Cigarette smoking. With ICD-9 I'd use 366. Plus resources to find the right surgeon and a step-by-step guide to everything you need to know about surgery if you choose to have it. We also noted posterior vitreous detachment. 04 contain annotation back-references that may be applicable to H25. 012. After the type of cataract is figured out, then it will be graded. must measure pupil pre/post dilation. Her best-corrected vision was mildly reduced to 20/25- OD, OS due to mild nuclear sclerosis and anterior cortical spoking. 1. H25. Vision can be affected in various ways, depending on exact location and prominence of these spokes. 3 Cortical. Study with Quizlet and memorize flashcards containing terms like describes a Waterfall, unilateral or bilateral, may see metabolic or systemic issues and more. 1). We have assembled a list of common abbreviations that you are bound to encounter. This is the American ICD-10-CM version of H05. 1. Article Text. Nuclear sclerotic, cortical (‘spoking’), and subcapsular cataracts will comprise the vast majority of those seen in clinic. 041--Posterior subcapsular polar senile cataract, right eye H25. Both lenses show 2+ cortical spoking and 1+ nuclear sclerosis, consistent with 20/40. 85mm OS: 32. Neck CT "small cortical defect along the anterior aspect of the dens just below the anterior arch of C1 with adjacent bone or calcific density. 35K subscribers in the optometry community. Posterior subcapsular cataract (PSC) – Opacity in the posterior capsule of the lens, often seen in younger individuals, steroid users, and diabetics. Created for people with ongoing healthcare needs but benefits everyone. Start studying Ophtho 5 - Chronic Vision Loss. Yes: Therre are three areas of the lens that mau be affected by acquired cataract: the nucleus, the cortex and the posterior subcapsular region. The first type of cataract is called cortical spoking. Cateratcts A cataract is an opacity of the natural lens of the eye 90% of cataracts are age related Other causes of cataracts: congenital, metabolic, and traumatic etiologies Excessive exposure to sunlight (ultraviolet B rays) without protective lenses over time In the United States, cataract surgery is the most common surgical procedure. Posterior pole focal chorioretinitis; Posterior pole focal choroiditis; Posterior pole focal retinitis; ICD-10-CM H30. Allografts for spinal surgery include machined cancellous blocks, cortical dowels, cortical rings, PLIF and ALIF grafts, cortical and cancellous spacers of various sizes. Clearing the Fog of Cataracts clears away the confusion and misinformation around cataracts. B, Typical cortical spokes. This is the American ICD-10-CM version of H26 - other international versions of ICD-10 H26 may differ. Is cortical spoking a type of cataract? Dr. Image License and Citation Guidelines. Cortical versus Subcortical Strokes Gray matter (neuronal cell bodies) of the brain forms a rim over the cerebral hemispheres, forming the cerebral cortex. 1. Produced by the Moran Eye Center in partnership with the Eccles LibraryAngle the light at about 45 degrees. They were characterised by the onset of a lenticular. 2. Eyes were graded on a scale of 0 to 4. 2 Nuclear Nuclear cataracts are the most common age-related cataract, characterised by opaci-fication of the central portion of the lens. decrease vitamin c absorption d. Movement of the lens that occurs secondary to lens instability LENS. Cortical spokes are wedge shaped areas of clouding of the cortex. Purpose: To evaluate objectively intraocular scattering in eyes with nuclear, cortical and posterior subcapsular cataracts by means of an objective scatter index (OSI) obtained from double-pass images. 012 for Cortical age-related cataract, left eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . Back of the eye . Andrew Dahl answered. in a. 71%, while for a three-class classification, 83. Allografts for general orthopedic applications include frozen and freeze dried structural grafts such as ilium wedges, segmental grafts of femur, fibula, humerus, tibia etc. 30%. Create flashcards for FREE and quiz yourself with an interactive flipper. What is a cortical spoking cataract? Moderate cortical changes. Nov 25, 2020 Eyes Forward Nuclear sclerosis is a condition in which the nucleus, or central part of the lens of the eye, hardens or gets cloudy. Introduction. The change from nuclear sclerosis or cortical spoking to