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Complications of Cataract Surgery You Must Know

Cataract surgery usually goes well, but it helps to know what to look out for. Learn the types of problems you can run into, such as preoperative Complications, Intraoperative Complications, Postoperative Complications how they're treated.

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Complications of Cataract Surgery You Must Know

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  1. Complications of Cataract Surgery You Must Know -OPTIMAL Vision

  2. Cataract and Refractive Surgery • It is now considered as the surgical spectrum • Over time cataract surgery has been improvised its rehabilitation time and safety significantly • Less than 10% of people below 60 years of age suffer from IOLs • Cataract surgery becomes most cost-efficient with the accompany of QAL methodology

  3. Cataract Surgery Complications • Preoperative Complications • Intraoperative Complications • Postoperative Complications -Early (in first couple of days to fourth weeks) -Late (on completion of 1-month to several years) -Related to Intra Ocular Lens (IOLs)

  4. Preoperative (Ophthalmic) Issues • Corneal transparency and surface- Diseases including Pterygium, OCP, corneal dystrophies, corneal scarring and vascularisation, Fuch’s and Trachoma • Pupillary abnormalities- Pilocarpine, colobomas, aniridia, polycoria, correctopia and poor dilation • Ectopia lentis- Ehler’s Danlos, high myopia, Marfan’s, PXF and trauma • Secondary- Retinal or diabetic disease, Galukemflecken, high myopia, drugs (amiodorone and steroids) and Uveitis

  5. Diabetes • There should be optimal diabetic control for the success of refractive or cataract Sx. • Risks are there for- -Post operative inflammation -Endophthalmitis -Worsening of diabetic retinopathy -Cystoid macular oedema • Make sure that there is strict control for minimum 3-month pre and post operation

  6. Posture • Patient should be laid down at 45-degree for about 20 minutes • There may be an issue regarding- -Dementia, schizophrenia -Back and neck scoliosis -Restless legs, tremors and Parkinsons disease -Orthopnoea and CAL • Specialist/LMO advice is helpful

  7. Preoperative complications • Anxiety • Gastritis and nausea • Allergic or irritative conjunctivitis • Corneal abrasion • Local anaesthesia-related complications -Subconjuctival haemorrhage -Globe perforation -Oculocardiac reflex -Retrobular haemorrhage

  8. Retrobular haemorrhage Spontaneous lens dislocation • Blood accumulation in orbital space • Chemosis, lids tightness and proptosis • After applying 2% of pilocarpine drops pressurised bandage • Vigorous ocular massage • Hypermature cataract • Degenerated zonules

  9. SCH Globe perforation • This is a minor complication arise after you undergo cataract surgery in Londonbut subsided on its own after some days. • Vitreous hge, low red reflex and hypotony • Photocoagulation or cryopexy is performed to resolve this condition.

  10. Intraoperative complications • Complications associated to anterior capsulorrhexis -Eccentric capsulorrhexis -Extremely large capsulorrhexis -Small capsulorrhexis -Escaping capsulorrhexis • Expulsive choroidal haemorrhage • Vitreous loss • Zonular dehiscence • Entrance of nucleus drop into vitreous area • Posterior capsular rupture

  11. For any query relatedtocataract surgery costandthis surgery, feel free to contact our team of Optimal Vision at 020 7183 3725 or can visit here-https://www.optimalvision.co.uk/ Thanks For watching us

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