Learn the truth about cataracts, how to catch them early, and how to protect your eyes and vision at any age. Cortical Spoking or cortical cataracts: Anterior Cortical Cataract (ACC) Posterior Cortical Cataract (PCC) Posterior Subcapsular Cataract (PSC) Nuclear Sclerotic Cataract. 269 became effective on October 1, 2023. 039 in processing claims,. Learn how we can help. GVF OD with temporal scotoma. Completely opacified cortex causing the lens to appear white; no red reflex visible from fundus. Cigarette smoking. 4 Cataracts were evaluated at the time of the preoperative visit closest to the date of surgery and on all subsequent postoperative visits. Any of the following abnormal retinal signs may be. Pbm in brain not eye: The term cortical vision impairment implys that there is a problem with the brain cortex (outer cell layer) that interprets the imput of. Study with Quizlet and memorize flashcards containing terms like Types of cataracts, nuclear cataract, cortical cataract and more. 1. 811 (for right eye) when he says they have nuclear sclerosis cataract and senile cortical cataract. Eyes were graded on a scale of 0 to 4. 8/30/2021 12 Blot hemes inferior-temp Unremarkable 0. 2 OD, 0. 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. . B, Typical cortical spokes. 1. Cataract: Cortical cataract is a change in the peripheral portion of the crystalline lens which extends centrally. 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. H25. With ICD-9 I'd use 366. U. 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. , with a refraction that was nearly identical to the spectacle Rx prescribed by the local optometrist. 013 (Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral). 67mm 2 14yo African American Female VA: cc through CL Distance. Central corneal thickness with ultrasound pachymetry measured 552μm and 549μm. board-certified doctor by text or video anytime, anywhere. 011 became effective on October 1, 2023. Change in perception of colors. Refer to NCCI and OPPS requirements prior to billing Medicare. The remainder of the examination is normal. 3%) in our study, the second most prevalent sign of elevated lipid levels. Posterior subcapsular cataract (PSC) – Opacity in the posterior capsule of the lens, often seen in younger individuals, steroid users, and diabetics. 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 our Cataracts Awareness series about how to manage cataracts and the different forms of treatment! Cortical age-related cataract, bilateral. 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 nerve appearances were consistent. Move the stage to the right (keeping forward as much as possible without physically contacting the patient), allowing the beam to fall on the patient's face. Posterior subcapsular haze? A posterior subcapsular cataract reveals a "frost-like" haze just anterior to the pos-terior lens capsule which is the back sur-Will present with cortical spoking with vacuoles between lens fibers due to cortical hydration. Study with Quizlet and memorize flashcards containing terms like Cerulean, Cerulean, Sutural and more. T/F cortical spoking and PSC can be best graded with retroillumination of the LENS. H25. Share. Her cornea also demonstrated a polygonal pattern of opacities in the posterior stroma with clear intervening spaces, resembling a “crocodile skin. Fundoscopic examination demonstrated few, fine hard drusen bilaterally and a 0. Smartphone applications for detecting cataract rely on lens color and texture features, but as noted before, the color-based methods they use aren’t universally. Eye problems, such as previous eye injuries and inflammation, may cause cortical cataracts. One of the rods or braces connecting the hub and. Cortical spoking cataract (CS) - Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. Figure 8-12. D. "Cortical" refers to white opacities, or cloudy areas, that develop in the lens cortex, which is the peripheral (outside) edge of the lens. 61 contain annotation back-references that may be applicable to H47. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. An examination of the anterior segment of the right eye reveals an anterior subcapsular cataract with cortical spoking. 1. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking. METHODS —Eight women and 12 men, mean age 73 years, were included in this study, which was carried out from 1 January 1994 to 30 November 1996. B, Typical cortical spokes. ICD-9-CM 366. Historically, about 30% of these malignancies are confined to the adrenal gland at diagnosis. On examination, an anterior subcapsular cataract with cortical spoking, and a well-positioned phakic IOL with potential slight temporal displacement were identified. Posterior subcapsular cataract (PSC) – Opacity in the posterior capsule of the lens, often seen in younger individuals, steroid users, and diabetics. Request a Demo 14 Day Free Trial Buy Now. The 2024 edition of ICD-10-CM H25. Both cause decreased vision over time. View Full Image. We went on the develop new technologies