Case 4


Prof Dr CHUA Chung Nen, Dr. NGO Chek Tung, Dr Ting Siew Leng and Dr. Koay Chiang Ling

A 48 year-old man has had recurrent attacks of painful right eye. The vision was 6/36 and there was significant cataract. Previously, he required periocular steroid injection to control the attacks. The eye was poorly dilated with mydriatics.

a. What do the pictures show?
b. Is it necessary to carry out further investigations?
c. How would you prepare the patient for cataract surgery?
d. How would you approach the cataract if you were to perform phacoemulsification on him?

ye Hospital.