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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]
Manual small incision cataract surgery (MSICS) is an evolution of extracapsular cataract extraction (ECCE); the lens is removed from the eye through a self-sealing scleral tunnel wound. A well-constructed scleral tunnel is held closed by internal pressure, is watertight, and does not require suturing.
Universal eye speculum-do-; heavy instrument and can not keep eyelashes out of the operating field •Guarded eye speculum (left and right)-do-; heavy instrument but can keep eyelashes out of the operating field with its "guard" and hence left or right ones are required •Wire Speculum
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'.
Cataract surgery by phacoemulsification is frequently performed under surface anaesthesia. Facial nerve, which supplies the orbicularis oculi muscle, is blocked in addition for intraocular surgeries. Topical anaesthesia is known to cause endothelial and epithelial toxicity, allergy and surface keratopathy. [citation needed]
Dilated fundus exam allows for examination of more peripheral cataracts, as well as evaluating candidacy for cataract surgery. [ 9 ] [ 12 ] Age-related macular degeneration : A common cause of central vision loss; early diagnosis via ophthalmologic examination may facilitate slower disease progression.
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