form maintainingThe arrowheads demonstrate regions of cortical spoking. ICD-10 Diagnosis Codes: H25. Both lenses show 2+ cortical spoking and 1+ nuclear sclerosis, consistent with 20/40. Create flashcards for FREE and quiz yourself with an interactive flipper. Phacodonesis. Produced by: Brandon Pham Edited by: Benjamin Lin, M. 269 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 013 may differ. Pediatric Ophthalmology 29 years experience. Completely opacified cortex causing the lens to appear white; no red reflex visible from fundus. The phakic IOL is well positioned but may exhibit slight temporal displacement. There was no diabetic retinopathy OU. We also noted posterior vitreous detachment. With the Lumera, a clearer view of the anterior capsule and red reflex enables me to complete the capsulorhexis without difficulty (Figure 3). 0 mm pupil in the cortical, nuclear, and posterior subcapsular cataract groups. Learn about the causes, symptoms, progression, and complications of cortical cataracts. Although the nuclear change can be subtle on slitlamp biomicroscopic examination, retinoscopy reveals the classic oil droplet silhouetted against the red reflex. Do they synapse in the region of the optic nerve head? No. White cataracts, characterized by a golden center and cortical spoking, clefting or cracking, adhesions to the capsule, and severe cortical opacification. This article will discuss the three most common types of cataracts (nuclear, cortical, and posterior subcapsular) as well as other less common types including anterior subcapsular, posterior polar, traumatic,. 2 with collaterals 0. Cortical spoking cataract (CS) – Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. Posterior subcapsular (by degree of posterior capsule obscured) 3%. Cataract: The peripheral part of your lens has some opacity in it. Ophthalmology 32 years experience. 013 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A, Fundus autofluorescence photograph of the right eye showing slight radial hypofluorescence around the fovea corresponding to cortical spoking. 67mm 2 14yo African American Female VA: cc through CL Distance. Mature cataract with white, liquefied cortex. Please refer to the LCD for reasonable and necessary requirements. 35K subscribers in the optometry community. They will look like white, triangular streaks on the lens’ outer edge and resemble spokes. 013 became effective on October 1, 2023. Posterior segment of the left eye shows a dense vitreous hemorrhage with a positive red reflex. Cataracts may occur together, and they are. 01 : H00-H59. 61 became effective on October 1, 2023. 1. Cortical cataract demonstrating white cortical spoking. 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. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. Cornea, Cataract, & Refractive (LASIK & PRK) Surgery 20 years experience. Comments. Bressler, MD, James Heyward, BA, Ava K. Talk to a doctor now . minimal degree of cortical opacification and/or minispoke formation. VF B. It has little or no effect on vision, but the blue-gray appearance of the lens often prompts a misdiagnosis of cataract. -) 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)cortical cataracts - cortical spoking increases refractive index and therefore power along that meridian - gradual change in astigmatism - look for spoking when dilated - at night patient's experience glare lens dislocation - trauma or systemic condition (Marfan syndrome - connective tissue disorder can result all over the body)Trans Am Ophthalmol Soc / Vol 102 / 2004 97 VITRECTOMY FOR EPIRETINAL MEMBRANES WITH GOOD VISUAL ACUITY BY John T. Cortical - Visualized as "aggregate" and quantified on the basis of the percentage of intrapupillary space obscured PSC - Graded on the basis of percentage of the area of the posterior. Request a Demo 14 Day Free Trial Buy Now. Z68. Main Outcome Measures. The following code (s) above H47. 3: Cortical spoking cataracts Sign in. The other source of monocular diplopia is refractile inhomogeneity in the crystalline lens, where cortical spoking makes the image jump a bit as you move back and forth with a monocular ophthalmoscope. common types of cataract are nuclear, cortical, and posterior subcapsular (See Appendix Figure 3 for the ICD-9-CM classification of cataracts). 619 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. As they progress, these streaks gradually move toward the center, taking on an appearance similar to spokes in a bicycle wheel. 5: Posterior capsular opacifications Sign in. 35 is applicable to adult patients aged 15 - 124 years inclusive. The median age at diagnosis is 46 years. Yes:. A patient with both OSD and cataracts begs the age-old visual impact question, which came first? Regardless of the answer, the first step is aggressively treating the OSD prior to a cataract consultation. Official Long Descriptor. Talley Rostov, MD CASE PRESENTATION. Business, Economics, and Finance. The following code (s) above H25. 