The cataract with an extremely dense and hard brunescent nucleus, or so-called “catarock,” is challenging surgery for any ophthalmic surgeon. There is often also a reduced endothelial cell count, a poorly dilating pupil, and weak or partially absent zonules. The capsule can be distended in an intumescent lens, normal or even crenated in some very hypermature cases. The lens can be white from opaque cortex, dark brown or in extreme cases even black.
These are always complex cases and can be coded as such. I document the complex nature in (Read more...)
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