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Cataract surgery is the removal of the natural lens of the eye that has developed a cataract, an opaque or cloudy area. [3] Over time, metabolic changes of the crystalline lens fibres lead to the development of a cataract, causing impairment or loss of vision.
Prevalence of cataract considerably varies by age group, as well: for ages 50–59, it is 7.88%; for ages 60–69, it is 24.94%; for ages 70–79, it is 51.74%; in people over 80 years old, it is 78.43%. The overall cataract-surgery coverage rate was 9.19%. The prevalence of cataract and cataract surgical coverage also significantly varies by ...
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'.
There is a tendency for post-operative refraction to vary slightly over several years. A small overall myopic shift has been recorded in 33.6% and a small hypermetropic shift in 45.2% of eyes with the remaining 21.2% in the study having no reported change. Most of the change occurred during the first year after surgery. [103]
A minority of patients may regain low or moderate visual acuity, but over 70% are left clinically blind with worse than 20/400 vision. [4] A Nigerian study showed other complications include secondary glaucoma, hyphaema, and optic atrophy. [5] Couching does not compare favourably to modern cataract surgery.
After cataract surgery, patients with diabetes mellitus are generally acknowledged to have an increased risk of macular edema. [12] A prior history of retinal vein occlusion was the only significant preoperative risk factor in a large retrospective series of 1659 consecutive cataract surgeries. [13]
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Complications after cataract surgery are relatively uncommon. Posterior vitreous detachment (PVD) may occur but does not directly threaten vision. [25] 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.
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