frank cataract formation is gradual. Ultrasound is study using sound waves whuch either pass through tissue or bounce back. Depending on the location of the opacities, as shown in Fig. The arrowheads demonstrate regions of cortical spoking. If it gets severe enough, it becomes a nuclear. The onset of the posterior subcapsular cataracts in the previous six months contributed greatly to her decreased. Kataria and Thompson performed a clinical records review to measure the development and rate of progression of nuclear sclerotic (NSC), posterior subcapsular (PSC), and cortical spoking (CS) cataracts in nondiabetic patients younger than age 50 years after pars plana vitrectomy (PPV). Purpose : To measure the rate of cataract development and progression of nuclear sclerotic (NSC), posterior subcapsular (PSC) and cortical spoking (CS) cataracts in non-diabetic patients younger than 50 years of age following a pars plana vitrectomy. ; atrophic hole inf/nasal OS: lattice, pigmented superior, inferior, temporal Vitreous: syneresis, PVD OU OD: 30. The three main types are: Posterior subcapsular. cortical spoking. Image License and Citation Guidelines. 04 : H00-H59. We review the basics of radiation dose and the potential radiation effects, particularly as they pertain to the operator. Study Spring 2012 Dis Exam 5 (Last Material for final) flashcards. Purpose: To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts. Bressler, MD, James Heyward, BA, Ava K. Figure 1. depends on visual acuity-Remember. D. 019. 6: Artificial lenses Sign in. In the subgroup of patients aged under 50. Ciliary body. Thus white for bone or stone. Posterior cortical spoking OS Timolol BID OU Brimonidine BID OU Blot hemes inferior-temp Unremarkable 0. Scarring: Essentially both findings relate to scarring of part of the kidney, possibly due to an old infection or other prior insult to the kidney. YAG. T/F cortical spoking and PSC can be best graded with retroillumination of the LENS. Subjects: Twenty-six eyes of 26 patients><50 years of age that had. Rostov posed two questions to her fellow contributors:Main Outcome Measures The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last. If it gets severe enough, it becomes a nuclear cataract. The stereo coaxial illumination extends. show more content…Study with Quizlet and memorize flashcards containing terms like BLP, BRAO, ARMD and more. Posterior subcapsular cataracts often develop. cortical cataract. 03 may differ. X (T) exotropia. Learn how we can help. 5: Posterior capsular opacifications Sign in. The code H25. 24/7 visits - just $44! 50% off with $19/month membership. Blurry lines that affect vision. Central serous (chorio) retinopathy. Pseudoexfoliation syndrome (also called PXF, PXE or PEF) involves these parts of the eye: Aqueous humor. 1. The membranes of mature lens fibre cells are disrupted, resulting in protein oxidation and precipitation of cellular material. VF B. No. Phacodonesis. 1 (Cary, North Carolina, USA) was used for all statistical analyses. Cortical cataracts develop in the lens’s cortex, encircling the central nucleus. Fifteen months after the addition of quetiapine, an optometry examination revealed lenticular changes in the left eye and grade I cortical spoking in the interior aspect of the lens . Moran CORE. There are three primary types of cataracts: nuclear sclerotic, cortical, and posterior subcapsular they also have unique symptoms which are discussed below. The optometrist diagnoses the. Result from the ionic lens composition lens cortex and the eventual change in the hydration of the. Talley Rostov, MD CASE PRESENTATION. $44 video appointments with $19/month membership * * Billed $57 every 3 months. 029 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Her initial presenting intraocular pressures. Yes: Therre are three areas of the lens that mau be affected by acquired cataract: the nucleus, the cortex and the posterior subcapsular region. . Dark adaptometry. Article Text. When considering the grade of lens opacification including severity of nuclear sclerosis, cortical spoking, and posterior subcapsular, as well as the severity of posterior capsule opacification, no significant differences between grades were identified in the variability between Snellen and ETDRS measurements. The prediction result gives an opacity. Subscribe to Codify by AAPC and get the code details in a flash. 2024 ICD-10-CM Range H00-H59. 