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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.
a 26 gauge needle bent twice used for incising the anterior capsule of the lens in lens extraction Wire vectis: a loop of wire attached to a stack used to extract cataract affected lenses Irrigating vectis: a small hollow instrument with a used to introduce fluid into the anterior chamber to raise its pressure to aid cataract extraction [2] Canula
The intraocular lens did not find widespread acceptance in cataract surgery until the 1970s, when further developments in lens design and surgical techniques had come about. As of 2021, approximately four million cataract procedures take place annually in the U.S. and nearly 28 million worldwide, a large proportion in India.
Cataract surgery, also called lens replacement surgery, is the removal of the natural lens of the eye that has developed a cataract, an opaque or cloudy area. [1] The eye's natural lens is usually replaced with an artificial intraocular lens (IOL) implant.
A phakic intraocular lens (PIOL) is an intraocular lens that is implanted surgically into the eye to correct refractive errors without removing the natural lens (also known as "phakos", hence the term). Intraocular lenses that are implanted into eyes after the eye's natural lens has been removed during cataract surgery are known as pseudophakic.
The surgery is done under general anesthesia with the addition of extra subconjunctival and/or retrobulbar anesthetics injected locally in some cases. The following is a description of the surgical procedure performed by Custer et al.: [9] The conjunctival peritomy is performed at the corneal limbus, preserving as much healthy tissue as possible.
The femtosecond lenticule extraction (FLE then FLEx) procedure was first introduced at the American Academy of Ophthalmology Annual Meeting in 2006 by Walter Sekundo and Marcus Blum, and was first published in 2008 by Walter Sekundo et al. [7] [8] [9]
People who have a multifocal intraocular lens after their cataract is removed may be less likely to need additional glasses compared with people who have standard monofocal lenses. [2] People receiving multifocal lenses may experience more visual problems, such as glare or haloes (rings around lights), than with monofocal lenses. [2]
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