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Access to cataract surgery is very variable by country and region. Even in developed countries availability may vary significantly between rural and more densely populated areas. Cataract surgery is the removal of the natural lens of the eye that has developed a cataract, an opaque or cloudy area. [1]
The cataract is removed from the capsule and anterior chamber using hydroexpression [Note 3] viscoexpression, [Note 4] or more-direct mechanical methods. [ 4 ] [ 13 ] [ 14 ] The extraction of the cataract must be done with due care so as not to compromise the integrity of the tunnel; the endothelium and capsule are also vulnerable to injury.
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.
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'.
Aphakia is the absence of the lens of the eye, due to surgical removal, such as in cataract surgery, a perforating wound or ulcer, or congenital anomaly. It causes a loss of ability to maintain focus ( accommodation ), high degree of farsightedness ( hyperopia ), [ 1 ] and a deep anterior chamber .
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.
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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.
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