4 OPHTH 15 AFHSB Surveillance Case Definitions FINAL August 2016 - H26. John Berryman answered. Business, Economics, and Finance. Please refer to the LCD for reasonable and necessary requirements. There was no evidence of pseudoexfoliation. Early cortical cataract development as viewed at the slit lamp using retroillumination. This is the American ICD-10-CM version of H25. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. The amount of cortical cataract (C) is determined by comparing the estimated aggregate of cortical spoking to that seen in 5 separate photographs. Figure 8-13 . An ocular health evaluation revealed early nuclear sclerosis and cortical spoking O. 4: Posterior subcapsular cataracts Sign in. 013 is a billable diagnosis code used to specify a medical diagnosis of cortical age-related cataract, bilateral. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . Her anterior segments have always been unremarkable, and she has a mild amount of nuclear sclerosis and cortical spoking in each lens. Her crystalline lenses were characterized by mild/moderate nuclear sclerosis and cortical spoking to a degree consistent with her visual acuities. Exam 3 Learn with flashcards, games, and more — for free. The spoke-like streaks will steadily grow toward the center of the lens until they interfere with light passing onto the retina. For example, if you observe cortical spoking and nuclear opacification, your patient likely has both cortical and nuclear sclerotic cataracts! Be sure to catch Part 2 of. Coding Guidance. 042--Posterior subcapsular polar senile. Finally, the presence of a spoke-like structure throughout the lens is known as the cortical spoking cataract, shown in Fig. 35 became effective on October 1, 2023. External examination of OD disclosed slate-blue scleral pigmentation and dark brown iris with velvety surface consistent with ocular melanocytosis (Figure 1). , decrease in normal mass) can affect cerebral function. Symptoms of Cortical Cataracts. Adrenocortical carcinoma (ACC) is a rare tumor with an annual incidence of 2 cases per 1 million population. Identifying the Severity Cataracts are lens opacities that blur visual images, leading to symptoms like glare, halos, and photosensitivity – one of the leading causes of blindness worldwide. Cortical age-related cataract, unspecified eye. Coding Guidance. Comments. Z codes represent reasons for encounters. There are three types of cataract according to the WHO (nuclear sclerotic, cortical spoking and posterior subcapsular) that are defined and graded by examining the opacities. Open source ophthalmology education for students, residents, fellows, healthcare workers, and clinicians. They will look like white, triangular streaks on the lens’ outer edge and resemble spokes. Read More. An examination of the anterior segment of the right eye reveals an anterior subcapsular cataract with cortical spoking. 8. H25. People with nuclear sclerosis often describe having a "filmy" sensation in their vision as if looking through a dirty window. 2 with collaterals 0. The symptoms of a cortical. Download scientific diagram | Change of nuclear sclerosis (Ns) in a typical case of the diabetic retinopathy group. 011 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Cortical cataract demonstrating white cortical spoking. cortical: [adjective] of, relating to, or consisting of cortex. The 2024 edition of ICD-10-CM H47. 0 mm pupil in the cortical, nuclear, and posterior subcapsular cataract groups. (C) A higher magnification of an Arvcf−/− lens with a disruption at the. Chronic alcoholism. 0 using the lens opacities classification system LOCS II before and after pars plana. Explanation: "Cortical Cataracts. spoking synonyms, spoking pronunciation, spoking translation, English dictionary definition of spoking. The lack of monocular or homonymous visual field defect makes. Type in any ophtho term to this translator or copy and paste entire notes to finally decode all those abbreviations. This was the slit lamp appearance of the right eye: The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. Nuclear Sclerotic Cataracts. yttrium-aluminum-garnet laser. Practice: Cataract Grading. OBJECTIVE. Posterior subcapsular cataracts are also more common in younger age groups and are frequently associated with diabetes or. The 2024 edition of ICD-10-CM H05. Poor ability to see contrast, such as in a dark or dimly lit environment. Nuclear sclerosis is common in older adults as part of the aging process of the eye and can lead to. 013 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1. Because the patient’s cortical cataracts affect both eyes, you’ll select H26. Learn how we can help. Chorioretinal scar. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. Cancel anytime. This peripheral part of the lens is call the cortex hence the term cortical spoking. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. It is more common in people with diabetes and hypertension. It has little or no effect on vision, but the blue-gray appearance of the lens often prompts a misdiagnosis of cataract. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. A cataract grading system was developed by a panel of experts with the objective of making available a simple system for use with a slit lamp to allow for the reliable grading of the most common forms of cataract by relatively inexperienced observers. Cataract: The peripheral part of your lens has some opacity in it. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. When we see this gap it is often associated with zonular laxity which allows the cataract to fall towards the vitreous cavity. Please refer to the LCD for reasonable and necessary requirements. 011 - other international versions of ICD-10 H25. 35 OD 0. Diabetes. 019 became effective on October 1, 2023. The patient was never told of any retinal problem prior, but examination reveals an epiretinal membrane (ERM) in the right eye. Background: Differentiation between acute cortical and subcortical ischemic stroke may be problematic when cortical stroke presents without obvious cortical deficits such as aphasia, neglect or hemianopia. Created for people with ongoing healthcare needs but benefits everyone. Pediatric Ophthalmology 29 years experience. Fundus examination revealed optic nerves with distinct margins and intact rim tissue with cup-to-disc ratios. A cataract-free lens is one in which the nucleus, cortex, and subcapsular areas are free of opacities; the subcapsular and cortical zones are free of Of the three, nuclear sclerotic and cortical spoking are more prevalent than PSC, each being graded according to severity of lens opacities. Selfsealing 4. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. adj. 011. The remainder of the examination is normal. Cyclophotocoagulation. common types of cataract are nuclear, cortical, and posterior subcapsular (See Appendix Figure 3 for the ICD-9-CM classification of cataracts). Define spoking. Recent articles discussing cases of brain cancer in interventionalists have raised concerns regarding the hazards of occupational exposure to ionizing radiation. ICD-10-CM Coding Rules. R3. 1. Table 2 shows the wavefront aberrations in the entire eye, internal optics of the eye, and cornea with a 6. 1. Ophthalmology 32 years experience. Retinal evaluation of the right eye was difficult due to the media, however. Produced by: Brandon Pham Edited by: Benjamin Lin, M. 011Cortical age-related cataract, right eye. In our office, his best-corrected visual acuity measured 20/50 O. Subscribe to Codify by AAPC and get the code details in a flash. X (T) exotropia. The optic nerve showed a cup-to-disc ratio of 0. Created for people with ongoing healthcare needs but benefits everyone. Common symptoms after cataract surgery. 3 OS Periphery: OD: lattice, pigmented sup. Scenario: A 72-year-old patient presents to the practice with blurred vision and slight yellow tinting to the left eye. The anterior vitreous of the right eye showed densely packed asteroid hyalosis (Fig. Cortical Spoking: Because of swelling in the cortex, spoke-like cloudiness develops on the outer edge of the lens. Dilated examination revealed trace nuclear sclerosis and 1+ anterior cortical spoking outside the visual axis OD/OS. Study with Quizlet and memorize flashcards terms like About, 5 Flurouracil, Astigmatism and more. Posterior Subcapsular: The area at the back of the lens develops cloudiness. Morgagnian cataract. