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Cataract surgery and IOL implantation have the safest and highest success rates of any eye care-related procedures. As with any type of surgery, however, some level of risk remains. [7] Most complications of cataract surgery do not result in long-term visual impairment, but some severe complications can lead to irreversible blindness. [90]
The primary causes include post-cataract surgery, certain medications, and, less commonly, neurological or ophthalmological conditions. Post-cataract surgery is a common cause, as replacing the natural lens with a synthetic one increases exposure to blue light, leading to temporary blue-tinted vision. This effect usually resolves as the eye adapts.
Posterior capsular opacification, also known as after-cataract, is a condition in which months or years after successful cataract surgery, vision deteriorates or problems with glare and light scattering recur, usually due to thickening of the back or posterior capsule surrounding the implanted lens, so-called 'posterior lens capsule opacification'.
Cataract surgery with implantation of a toric IOL is essentially the same as cataract surgery with a conventional IOL. Like toric contact lenses, toric IOLs have different powers in different meridians of the lens, and they must be positioned on the correct meridian to reverse the preexisting astigmatism. If the toric IOL is not on the correct ...
The Alpins Method is a system to plan and analyze the results of refractive surgical procedures, such as laser in-situ keratomileus (LASIK). [1] [2] [3] The Alpins Method is also used to plan cataract/toric intraocular lens (IOL) surgical procedures.
The same general contraindications for cataract surgery apply. Specific contraindications for MSICS include hard or dense cataracts where the nucleus is too large for the MSICS incision; [5] and in cases where the nucleus is found to be deformed on a nanophthalmic (very small) eye. [Note 1] [5]
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