, decrease in normal mass) can affect cerebral function. On dilated exam, note the bowing. Study iris and lens flashcards. Her BSCVA was 20/60 OD and 20/20 OS. 029 to ICD-9-CM. ICD-10 code H25. cortical spoking. 013 became effective on October 1, 2023. nuclear cataract is cloudiness in the "core" of your lens. They initially manifest as white wedge-like opacities or streaks on the lens’s outer edge. A 6. The 2024 edition of ICD-10-CM H25. ; atrophic hole inf/nasal OS: lattice, pigmented superior, inferior, temporal Vitreous: syneresis, PVD OU OD: 30. 2024 ICD-10-CM Range H00-H59. 1: Anatomy of 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. The phakic IOL is well positioned but may exhibit slight temporal displacement. 011 - other international versions of ICD-10 H25. Causes and Symptoms . Yes:. At that time she was also noted to have generalized ocular surface disease (OSD) with superficial punctate keratitis (SPK), a decreased tear break-up time, a scant tear prism and worsening comfort as the day progressed. 피질 스포킹 백내장(Cortical spoking cataract, CS) – 스포크/쐐기형 주변 흐림을 유발하는 피질의 부종. 03 became effective on October 1, 2023. grade ONLY THE NUCLEUS!-Optical Separation - dark line showing border between nucleus and cortex (not grade 1 until this is seen)-Brunescence - brown/orange nucleus; reserved for. No. 011 became effective on October 1, 2023. 013 . CIV advanced opacification filling about 90% of the intrapupillary zone Posterior Subcapsular Description Standard. Table 2 shows the wavefront aberrations in the entire eye, internal optics of the eye, and cornea with a 6. Symptoms of cortical. 2 OD, 0. The nerve appearances were consistent. Anterior segment exam revealed a moderate nuclear sclerotic and cortical spoking cataract OD and an early nuclear sclerotic cataract OS. Jimmy T. 0 mm pupil in the cortical, nuclear, and posterior subcapsular cataract groups. 67mm 2 14yo African American Female VA: cc through CL Distance. 71%, while for a three-class classification, 83. Eyes Forward – Cataracts – Part 1: Choosing When To Proceed With Surgery – 01. Collection of post-dilated fundus examination information included diabetic retinopathy (DR) severity level and primary cause of visual loss. Movement of the lens that occurs secondary to lens instability LENS. The three main types are: Posterior subcapsular. An ocular health evaluation revealed early nuclear sclerosis and cortical spoking O. , Shawn Lin, M. They may be peripheral only and therefore cause no symptoms. 70 OS. 1. 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. Produced by: Brandon Pham. The proposed method was successful in accurately classifying the two classes with an accuracy of 85. 03 - other international versions of ICD-10 H25. The optic nerve showed a cup-to-disc ratio of 0. 24/7 visits - just $44! 50% off with $19/month membership. This is the American ICD-10-CM version of H47. Created for people with ongoing healthcare needs but benefits everyone. H25. Disorders of lens. Coding Guidance. X (T) exotropia. white and quiet. 8 in both eyes, and ancillary testing revealed significant retinal nerve fiber layer (RNFL) deficits on optical coherence tomography (OCT) of both eyes. Discuss techniques to evaluate cataracts and effects on vision. Her anterior segments have always been unremarkable, and she has a mild amount of nuclear sclerosis and cortical spoking in each lens. Quetiapine was tapered off over 9 days, and an eye examination conducted. 1. Finally, the presence of a spoke-like structure throughout the lens is known as the cortical spoking cataract, shown in Fig. 011 for Cortical age-related cataract, right eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . Cortical versus Subcortical Strokes Gray matter (neuronal cell bodies) of the brain forms a rim over the cerebral hemispheres, forming the cerebral cortex. Obstetrics and Gynecology 56 years experience. Senile cataract is a yellowing of the entire. Create flashcards for FREE and quiz yourself with an interactive flipper. The patient was never told of any retinal problem prior, but examination reveals an epiretinal membrane (ERM) in 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. We evaluated the gross morphology, location, and fiber cell architecture of equatorial cortical opacities in the aging human lens. Phacodonesis. A 64-year-old white male presents for cataract surgery evaluation with best-corrected visual acuity of 20/60 OD and 20/40 OS. Cortical spoking. Change in the glasses prescription of the eye. [ 1] Although it mainly occurs in adults, children can be affected too. Causes of Cortical Cataracts. 