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. Soon enough you’ll be the one interpreting for the poor student on a medicine service! In the meantime, we hope you’llStudy with Quizlet and memorize flashcards containing terms like pseudophakia, aphakia, subluxation/luxation and more. Cortical age-related cataract, bilateral (H25. Cortical spoking cataract (CS) - Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. We present seven patients with oil-drop cataracts referred for neuro-ophthalmologic. cortical spoking (CS) cataract catarct examincation: perform GEE, perform case history, document chief complain which must indicate ___ and ___. Central retinal vein occlusion. The stereo coaxial illumination extends. Given that the likely cause of her decreased objective visual acuity was her. XT. 04% APY 12-Month CD Rate Special (ME) All In Credit Union CD Rates: 5. However, this is only a short term solution as the cortical. The phakic IOL is well positioned but may exhibit slight temporal displacement. white, wedge-like opacities that start in the periphery of the lens and work their way to the center in a spoke-like fashion LENS. >50%. Purpose: To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts in nondiabetic patients <50 years of age after a pars plana vitrectomy. The proposed method was successful in accurately classifying the two classes. CII cortical spoking that obscures more than 2 full quadrants. This is the American ICD-10-CM version of H26. Her BSCVA was 20/60 OD and 20/20 OS. The left eye shows 2+ nuclear sclerosis with 2+ cortical spoking. cortical spoking. The 2024 edition of ICD-10-CM H47. -Nuclear Sclerotic: Near-sized, slow course -Cortical spoking: doesn’t significantly affect vision -Posterior Subcapsular: leads to a “glare”and glare in bright-light (more of a common complaint) Divided into mature and immature cataracts MUST KNOW CONCEPTS -Mature: obstructs the redlight reflex when you do a fundus exam and has. 1. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. Talk to a doctor now . Created for people with ongoing healthcare needs but benefits everyone. The CD ratio was 0. Senile cataract is a yellowing of the entire crystalline lens. Fig. Check My Answer! echo ‘To use a practice module, please login or register for a free account. Learn faster with spaced repetition. #1. -goes up to 4, but everyone does it differently-Some grade appearance-Others: appearance + VAs-does not matter for insurance purposes. Comments. 013 (Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral). The patient was never told of any retinal problem prior, but examination reveals an epiretinal membrane (ERM) in the right eye. Please refer to the LCD for reasonable and necessary requirements. common types of cataract are nuclear, cortical, and posterior subcapsular (See Appendix Figure 3 for the ICD-9-CM classification of cataracts). reveals an anterior subcapsular cataract with cortical spoking. Identifying the Severity Cataracts are lens opacities that blur visual images, leading to symptoms like glare, halos, and photosensitivity – one of the leading causes of blindness worldwide. White matter (neuronal axons coated in myelin) is located below the cortex and makes up the "subcortical" regions of the brain. Official Long Descriptor. clear lens devoid of aggregated dots, flecks, vacuoles and waterclefts. Connect with a U. “The patient will also be complaining of significant glare and haloes around lights, especially at night. Autoimmune diseases such as rheumatoid arthritis, ankylosing spondylitis etc. We hypothesized that exposure to unclean cooking fuels (ie, wood or kerosene) would be associated with the following: (1) the severity of nuclear sclerotic, cortical spoking, and posterior subcapsular (PSC) cataract in a cross-sectional analysis of baseline data; and (2) cataract progression, measured by a proxy of cataract surgery in a. white and quiet. Study with Quizlet and memorize flashcards containing terms like nuclear sclerotic cataract, Blue Scleras, Episcleritis Connective tissue disease Wind, dust, chemicals, sun and more. Our ASC does a lot of cataract surgeries. 042--Posterior subcapsular polar senile cataract, left. P0 Clear posterior capsule. Cataract: In the context of cataract formation, cortical spoking refers to the peripheral and superficial (cortex) clouding of the lens in the pattern of spokes. This guide from Harvard Medical School provides evidence-based solutions, tips, and resources for people who want to know more about cataract surgery or who want to delay it. X (T) exotropia. 61 became effective on October 1, 2023. Cortical spoking is easily visualized using retro-illumination on the slit-lamp; CLASSIFICATION. Main Outcome Measures: The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last visit before cataract surgery. Radiation-induced cataracts are predominantly PSCs, although cortical and mixed-type cataracts have been shown . ICD-10 code H25. 