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. The NSC, PSC, and cortical spoking scores were recorded preoperatively and 1, 3, 6, 9, and 12 months after surgery until discharged from. 1. Dr. cortical spoking. 3: Cortical Spoking Cataracts. The conventional Convolution Neural Network (CNN), in conjunction with support vector machines (SVM), classifies nuclear, cortical spoking, and capsular cataract eyes. 0 using the lens opacities classification system LOCS II before and after pars plana. The area of kideney fuction, filtration ; reabsorbtion. It can cause blurry vision, double vision, glare, and color distortion. Cataract: Cortical cataract is a change in the peripheral portion of the crystalline lens which extends centrally. 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 . The stereo coaxial illumination extends. The spokes gradually grow towards the center of the lens and blur vision. 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. Open source ophthalmology education for students, residents, fellows, healthcare workers, and clinicians. They may be peripheral only and therefore cause no symptoms. Age-related cataract (H25) Cortical age-related cataract (H25. Binocular testing makes no sense in monocular diplopia. Official Long Descriptor. If the opacity is in the central portion of the lens (shown in Fig. ICD-10 code H25. Create flashcards for FREE and quiz yourself with an interactive flipper. 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. What is a cortical spoking cataract? Moderate cortical changes. 0):. Result from the ionic lens composition lens cortex and the eventual change in the hydration of the. It's one of the most common types of cataracts. Andrew Dahl answered. Because the patient’s cortical cataracts affect both eyes, you’ll select H26. 61 may differ. plan indicates risk, benefits, and alternatives discussed. OBJECTIVE. However, this is only a short term solution as the cortical. There are three primary categories of cataracts, each depending on where opacities form in the lens: nuclear sclerotic cataract — this is the most prevalent age-related form; cortical spoking cataract — when an opaque patch forms on the cortical layer that surrounds an apple core; and hypermature cataract — when all protein in the lens. Upon evaluation of the lenses, the patient had grade two nuclear sclerosis in both eyes, along with cortical spoking greater in the right eye than in the left. Richard Hector answered. Cortical opacities were twice as prevalent as Achilles tendon thickening (16. 3 Cortical. The opacity did not seem to be contiguous with the posterior capsule, nor was there a clearly defined space between the two. Learn vocabulary, terms, and more with flashcards, games, and other study tools. peripheral cloudiness, it is known as a cortical spoking cataract (CS). What is. Create flashcards for FREE and quiz yourself with an interactive flipper. The posterior segment evaluation after dilation revealed ten punched-out lesions per eye with peripapillary atrophy in both eyes. The lack of monocular or homonymous visual field defect makes. Advancing age. 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. Increased sun exposure to eyes without UV protection. Given that the likely cause of her decreased objective visual acuity was her. adj. 0. Cataract surgery. 011 is a billable ICD code used to specify a diagnosis of cortical age-related cataract, right eye. The 2024 edition of ICD-10-CM H25. The ultrastructural correlates of clinical lamellar separations are linear breaks running perpendicularly across bundles of lens fibers, at first resembling an indented fold [16,17,18]. No phacodonesis is evident. It can cause blurry vision, double vision, glare,. The number of SNPs (188,629). Cortical age-related cataract, unspecified eye. white and quiet. This is the American ICD-10-CM version of H26 - other international versions of ICD-10 H26 may differ. 16 & 366. 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. Add to My Bookmarks. An anterior subcapsular cataract is evident, and a Visian ICL is. Diabetes. 04 - other international versions of ICD-10 H25. In our office, his best-corrected visual acuity measured 20/50 O. Mature cataract. Nuclear sclerosis is common in older adults as part of the aging process of the eye and can lead to. 011 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This continuing medical education activity is jointly provided byQuantile-quantile (Q-Q) plot of observed (y-axis) vs. A “Morgagnian“ cataract, is an extremely difficult case because the center is liquefied, increasing risk of dropping the nucleus into the vitreous during surgery. The amount of cortical cataract (C) is determined by comparing the estimated aggregate of cortical spoking to that seen in 5 separate photographs. 