Brunescent

Clinical Features

• Symptoms:
  • Myopic refractive shift which patients notice as an improvement in their near vision
  • Decrease in distance vision, difficulty with night driving, monocular diplopia and loss of color discrimination ability
• Signs:
  • Gradual opacification of the central portion of the lens nucleus
  • Age-related, involves the hardening (sclerosis) and either yellowing or brown to black darkening (brunescense) of the lens nucleus

Management

• When the reduction in visual function associated with the cataract interferes with daily activities, cataract surgery may be considered