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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]
After full recovery, visual acuity depends on the underlying condition of the eye, the choice of IOL, and any long-term complications associated with the surgery. More than 90% of operations are successful in restoring useful vision, with a low complication rate.
Iridodialyses are usually caused by blunt trauma to the eye, [2] but may also be caused by penetrating eye injuries. [7] An iridodialysis may be an iatrogenic complication of any intraocular surgery [10] [11] [12] and at one time they were created intentionally as part of intracapsular cataract extraction. [13]
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.
There are multiple indications for cataract surgery. [2] An absolute indication signifies need for surgical correction. [2] Surgical correction of the cataract is indicated when lens opacification blocks the ref reflex and dilated pupils are detected, strabismus with unilateral cataract, or nystagmus with bilateral cataracts. [2]
Adrenergic agonists may be used if strong mydriasis is needed in surgery. [8] Norepinephrine is a hormone and neurotransmitter that regulates the involuntary muscles of the autonomic nervous system, including dilation of the pupil aperture via the muscles of the iris. Hence adrenergic agonists mimic the activity of norepinephrine, which is how ...
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