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. 59% APY 6 & 18-Month Jumbo (Nationwide) AEA Federal Credit Union CD Promotion: 3. Describe different cataract types. SLE: Anterior cortical spoking cataract OS; Optic nerves were normal OU; DFE: Atrophic holes OD, macula striae OS; Palpebral fissure: 10mm OD and OS; Hertel: 92mm base; 17mm OD and 18mm. Posterior subcapsular cataract (PSC) – Opacity in the posterior capsule of the lens, often seen in younger individuals, steroid users, and diabetics. intermittent exotropia. Nuclear sclerotic, cortical (‘spoking’), and subcapsular cataracts will comprise the vast majority of those seen in clinic. For example, if you observe cortical spoking and nuclear opacification, your patient likely has both cortical and nuclear sclerotic. Eyes were graded on a scale of 0 to 4. do_shortcode ( ‘ ‘ ) . 1. ICD-10-CM S43. What is a cortical spoking cataract? Moderate cortical changes. 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. Cortical spoking Clinically significant diabetic macular edema Central serous (chorio) retinopathy: DCR DES DME DR DSAEK: Dacryocystorhinostomy Dry eye. ’; ‘. View Full Image. Main Outcome Measures. ’. SD: Standard deviation, NS: Nuclear sclerotic, CS: Cortical spoking, PSC: Posterior subcapsular cataract Figure 1: Scatter plot of multiple regression analysis of surgical time during theThrough dilated pupils his crystalline lenses were characterized by early nuclear sclerosis bilaterally, as well as cortical spoking off the visual axis. board-certified doctor by text or video anytime, anywhere. 1. 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. Researchers are studying the biological mechanisms that cause cataracts to develop. It is more common in people with diabetes and hypertension. The center of your lens turns yellow and gets harder as you age. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 33% was the maximum accuracy. must measure pupil pre/post dilation. 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. Eyes were graded on a scale of 0 to 4. Study with Quizlet and memorize flashcards containing terms like nuclear sclerotic cataract, Blue Scleras, Episcleritis Connective tissue disease Wind, dust, chemicals, sun and more. H25. 2 with collaterals 0. Change in perception of colors. 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. The number of SNPs (188,629). docx from MA MISC at Cerritos College. Subscribe to Codify by AAPC and get the code details in a flash. VF B. Methods : Clinical records of 27 eyes of 27 patients that had undergone a pars plana vitrectomy younger. This guide from. 11 Follow-up of at least 1 year was attempted, but some patients were discharged from care because of transportation difficulties or were lost to follow-up before 1 year. 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. How is cortical spoking cataract treated? Learn the truth about cataracts, how to catch them early, and how to protect your eyes and vision at any age. The code H25. 35K subscribers in the optometry community. Our site is most compatible with Chrome, Firefox, or Safari. Subjects: Twenty-six eyes of 26 patients><50 years of age that had. Request a Demo 14 Day Free Trial Buy Now. Bittner, OD, PhD, Adam Glassman, MS, Kay. 0 mm posterior to the limbus were constructed in each eye. intermittent exotropia. Dr. Because the patient’s cortical cataracts affect both eyes, you’ll select H26. Talk to a doctor now . The center of your lens turns yellow and gets harder as you age. Mature cataract with white, liquefied cortex. We went on the develop new technologies form maintainingThe arrowheads demonstrate regions of cortical spoking. Edema. Description. Cortical Cataract. Closer inspection of the corneas revealed a posterior stromal haze and dense, dot-like irregularities at the level of the endothelium. On examination, an anterior subcapsular cataract with cortical spoking, and a well-positioned phakic IOL with potential slight temporal displacement were identified. 3 OS. Created for people with ongoing healthcare needs but benefits everyone. Create flashcards for FREE and quiz yourself with an interactive flipper. 1d, if the opacity exists in the outer circle of the lens, causing spoke/wedge-like peripheral cloudiness, it is known as a cortical spoking cataract (CS). Main Outcome Measures. 4 cup-to-disc ratio in both eyes. 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. Posterior segment of the left eye shows a dense vitreous hemorrhage with a positive red reflex. ICD-10 code H25. 6: Artificial lenses Sign in. 8/30/2021 12 Blot hemes inferior-temp Unremarkable 0. No evidence of retinal detail. Nov 6, 2015. 