Cataract Tremolding

Tremolding cataract: features and treatment

Cataracts are a common eye disease characterized by clouding of the lens. However, there is a type of cataract called tremulant cataract or s. tremulans. This form of cataract differs from others in that it causes the pupil to tremble.

Tremolding cataract is a rare condition that occurs in less than 5% of patients with cataracts. It can develop either independently or in combination with other forms of cataract.

With Tremolding cataract, the lens of the eye becomes white and dense, which leads to deformation of the pupil and its trembling in response to eye movements. In addition, patients may complain of decreased vision, double vision and loss of contrast.

To diagnose Tremolding cataracts, it is necessary to conduct an eye examination by an experienced ophthalmologist. The doctor may use a variety of methods, including a visual examination, vision tests, and review of the patient's medical history. Additional tests such as ultrasound or optical coherence tomography may also be required.

Treatment for tremulous cataracts may include surgical removal of the clouded lens and its replacement with an artificial one. This procedure, called cataract extraction, is one of the most common surgeries in ophthalmology. Most patients notice significant improvement in vision after lens replacement surgery.

However, not all patients with tremor cataracts are suitable for surgical treatment. For example, patients with severe forms of other eye diseases, such as glaucoma, may have restrictions on surgery. In addition, some patients may experience temporary improvement in vision with glasses or contact lenses.

In conclusion, Tremor cataract is a rare form of cataract that causes the pupil to tremble. Diagnosis and treatment of this disease requires consultation with an experienced ophthalmologist, who will determine the best treatment strategy for each patient. Thanks to modern treatment methods, most patients with Tremol cataracts can achieve significant improvement in vision and quality of life.

Trembling cataract Trembling or tremolating cataract (Latin Tremula “trembling”) is an acute complication of eye cataracts that can occur during its maturation (development). This pathology is a dangerous condition that requires immediate treatment. Tremota is a chaotic fluctuation of optical structures against the background of the disease. However, in most cases, the development of this condition can be prevented. According to the literature, the approximate incidence of tremolation cataract is about 36%. The complication is more common among older age groups (70% of patients over 65 years of age). The frequency of the pathological process is especially high in central and subcapsular types of cataract. Despite the successes achieved in conservative treatment and prevention of relapses of tremolation cataracts, this symptom remains one of the main causes of vision loss due to the development of a malignant form of this pathology.

\*The term “flutter” is taken from ophthalmological literature under the authorship of M. G. Sinelnikov, A. P. Velichko. The latter associated the term with the issue of surgical technique - removing cataracts from a small incision and performing sutures in several stages. According to him, “this technique for treating patients with detached cataracts has made it possible to diversify non-invasive methods to prevent the progression of posterior lens detachment and prevent the development of tremulous cataracts.” The origin of this term is associated with the process of active cataract treatment (at the initial stage), when part of the operation is performed on the patient while sitting, and the rest - in a supine position. The manufacturer of the treatment is the ophthalmologist who directly performs the surgical process. The patient goes through the treatment stages from the first to the last stage over a period of 2–3 hours, but without breaks. Patients look at a flickering lamp, the pupils of the eyes dilate, the cataract is already swollen, resulting in vitrupsy - fluttering (trembling), but if during this time the patient remains at rest, the cataract will be impossible to remove. That is why the time of the operation is limited. The most favorable period for carrying out a therapeutic intervention is the period when the patient is immobile during surgery - at the stage preceding viitrupsy (physiological sleep, residual narcotic analgesia, state of clear consciousness after surgery).