269 may differ. Bittner, OD, PhD, Adam Glassman, MS, Kay. 2. John Berryman answered. The revised LCD and related billing and coding article provide coverage for cataract surgery, including complex surgery. Dilated fundus examination revealed moderate nuclear sclerosis and minimal anterior cortical spoking of both crystalline lenses. We review the basics of radiation dose and the potential radiation effects, particularly as they pertain to the operator. spoking synonyms, spoking pronunciation, spoking translation, English dictionary definition of spoking. CII cortical spoking that obscures more than 2 full quadrants. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. The white lines in B represent a transparent region that is superficial to the opaque region. For example, if you observe cortical spoking and nuclear opacification, your patient likely has both cortical and nuclear sclerotic. Cortical spoking was not routinely recorded, so this cataract variable was not analyzed, but prior reports have shown minimal effects of vitrectomy on cortical cataract. A type 1 excludes note indicates that the code excluded should never be used at the same time as H26. 80% APY 12-Month, 5. Of note, there is a prominent gap between her iris and the anterior lens capsule. 1 In the UK, childhood cataract affects 2. Adrenocortical carcinoma (ACC) is a rare tumor with an annual incidence of 2 cases per 1 million population. Dr. The 2024 edition of ICD-10-CM Z68. Collection of post-dilated fundus examination information included diabetic retinopathy (DR) severity level and primary cause of visual loss. 35 vertical and horizontal OU. Dilated fundus examination revealed 1+ nuclear sclerosis, 1+ anterior cortical spoking, and 2+ posterior capsular cataracts OU. 019 ICD-10 code H25. U. Then we present the data regarding the risk of each type of radiation effect to the fluoroscopy. Cortical spoking is easily visualized using retro-illumination on the slit-lamp; CLASSIFICATION. Produced by the Moran Eye Center in partnership with the Eccles LibraryPseudoexfoliation syndrome (PXF) is an age-related systemic microfibrillopathy that targets ocular tissues through the gradual deposition of fibrillary residue from the lens and iris pigment epithelium, mainly on the lens capsule, ciliary body, zonules, corneal endothelium and iris. ; atrophic hole inf/nasal OS: lattice, pigmented superior, inferior, temporal Vitreous: syneresis, PVD OU OD: 30. Her BSCVA was 20/60 OD and 20/20 OS. Introduction. 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. Study iris and lens flashcards. 1: Anatomy of the lens. 0. cortical spoking that obscures more than 2 full quadrants. “The patient will also be complaining of significant glare and haloes around lights, especially at night. ; atrophic hole inf/nasal OS: lattice, pigmented superior, inferior, temporal Vitreous: syneresis, PVD OU OD: 30. , adj catarac´tous. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. cortical spoking (CS) cataract catarct examincation: perform GEE, perform case history, document chief complain which must indicate ___ and ___. Cortical Cataract. Seen on slit lamp examination. Various types: Spokes and vacuoles. A loss of vision (or an increased loss in vision) Vision that only occurs in one of your eyes (this is technically known as monocular diplopia) Glare from the sun or from artificial lighting. 011 may differ. Dr. 013 ICD-10 code H25. The 2024 edition of ICD-10-CM H25. intermittent exotropia. 013. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. Three levels, reflecting progressive severity, for grading of nuclear, cortical and posterior. Some cataracts result from injuries to the eye, exposure to great heat or radiation, or inherited factors. 1: Anatomy of the lens. Created for people with ongoing healthcare needs but benefits everyone. 33% was the maximum accuracy. Study with Quizlet and memorize flashcards containing terms like Dermatochalasis, Cell & Flare, Pinguecula and more. , "Progressive reduction in cortical thickness as psychosis develops: a multisite longitudinal neuroimaging study of youth at elevated. We have assembled a list of common abbreviations that you are bound to encounter. 3 OS. 35. Cortical age-related cataract, bilateral. Quetiapine was tapered off over 9 days, and an eye examination conducted. The remainder of the examination is normal. It occurs when small spokes begin to develop around the edge of the lens. H25. Created for people with ongoing. and the constancy of symptoms support the concept that the pathology is cortical. When we see this gap it is often associated with zonular laxity which allows the cataract to fall towards the vitreous cavity. 1. 15. Diagnostic Radiology 35 years experience. and a mixed cataract with 3+ nuclear sclerosis, cortical spoking, and posterior subcapsular opacities in each eye • Tear break-up time was 5 seconds OU • Tear osmolarity was modestly elevated and asymmetric at 302 mOsm/L OD and 313 mOsm/L OS The Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire (availableLens: cortical opacities, 1+cortical spoking OU 2+PSC Disc: staphyloma OU, oblique insertion C/D: 0. 012. Create flashcards for FREE and quiz yourself with an interactive flipper. 30%. On exam, her cataracts were graded as 2+ NS (nuclear sclerotic) and 2+ cortical spoking OU. 1. 