03 contain annotation back-references that may be applicable to H25. 6: Artificial lenses Sign in. CII cortical spoking that obscures more than 2 full quadrants. Learn how we can help. 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. A 64-year-old white male presents for cataract surgery evaluation with best-corrected visual acuity of 20/60 OD and 20/40 OS. Created for people with ongoing healthcare needs but benefits everyone. Diagnosis 2: Nuclear Cataracts. Increased sun exposure to eyes without UV protection. Cortical Spoking: Posterior Subcapsular: NS tr or 1+: Nucleus clearer than anterior / posterior sections NS 2+: Nucleus equal to the anterior posterior sections (same opacity level throughout) NS 3+/4+: Nucleus denser than anterior / posterior sections Dense white/brunescent: Cataract completely opaque / brown: CS 1+: ⅛ to ¼ of total CS 2. what is the element that given yellow to the lens in NS? a. clear lens devoid of aggregated dots, flecks, vacuoles and waterclefts. The clear, watery fluid in the front of the eye that provides the eye with nourishment, removes waste, and maintains normal eye shape and pressure. Because ofthe patient's cataract-related complaints, phacoemulsification was performed first on the left eye and then on the right. Edited by: Benjamin Lin, M. Cortical Standard. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. Wedge-shaped (cuneiform) or spoke-like (wheel) peripheral changes are seen. Created for people with ongoing healthcare needs but benefits everyone. U. The following code (s) above H25. Nov 25, 2020 Eyes ForwardAlterations in Cortical Thickness and White Matter Integrity in Mild-to-Moderate Communicating Hydrocephalic School-Aged Children Measured by Whole-Brain Cortical Thickness Mapping and DTI He et al. Slit-lamp exam revealed age-related cataracts (2+ nuclear sclerosis, trace posterior subcapsular) and cortical spoking OU. 013 may differ. 50 & 4. Talk to a doctor now . They were characterised by the onset of. Central corneal thickness with ultrasound pachymetry measured 552μm and 549μm. D. The phakic IOL is well positioned but may exhibit slight temporal displacement. The prevalence of senile cortical and senile posterior subcapsular cataract is about 28% and 20% respectively. Participants were included if they had normal age-related lens changes. Cortical cataracts develop in the lens’s cortex, encircling the central nucleus. Study with Quizlet and memorize flashcards containing terms like MP, PCC, PCO and more. 2. Fig. 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. Ciliary body. 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. C0. Phacoemulsification surgery has proven itself effective with its positive correlation to CDE scores. The oil-drop cataract is a common yet often overlooked cause of progressive vision loss. Created for people with ongoing healthcare needs but benefits everyone. 67mm 2 14yo African American Female VA: cc through CL Distance. When we see this gap it is often associated with zonular laxity which allows the cataract to fall towards the vitreous cavity. Cortical age-related cataract, unspecified eye. Central serous (chorio) retinopathy. Because the patient’s cortical cataracts affect both eyes, you’ll select H26. The deep learning model identifies the type. Gray matter (neuronal cell bodies) of the brain forms a rim over the cerebral hemispheres, forming the cerebral cortex. 61 : H00-H59. 2 OD, 0. 04 may differ. On exam, her cataracts were graded as 2+ NS (nuclear sclerotic) and 2+ cortical spoking OU. 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. A, Vacuoles in the periphery of a combined cataract with central PSC plaque. refract to best ability. Create flashcards for FREE and quiz yourself with an interactive flipper. board-certified doctor by text or video anytime, anywhere. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. OBJECTIVE. Study with Quizlet and memorize flashcards containing terms like 75%, free radicals, ion pump changes, insoluble proteins, myopic and more. minimal degree of cortical opacification and/or minispoke formation. Clinically significant diabetic macular edema. Depending on the location of the opacities, as shown in Fig. 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. 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. cortical spoking. >50%. Cataract/Anterior Segment. Approximate Synonyms. 01. A cortical cataract is a cloudy area of the lens that develops on the edge of your eye. 1. 