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23 Case reports from daily practice
23 Case reports from daily practice
23.1 Case 1: Cortical cataract
by Tobias H. Neuhann, MD
A 23-year-old, -12.5 D myopic white female underwent a fundus examination at a local eye
clinic. Her BSCVA was 20/30, while her best corrected visual acuity with contact lenses was not
documented. She was told that cataract surgery would be the only option to improve her visual
acuity. She was now presenting at our clinic for a second opinion.
Scheimpflug imaging was successful (Figure 187) in perfectly documenting the peripheral cortical
density (yellow arrow). The cause of her reduced BSVCA was corneal warpage caused by the contact
lenses. Two weeks later the warpage was found to have changed slightly (Figure 188).
Figure 187: Scheimpflug image showing a cortical cataract
Figure 188: Show 2 Exams
Figure 183, pIOL fit simulation display showing a large iris convexity
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