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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.
Prosthetic eye and glasses made for an injured World War I soldier by pioneering plastic surgeon Johannes Esser. "Making glass eye", c. 1915–1920. Glass eye being moulded under heat, 1938. The earliest known evidence of the use of ocular prosthesis is that of a woman found in Shahr-I Sokhta, Iran [1] dating back to 2900–2800 BC. [2]
Improvements in vision help with daily activities, including work productivity and education. Cataract surgery reduces risk of falling and of dementia. It can prevent disability and is very cost effective, so it has large socioeconomic benefits, but the demand is great and the cost remains a large financial burden to public health systems. [10]
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'.
Posterior capsular rupture, a tear in the posterior capsule of the natural lens, is the most-common complication during cataract surgery. [8] Posterior capsule rupture can cause lens fragments to be retained, corneal oedema, and cystoid macular oedema; it is also associated with increased risk of endophthalmitis and retinal detachment.
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. Chrysippus of Soli, a stoic Greek philosopher, provided the earliest account of it. [6]
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