1 If age is the main risk factor for cataract progression, pseudoexfoliation syndrome (PXF) represents an independent additional hazard for the development of nuclear sclerosis. R3. Study with Quizlet and memorize flashcards containing terms like Cerulean, Cerulean, Sutural and more. 3 OS Periphery: OD: lattice, pigmented sup. This is the American ICD-10-CM version of H26 - other international versions of ICD-10 H26 may differ. External examination of OD disclosed slate-blue scleral pigmentation and dark brown iris with velvety surface consistent with ocular melanocytosis (Figure 1). Cornea, Cataract, & Refractive (LASIK & PRK) Surgery 20 years experience. cortical spoking. YAG. Connect with a U. Image License and Citation Guidelines. Official Long Descriptor. Learn faster with spaced repetition. The left eye shows 2+ nuclear sclerosis with 2+ cortical spoking. 1: Anatomy of the lens. Each affects a different part of the lens and has different symptoms and progression, although the indication for intervention with all types is the same. Result from the ionic lens composition lens cortex and the eventual change in the hydration of the. Study ocular lens flashcards from Tiff Moon's class online, or in Brainscape's iPhone or Android app. common types of cataract are nuclear, cortical, and posterior subcapsular (See Appendix Figure 3 for the ICD-9-CM classification of cataracts). . This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38926, Cataract Extraction (including Complex Cataract Surgery). See moreA cortical cataract is a cloudy area of the lens that develops on the edge of your eye. “Water clefts” appear to begin as splits in suture lines, with remnants of. Type in any ophtho term to this translator or copy and paste entire notes to finally decode all those abbreviations. Cigarette smoking. The opacity did not seem to be contiguous with the posterior capsule, nor was there a clearly defined space between the two. What is a cortical spoking cataract? Moderate cortical changes. These lens changes were symmetric between the eyes. 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. Fig. Characterized by spoke-like opacities traveling radially from the edge of the lens toward the center (the closer the spokes are to the visual axis, the more likely they are to affect vision). Using dark-field stereomicroscopy, we photographed donor lenses in toto and as thick slices. 1. Posterior cortical spoking OS Timolol BID OU Brimonidine BID OU Blot hemes inferior-temp Unremarkable 0. If it gets severe enough, it becomes a nuclear cataract. Completely opacified cortex causing the lens to appear white; no red. Create flashcards for FREE and quiz yourself with an interactive flipper. 04 (anterior subcapsular polar infantile and juvenile cataract…)D. This study explores stroke risk factors and clinical variables that may assist in this differentiation. Learn how we can help. Learn how we can help. Z codes represent reasons for encounters. We present seven patients with oil-drop cataracts referred for neuro-ophthalmologic. Asymmetrically located, radial, linear opacities and punctate dots. YAG. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L38926, Cataract Extraction (including Complex Cataract Surgery). I measured contrast sensitivity and glare in 51 cataract patients who had Snellen visual acuities of 20/60 or better. All of the above are likely to be found F. The following code (s) above H25. what type of shift does a cortical spoking cataract cause? hyperopic. Eyes were graded on a scale of 0 to 4. Dr. Dilated fundus examination revealed moderate nuclear sclerosis and minimal anterior cortical spoking of both crystalline lenses. Mature cataract. decrease vitamin c absorption d. 5: Posterior capsular opacifications Sign in. 4: Posterior subcapsular cataracts Sign in. 013 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. protein aggregation b. Advancing age. Views 491. 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc; 963 Other multiple significant trauma with mcc; 964 Other multiple significant trauma with cc;. We have assembled a list of common abbreviations that you are bound to encounter. They will look like white, triangular streaks on the lens’ outer edge and resemble spokes. There are 3 primary types of cataracts that represent 99% of the cataracts that you will encounter in clinic. adj. Senile cataract is a yellowing of the entire. A, Fundus autofluorescence photograph of the right eye showing slight radial hypofluorescence around the fovea corresponding to cortical spoking. It can be highly difficult to view the red reflex in patients with small pupils, darkly pigmented eyes, dense anterior cortical spoking, and brunescent cataracts. Thus white for bone or stone. If it gets severe enough, it becomes a nuclear. Answered Jan 25, 2023. 