The complications of cataract surgery? Very rarely.
DEAR DOCTOR :
I am having cataract surgery in a few weeks. Can you describe the possible complications?
DEAR READER:
A cataract is a clouding of the normally clear lens of the eye. As the condition worsens, you may experience blurred or dim vision, increased glare, double vision, nearsightedness and worsening night vision.
Surgery is the only effective cure. During cataract surgery, the doctor removes the clouded lens and replaces it with a clear artificial lens. Cataract surgery is generally very safe. I know, because I’ve had it. But all operations involve some risk. Following are some potential complications:
EYE INFECTION. You will receive antibiotics before, during and after surgery to minimize this risk. If you do develop an infection (symptoms include red, swollen, painful eyes and a decline in vision), see your doctor right away.
SWELLING AND FLUID IN THE RETINA. Symptoms include blurred or reduced central vision. This can be treated with steroid injections or non-steroidal anti-inflammatory drops.
SWELLING OF THE CLEAR COVERING OF THE EYE (THE CORNEA). You may notice blurred vision or halos around lights. This complication is often temporary.
BLEEDING INSIDE THE EYE. You may see blood or have blurred vision and floaters. Bleeding often clears on its own. Occasionally, surgery is needed to clear the bleeding.
RETINAL DETACHMENT. This rare complication, in which the retina pulls away from the blood vessels that supply it, is an emergency. It can be treated successfully if brought immediately to the attention of the eye doctor.
INCREASED GLARE. This can be temporary or permanent.
DISLOCATION OF THE REPLACEMENT LENS. If the lens shifts out of place, it may need to be repositioned during a second surgical procedure.
CLOUDING OF THE LENS CAPSULE. The capsule is the thin, clear membrane that surrounds the lens. It’s the pouch inside of which the lens sits. Clouding of this membrane is usually not a significant problem and can be treated with laser surgery, if needed.
INCREASED PRESSURE IN THE EYE. Medications can usually control the pressure.
ASTIGMATISM. Distorted images, caused by irregular curving of the cornea, can be managed with glasses or surgery.
STRABISMUS. Your eyes will be crossed, they won’t focus on the same object at the same time, or you’ll have double vision. This is sometimes temporary. If it is permanent, it can be treated with eyeglass modifications or, rarely, eye muscle surgery.
DROOPING OF THE UPPER EYELID. If the drooping is severe, it can be treated with lid muscle surgery.
Maybe you read this list of possible complications and thought, “It sounds like the surgery does more harm than good!” Don’t get cold feet. These complications are unusual and treatable. When I had cataract surgery, I didn’t have any of these complications — and nor do most people.
Cataract surgery
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The ophthalmologist makes a small incision about an eighth of an inch long in the side of the cornea.
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Using a small, needle-like probe called a phacoemulsifier, the doctor directs high-frequency sound waves through the lens to break it into small pieces, which are then gently suctioned out through the probe.
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The artificial lens, which is folded to fit inside the probe, is inserted through the same incision.
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The new lens unfolds inside the lens capsule and is held in place by tiny loops called haptics. more
suction-loss during surgery
epithelial abrasions
small tears at the incision site
difficult lenticule extraction
perforated cap
cap tear
transient epithelial dryness
interface inflammation
diffuse lamellar keratitis (DLK)
corneal abrasion
corneal edema
interface infiltrates
loss of best corrected visual acuity
ghost images
blurred vision
haze
undercorrection
overcorrection
induced astigmatism
FemtoSecond Laser assisted surgery Complications:- Caution for Glaucoma patient, Myopic patient,any retina or macula pathology.
An increase in intraocular pressure (> 65 mm Hg.) during suction, (b) an acoustic shock wave during laser ablation, and (c) a rapid lowering of intraocular pressure when the suction ring is decompressed. These mechanical stressors have the potential to damage the vitreous, retina, and macula. Many patients report increased floaters (posterior vitreous detachment) Read more
Complications of femtosecond laser?assisted cataract surgery (http://www.jcrsjournal.org/article/S0886-3350(13)01318-7/)
The complications were as follows: suction break (2%), conjunctival redness or hemorrhage (34%), capsule tags and bridges (20%), anterior tear (4%), miosis (32%), and endothelial damage due to cut within the endothelial layer (3%).
Capsular block syndrome associated with femtosecond laser?assisted cataract surgery(Journal of Cataract & Refractive Surgery Volume 37, Issue 11, November 2011, Pages 2068?2070)
Suction loss during femtosecond laser-assisted cataract surgery.J Cataract Refract Surg. 2014 Mar;40(3):493-5. doi: 10.1016/j.jcrs.2013.12.004. Epub 2014 Jan 27.
Intraocular pressure profiles during femtosecond laser-assisted cataract surgery.J Cataract Refract Surg. 2014 Nov;40(11):1784-9. doi: 10.1016/j.jcrs.2014.04.026. Epub 2014 Sep 24.(The increase in IOP during the suction phase of femtosecond laser-assisted cataract surgery was statistically significant compared with the baseline IOP. Caution should be taken in patients with ocular conditions that are vulnerable to IOP fluctuation.) more
Cataract, Night Blindness, Improving eyesight, cyst in eye, blurred vision etc. same is described on our web site www.lionsactiontv.com,
We are waiting approval from Respected Modiji's Government to allow us to broadcast how to treat self, for PAIN and WEAKNESS, to start with, without medicines. We have written to the "My Government" since one year, but the vested interest are probably not reaching our message to Respected Modiji. We are sure he will welcome this novel way of Preventive Health Care, that he has been advocating since he came to power as Public's Prime Minister. more