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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]
If this does not help, surgery to remove the cloudy lens and replace it with an artificial lens is the only effective treatment. [1] Cataract surgery is not readily available in many countries, and surgery is needed only if the cataracts are causing problems and generally results in an improved quality of life. [1] [11] [4] [12]
Procedure is similar to cataract surgery, most commonly followed by an intraocular lens implantation. In patients requiring only distance vision correction, a conventional mono-focal intraocular lens is placed in both eyes after the clear lens is removed. [1] While distance vision is fine in this, reading glasses are required for near vision. [1]
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.
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]
After cataract surgery, patients with diabetes mellitus are generally acknowledged to have an increased risk of macular edema. [12] A prior history of retinal vein occlusion was the only significant preoperative risk factor in a large retrospective series of 1659 consecutive cataract surgeries. [13]
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