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The method of extraction was via a LASIK-type flap in ReLEx FLEx, but in SMILE a flapless technique makes a small tunnel incision in the corneal periphery, that does not (mostly) destroy Bowman's layer. [4] One conspicuous difference between SMILE and LASIK is the size and shape of the corneal incision.
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.
Early symptoms of cataract may be improved by wearing appropriate glasses; if this does not help, cataract surgery is the only effective treatment. [4] Surgery with implants generally results in better vision and an improved quality of life: however, the procedure is not readily available in many countries. [4] [11] [12] [13]
An intracameral injection is usually of an antibiotic into the anterior chamber of the eyeball to prevent endophthalmitis caused by an infection of the eye that can occur after cataract surgery. The Food and Drug Administration (FDA) has not approved antibiotics for this use and it is considered 'off-label'.
Before surgery (natural crystalline lens, left). After surgery (implanted PCIOL, right). An anterior chamber IOL (ACIOL) Posterior chamber IOL (PCIOL). This is by far the most common type of implanted lens after cataract surgery, as this is the natural and optimum position for a lens. [citation needed] Anterior chamber IOL (ACIOL). A less ...
Nontoxic, sterile, and does not affect intraocular pressure; Does not obstruct aqueous outflow; Optically clear, allowing an unobstructed view. Easy removal, or no removal required after use; The most relevant physical properties for use in ophthalmic surgery are viscoelasticity, viscosity, pseudoplasticity, and surface tension. [2]
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After being used regularly for centuries, couching has been mostly abandoned in favour of more effective techniques, due to its generally poor outcomes, and is currently only routinely practised in remote areas of developing countries. [11] [12] Cataract surgery was first mentioned in the Babylonian code of Hammurabi 1750 BCE. [13]
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