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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 cataract is removed from the capsule and anterior chamber using hydroexpression [Note 3] viscoexpression, [Note 4] or more-direct mechanical methods. [4] [13] [14] The extraction of the cataract must be done with due care so as not to compromise the integrity of the tunnel; the endothelium and capsule are also vulnerable to injury.
Anaesthetic is injected just above the eyebrow and below the inferior orbital margin, through a point about 2 cm behind the lateral orbital margin in level with the outer canthus of the eye. [2] [3] O' Brien's block : It is also known as facial nerve trunk block. The block is done at the level of the neck of the mandible near the condyloid ...
Phacoemulsification is a cataract surgery method in which the internal lens of the eye which has developed a cataract is emulsified with the tip of an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the volume of the anterior chamber during the procedure.
Universal eye speculum-do-; heavy instrument and can not keep eyelashes out of the operating field •Guarded eye speculum (left and right)-do-; heavy instrument but can keep eyelashes out of the operating field with its "guard" and hence left or right ones are required •Wire Speculum
The eye is usually patched on the day of surgery and use of an eye shield at night is often suggested for several days after surgery. [ 52 ] In all types of surgery, the cataractous lens is removed and replaced with an artificial lens, known as an intraocular lens , which stays in the eye permanently.
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