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Ophthalmology · Cataract: cortical type
Sample itemA patient complains of glare and monocular diplopia and has wedge-shaped spokes at the lens periphery. Which type of cataract is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Cortical cataract
Cortical cataract begins with water clefts and vacuoles and progresses to radial spoke-like opacities. The hydration changes scatter light, which gives glare and monocular diplopia.
Option by option
A. Cortical cataract (correct)
Correct. Spoke-like peripheral opacities define the cortical type.
B. Congenital zonular cataract
Zonular cataracts are present from birth.
C. Nuclear cataract
Nuclear cataract affects the central lens and causes myopic shift.
D. Posterior subcapsular cataract
Posterior subcapsular lies on the back of the lens and causes glare in bright light.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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