness of these issues has led to anterior segment surgeons. The patient should be advised to return for a further assessment as and when you see fit. e 50% or more of the global burden of blindness. A cataract (karu puata kore) is when the lens of your eye becomes hazy or milky. In addition, attempts for qualitative and quantitative assessment of OCT images of cataract eyes have been presented but the studies were usually confined to the analysis of single cross-sectional images [34–37]. We offer Vision Test, Eye Examination & Comprehensive Eye Care Services across Calgary. A cataract is an opacity of the lens of the eye that causes partial or total visual loss ( picture 1 ). AI on the other hand, can help transform cataract management by improving automation, efficacy and overcoming geographical barriers. Introduction. As a library, NLM provides access to scientific literature. Secretary Crowfoot oversees an agency of over 25,000 employees spread. Cataracts in infants and children will be reviewed here. It further aims to improve the availability of information for people with cataracts before, during and. Glaucoma is the result of the buildup of fluid inside your eye. A cataract can form in one or both eyes. Assil Eye Institute, Beverly Hills, California, US; 2. 1 – 3 Pediatric cataracts may be congenital if present within the first year of life, developmental if present after infancy, or traumatic. Eye Essentials is a major new series which provides authoritative and accessible information for all eye care professionals, whether in training or in practice. Successful comanagement occurs when both the optometrist and ophthalmologist are on the same page, which can only happen with effective communication from the very beginning of. Cataract is associated with decreased quality of life and reduced life expectancy. Assessment and management of patients with cataract EHEW accredited optometrists can utilise the EHEW service to assess a patient with cataract via the Further Investigation Examination (EHEW Band 2) following a GOS or private sight test. In this article, we will focus on the presentation and management of injury to the lens and, in particular, traumatic cataract.