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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]
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.
"Couching for cataract"; Wellcome Collection illustration of Indian doctors performing the technique. Couching is the earliest documented form of cataract surgery. It involves dislodging the lens of the eye, thus removing the cloudiness caused by the cataract. Couching was a precursor to modern cataract surgery and pars plana vitrectomy.
Some infants are born with congenital cataracts, and environmental factors may lead to cataract formation. Early symptoms may include strong glare from lights and small light sources at night and reduced visual acuity at low light levels. [4] [5] Couching (lens depression) was the original form of cataract surgery, and was used from antiquity.
Cataracts: An often age-related condition that leads to gradual vision loss secondary to clouding of the lens. Examination may reveal opacification of the lens and often an absent or blunted red reflex. Dilated fundus exam allows for examination of more peripheral cataracts, as well as evaluating candidacy for cataract surgery. [9] [12]
Capsulotomy (BrE /kæpsjuː'lɒtəmi/, AmE /kæpsuː'lɑːtəmi/) [1] is a type of eye surgery in which an incision is made into the capsule of the crystalline lens of the eye. In modern cataract operations, the lens capsule is usually not removed. The most common forms of cataract surgery remove nearly all of the crystalline lens but do not ...
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