What are some of the things that post cataracts patient should look out for in the long run?
Posted by shelby holladay
im tired and i dont even know what your question means
Posted by Orange Sky
it is called After cataract...
visit Ur ophthalmologist every 6 months
or if any of Ur previous symptoms return like blurring of vision halos and decreased night vision or photo phobia
Posted by pinkyminx
Well in the short term straight after surgery be on the lookout for signs of post-surgery infection, such as redness, soreness, photophobia, discharge.
In the long-term there don't tend to be many complications- you'll need to see your Optician about 6 weeks after your surgery for new specs. Other than that, the most common problem is something called 'subcapslular thickening', which is when the clear 'sac' that is left by the surgeon when they remove your catarct (and inserts your new plastic lens), becomes thick and cloudy. It usually comes on about 6 months - 2 years post surgery. It will feel as if your cataract has come back, but is easily rectified by zapping the membrane painlessly with a laser, which takes about 5mins.
Normally cataract surgery is very safe, with few long term problems. Have a good chat with your surgeon about any worries you have.
Posted by Memo
Cataract surgery is one of the most successful surgeries. Over 90% of patients operated for cataract gain a useful vision. But like any other surgery, problems may develop occasionally.
Infection following cataract surgery is very uncommon but can be serious. There may be decrease in vision and the eye may become red and painful. This is an emergency. Inflammation of the eye: This is called uveitis. The eye may become red and aching. This can be treated with drops.
An accumulation of fluid in the retina may occur causing blurring of the central vision - this is known as cystoid macular edema. This usually resolves itself within a couple of weeks using drops.
The implanted lens may occasionally move from its original position causing distorted vision. If this happens, further surgery may be needed to reposition the displaced lens.
The retina may become separate from the inner wall of the eye. This is referred to as a retinal detachment and may require surgery.( If you notice a shadow in your field of vision, floaters or flashing lights.)
Thickening of the membrane behind the new lens can occur in the months following surgery. This is referred to as capsular opacity or 'aftercataract'. Although the vision becomes blurred it can be treated with laser.
Posted by Jennifer
The link below describes cataract surgery...from diagnosis, to the procedure itself, and expected postop care.
From the patients we see for cataract surgery, the biggest complaint they seem to have is posterior capsular opacification, or an opacity that develops on the "bag" or membrane behind the implanted lens, which is very easily treated with a YAG capsulotomy, or where a laser is used to open that bag.
As with any surgery, there are risks. For cataract extraction with intraocular lens placement (CE/IOL), the risks include retained crystalline lens fragments (the 'natural' lens), subluxation, or 'decentering' of the implanted lens, infection in the anterior chamber (uveitis/iritis), and in some cases retinal detachment. Infections can generally be treated topically with antibiotic drops (more severe cases need IV and oral antibiotics). Retained lens (if visually significant or causing vitreitis or an infection of the vitreous cavity), subluxation (if visually significant), and retinal detachment need additional surgery to 'fix' the problem.
In the data from the clinic where I work, we have a 93% success rate in long-term post surgical outcomes. The 7% seems to be linked most commonly in our office to: 1) noncompliance with postoperative care, 2) complications when the CE/IOL surgery is performed with another ocular procedure (ie, penetrating eye injury, or glaucoma surgery), and 3) injury that 'shakes' loose the IOL after surgery (ie, serious fall, car accident, head trauma, and eye trauma postop, even weeks, months down the road). This is a close estimate of data from ONE clinic...not nationwide.
After any surgery, you have postop instructions. The closer you adhere to those instructions, the better chance you will have a good outcome in the long run. Most of our cataract patients are very happy with their sight. Those that are not typically have developed another ocular process impeding on their vision.
Hope this helps.
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