Hypermature / Morgagnian

Hypermature/ Morgagnian Cataract 

Clinical features:

  • Liquefying lens cortex
  • Sunken brownish nucleus
  • Flecks of calcium salt deposits on the anterior capsule
  • Dense capsular opacities can be from epithelial hypertrophy
  • May undergone spontaneous rupture to the anterior chamber, causing inflammatory reaction which is known as phacoanaphyllaxis uveitis
  • May also be complicated with phacolytic glaucoma as the inflammatory cells become trapped in trabecular meshwork and obstructed the filtration flow of the aqueous humor

Management:

  • B-scan ultrasound study to rule out complicated co-existing intraocular diseases.
  • Cataract extraction.