1: Anatomy of the lens. What does cortical spoking cataract ( CS ) mean? Cortical spoking cataract (CS) – Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. Created for people with ongoing healthcare needs but benefits everyone. The remainder of the examination is normal. CI. We evaluated the gross morphology, location, and fiber cell architecture of equatorial cortical opacities in the aging human lens. Cortical cataracts start in the eye lens cortex (the outside edge of the lens). Study with Quizlet and memorize flashcards containing terms like Emergent Referral, Urgent Referral, Painless Eye Conditions and more. Slit-lamp exam revealed age-related cataracts (2+ nuclear sclerosis, trace posterior subcapsular) and cortical spoking OU. , adj catarac´tous. and the constancy of symptoms support the concept that the pathology is cortical. 1. LaparoscopicIt can be highly difficult to view the red reflex in patients with small pupils, darkly pigmented eyes, dense anterior cortical spoking, and brunescent cataracts. Full size image. Or, simply reference the most commonly used abbreviations the old fashioned way. ICD-10 code H25. Quetiapine was tapered off over 9 days, and an eye examination conducted. Cigarette smoking. H25. It may eventually lead to a cortical cataractvisible changes; Stage 1, cortical spoking appears; Stage 2, water vacuoles appear; Stage 3, cataract ring; Stage 4, frank cataract. D. Prior inflammation/injury of the eyes. Subscribe to Codify by AAPC and get the code details in a flash. Eyes were graded on a scale of 0 to 4. 3 OS. Do they synapse in the region of the optic nerve head? No. DIAGNOSIS: Nuclear cataract with cortical spoking, right eye, 366. injury (trauma) of eye and orbit ( S05. Of note, there is a prominent gap between her iris and the anterior lens capsule. Similarly, the estimated amount of posterior subcapsular cataract (P) is determined by comparing it to another 5 photographs depicting increasing amounts of posterior subcapsular cataract. It can cause blurry vision, double vision, glare, and color distortion. Main Outcome Measures The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from care, lost to follow-up, or last. She was also found to have anterior and posterior cortical spoking of the crystalline lenses, off the visual axis. Created for people with ongoing healthcare needs but benefits everyone. Caused by swelling and liquefaction of the cortical fiber cells. Eyes were graded on a scale of 0 to 4. 013 - other international versions of ICD-10 H25. 269 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts in nondiabetic patients <50 years of age after a pars plana vitrectomy. This is the American ICD-10-CM version of H47. 2 OD, 0. On dilated exam, note the bowing. 2: Nuclear sclerotic cataracts. Wedge-shaped (cuneiform) or spoke-like (wheel) peripheral changes are seen. While there are no scientifically approved medications designed to cure cataracts, there are several treatment options available, including: Prescription Glasses: Since cortical cataracts can result in decreased visual acuity, glasses may be prescribed to make up for the vision loss. 013 for Cortical age-related cataract, bilateral is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . Soon enough you’ll be the one interpreting for the poor student on a medicine service! In the meantime, we hope you’llOcular examination revealed healthy ocular surface and cornea, a 1+ nuclear sclerotic cataract with 2+ cortical spoking, and a healthy retina. 013 may differ. The spokes gradually grow towards the center of the lens and blur vision. 3: Cortical Spoking Cataracts. 3 OD OS ERM Central atrophy with RPE hyperplasia Fine NVE??? Thoughts BRVO? OIS?tions werenormal, except for early cortical catarac-Correspondence to Lee M. We went on the develop new technologies form maintainingThe arrowheads demonstrate regions of cortical spoking. Dean Bonsall answered. Retrospective cohort study. GVF OD with temporal scotoma. Lens: Trace nuclear sclerosis and cortical spoking OU; Dilated fundus examination (DFE): Vitreous: Normal OU; Disc: Normal, pink optic nerves OU; Cup-to-disc ratio: 0. Cortical cataracts develop when the more peripheral lens fibers. 0 mm incisions placed 2.