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. Discuss techniques to evaluate cataracts and effects on vision. Posterior subcapsular cataracts start as small cloudy or opaque areas on the back surface of the eye lens, beneath the lens capsule that encloses and holds the lens in place. 011 became effective on October 1, 2023. S. Purpose: To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts. The proposed method was successful in accurately classifying the two classes with an accuracy of 85. Symptoms of cortical. 013 is a billable diagnosis code used to specify a medical diagnosis of cortical age-related cataract, bilateral. Radiation-induced cataracts are predominantly PSCs, although cortical and mixed-type cataracts have been shown . This is a normal part of the aging process called nuclear sclerosis. 6: Artificial lenses Sign in. This is the most common form of cataract. She was also found to have anterior and posterior cortical spoking of the crystalline lenses, off the visual axis. Learn how we can help. Blurred vision. Advancing age. The stereo coaxial illumination extends. 61 : H00-H59. Dr. Produced by: Brandon Pham. 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. Cortical versus Subcortical Strokes. Retrospective cohort study. Examination at this time showed 2+ cortical spoking and 1 + nuclear sclerosis ofboth lenses. SAS software version 9. A variety of cannula are available for this maneuver, though a surgeon should default to the equipment with. Wedge-shaped (cuneiform) or spoke-like (wheel) peripheral changes are seen. Study Spring 2012 Dis Exam 5 (Last Material for final) flashcards. Recent articles discussing cases of brain cancer in interventionalists have raised concerns regarding the hazards of occupational exposure to ionizing radiation. Angles were open to scleral spur 360 degrees OD, OS without any abnormalities. A, Vacuoles in the periphery of a combined cataract with central PSC plaque. They may be peripheral only and therefore cause no symptoms. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. terior subcapsular cataract, cortical spoking), with each rated on a scale from clear to 4+. Morgagnian cataract . Fig. Lens: cortical opacities, 1+cortical spoking OU 2+PSC Disc: staphyloma OU, oblique insertion C/D: 0. When using code H25. 041--Posterior subcapsular polar senile cataract, right eye H25. and the constancy of symptoms support the concept that the pathology is cortical. There was. Binocular testing makes no sense in monocular diplopia. OBJECTIVE. Article Text. do_shortcode ( ‘ ‘ ) . No. Cortical Cataract. 다른 모든 것이 동일할 때 일반적으로. Echotexture is nil or black through water ; becomes progressively more white as tissus becomes more dense. Attempts were made to contact referring ophthalmologists in patients who were lost to follow. board-certified doctor by text or video anytime, anywhere. nuclear cataract is cloudiness in the "core" of your lens. Created for people with ongoing healthcare needs but benefits everyone. The oil-drop cataract is a common yet often overlooked cause of progressive vision loss. Subscribe to Codify by AAPC and get the code details in a flash. Eyes were graded on a scale of 0 to 4. Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. There are three primary types of cataracts: nuclear sclerotic, cortical, and posterior subcapsular they also have unique symptoms which are discussed below. Senile cataract is a yellowing of the entire. 0 mm incisions placed 2. Changes in the water content of the lens fibers create clefts, or fissures, that look like the spokes of a. Nuclear cataracts are graded according to their color and opacification using slit lamp examination. Download Table | Mean refractive values in the nondiabetic retinopathy group from publication: Progression of nuclear sclerosis based on changes in refractive values after lens-sparing vitrectomy. Subscribe to Codify by AAPC and get the code details in a flash. We present seven patients with oil-drop cataracts referred for neuro-ophthalmologic. YAG. Researchers are studying the biological mechanisms that cause cataracts to develop. Pseudoexfoliation syndrome (also called PXF, PXE or PEF) involves these parts of the eye: Aqueous humor. Coding Guidance. Hypertension. 033 (bilateral) - H26. 51 ). Her BCVA is 20/50 in her right eye and 20/60 in her left eye; her BAT is 20/70 and 20/80 in her right and left eye. Symptoms of Cortical Cataracts. Corneal topography or tomography. Advancing age. Dean Bonsall answered. 71%, while for a three-class classification, 83. Le, MA, Susan Hutfless, SM, PhD, Tianjing Li, MD, MHS, PhD, Neil M. 039. The conventional Convolution Neural Network (CNN), in conjunction with support vector machines (SVM), classifies nuclear, cortical spoking, and capsular cataract eyes. S. The spoke-like streaks will steadily grow toward the center of the lens until they interfere with light passing onto the retina. 16. Scenario: A 72-year-old patient presents to the practice with blurred vision and slight yellow tinting to the left eye. DFE C.