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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]
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.
The eye is usually patched on the day of surgery and use of an eye shield at night is often suggested for several days after surgery. [ 52 ] In all types of surgery, the cataractous lens is removed and replaced with an artificial lens, known as an intraocular lens , which stays in the eye permanently.
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]
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 ...
[8] [10] Dilated fundus exam is the preferred method of diagnosis, as undilated exam may be too limited to visualize lesions or neovascularization that are more peripheral. [11] Glaucoma: A group of eye diseases that can cause vision loss due to damage to the optic nerve, generally from increased intraocular pressure. Changes on ophthalmologic ...
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