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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]
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'.
Complications after cataract surgery are relatively uncommon. Posterior vitreous detachment (PVD) may occur but does not directly threaten vision. [23] Some people develop a posterior capsular opacification (PCO), also called an after-cataract. This may compromise visual acuity, and can usually be safely and painlessly corrected using a laser.
The technique has mostly been replaced by extracapsular cataract surgery, including phacoemulsification. [25] The lens can also be removed by suction through a hollow instrument: bronze oral-suction instruments that seem to have been used for this method of cataract extraction during the 2nd century CE have been unearthed. [26]
Visual impairment can also be caused by problems in the brain due to stroke, premature birth, or trauma, among others. [12] These cases are known as cortical visual impairment. [12] Screening for vision problems in children may improve future vision and educational achievement. [13] Screening adults without symptoms is of uncertain benefit. [14]
Cataract surgery in Bedele, Ethiopia. Cataracts are the main cause of blindness in Africa, and affect approximately half of the estimated seven million blind people on the continent, a number that is expected to increase with population growth by about 600,000 people per year. As of 2005, the estimated cataract-surgery rate was about 500 ...
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