Complications of Cataract Surgery You Must Know

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Complications of Cataract Surgery You Must Know

• -OPTIMAL Vision

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Cataract and Refractive Surgery

• It is now considered as the surgical spectrum
• Over time cataract surgery has been improvised
  its rehabilitation time and safety significantly
• Less than 10 of people below 60 years of age
  suffer from IOLs
• Cataract surgery becomes most cost-efficient with
  the accompany of QAL methodology

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Cataract Surgery Complications

• Preoperative Complications
• Intraoperative Complications
• Postoperative Complications
• -Early (in first couple of days to fourth
  weeks)
• -Late (on completion of 1-month to several
  years)
• -Related to Intra Ocular Lens (IOLs)

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Preoperative (Ophthalmic) Issues

• Corneal transparency and surface- Diseases
  including Pterygium, OCP, corneal dystrophies,
  corneal scarring and vascularisation, Fuchs and
  Trachoma
• Pupillary abnormalities- Pilocarpine, colobomas,
  aniridia, polycoria, correctopia and poor
  dilation
• Ectopia lentis- Ehlers Danlos, high myopia,
  Marfans, PXF and trauma
• Secondary- Retinal or diabetic disease,
  Galukemflecken, high myopia, drugs (amiodorone
  and steroids) and Uveitis

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Diabetes

• There should be optimal diabetic control for the
  success of refractive or cataract Sx.
• Risks are there for-
• -Post operative inflammation
• -Endophthalmitis
• -Worsening of diabetic retinopathy
• -Cystoid macular oedema
• Make sure that there is strict control for
  minimum 3-month pre and post operation

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Posture

• Patient should be laid down at 45-degree for
  about 20 minutes
• There may be an issue regarding-
• -Dementia, schizophrenia
• -Back and neck scoliosis
• -Restless legs, tremors and Parkinsons
  disease
• -Orthopnoea and CAL
• Specialist/LMO advice is helpful

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Preoperative complications

• Anxiety
• Gastritis and nausea
• Allergic or irritative conjunctivitis
• Corneal abrasion
• Local anaesthesia-related complications
• -Subconjuctival haemorrhage
• -Globe perforation
• -Oculocardiac reflex
• -Retrobular haemorrhage

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Retrobular haemorrhage
Spontaneous lens dislocation

• Blood accumulation in orbital space
• Chemosis, lids tightness and proptosis
• After applying 2 of pilocarpine drops
  pressurised bandage

• Vigorous ocular massage
• Hypermature cataract
• Degenerated zonules

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SCH
Globe perforation

• Vitreous hge, low red reflex and hypotony
• Photocoagulation or cryopexy is performed to
  resolve this condition.

• This is a minor complication arise after you
  undergo cataract surgery in London but subsided
  on its own after some days.

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Intraoperative complications

• Complications associated to anterior
  capsulorrhexis
• -Eccentric capsulorrhexis
• -Extremely large capsulorrhexis
• -Small capsulorrhexis
• -Escaping capsulorrhexis
• Expulsive choroidal haemorrhage
• Vitreous loss
• Zonular dehiscence
• Entrance of nucleus drop into vitreous area
• Posterior capsular rupture

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For any query related to cataract surgery cost
and this surgery, feel free to contact our team
of Optimal Vision at 020 7183 3725 or can visit
here-https//www.optimalvision.co.uk/

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