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 median age at diagnosis is 46 years. 2024 ICD-10-CM Range H00-H59. #1. The results of eye examinations at baseline, 6 months, and 12 months were unremarkable. As they progress, these streaks gradually move toward the center, taking on an appearance similar to spokes in a bicycle wheel. PSCs may also be seen with steroid use and diabetes, which can confound assessment of cataract cause . 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. The lack of monocular or homonymous visual field defect makes. Dr. This continuing medical education activity is jointly provided byQuantile-quantile (Q-Q) plot of observed (y-axis) vs. Figure 8-12 Cortical cataract demonstrating white cortical spoking. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. The prevalence of senile cortical and senile posterior subcapsular cataract is about 28% and 20% respectively. 3 Cortical. Seen on slit lamp examination. cortical spoking that obscures more than 2 full quadrants. THI DIEU HOANG, NGUYEN (Holly) MA 63 Homework CHAPTER 6 Review Exercise / 301 1. 15 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 366. Back of the eye . and the constancy of symptoms support the concept that the pathology is cortical. The following code (s) above H47. common types of cataract are nuclear, cortical, and posterior subcapsular (See Appendix Figure 3 for the ICD-9-CM classification of cataracts). 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. Radiation-induced cataracts are predominantly PSCs, although cortical and mixed-type cataracts have been shown . Please refer to the LCD for reasonable and necessary requirements. Sure, kids will have congenital cataracts, and certain medications or. 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. Cataracts almost invariably accompany old age. Richard Hector answered. What are the symptoms of cortical spoking cataract? The symptoms of cortical spoking cataract can include blurred or hazy vision, difficulty seeing in bright light, increased sensitivity to glare, difficulty distinguishing colors, and double vision in one eye. 01 may differ. Share. Binocular testing makes no sense in monocular diplopia. , Shawn Lin, M. Any kind of "cortical involution" (i. 0 using the lens opacities classification system LOCS II before and after pars plana. 013 - other international versions of ICD-10 H25. expected (x-axis) P-values from genome-wide association tests for the bivariate outcome of cortical cataract and temporal horn volume. Blurry lines that affect vision. Type in any ophtho term to this translator or copy and paste entire notes to finally decode all those abbreviations. Cancel anytime. Color vision D. Official Long Descriptor. The remainder of the examination is normal. Introduction. 1. 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. 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. 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 spoking (CS) cataract catarct examincation: perform GEE, perform case history, document chief complain which must indicate ___ and ___. Chronic open-angle glaucoma. 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. SLE: Anterior cortical spoking cataract OS; Optic nerves were normal OU; DFE: Atrophic holes OD, macula striae OS; Palpebral fissure: 10mm OD and OS; Hertel: 92mm base; 17mm OD and 18mm OS; Figure 1: GVF GVF OS with supero-nasal and infero-nasal constriction of all isopters. The second type is called nuclear sclerosis and is characterized by a hardening and yellowing of the lens. The change from nuclear sclerosis or cortical spoking to frank cataract formation is gradual. Which of the following is not handy when diagnosing RP? A. Ophthalmology 11 years experience. Chronic alcoholism. 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. 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. In addition, we investigated the details of the fiber cell architecture using fluorescent staining for membranes and by. Her best-corrected vision was mildly reduced to 20/25- OD, OS due to mild nuclear sclerosis and anterior cortical spoking. Her cornea also demonstrated a polygonal pattern of opacities in the posterior stroma with clear intervening spaces, resembling a “crocodile. Radiation-induced cataracts are predominantly PSCs, although cortical and mixed-type cataracts have been shown . Even better, you’ll find out the secrets to protecting your. Holds the natural lens in place behind the pupil, enables accommodation of. 3: Cortical Spoking Cataracts. 03 : H00-H59.