Complications and risks occur in all kinds of surgery and cataract
surgery is no exception. The risk of sight-threatening and
complications of cataract surgery is low as compared to other routine
surgery. it’s getting improving all the time.
Most people go smoothly after
cataract surgery and get
better vision without any long-term issues. Today we discuss the
potential cataract surgery complications and their
implications.
10 Potential Cataract Surgery Complications
Contents
- 1 Infection Inside your Eye
- 2 Your Sight Can be Restored Quickly
- 3 Insertion of the Wrong Intraocular Lens Implant
- 4 Change the Wrong Intraocular Lens
- 5 Cloudiness of the Cornea
- 6 Retinal Detachment
- 7 Posterior Capsular Rupture
- 8 Iris Prolapse
- 9 Inserting the Intraocular Lens upside down
- 10 An Unstable Capsular Bag
Infection Inside your Eye
Dramatically the risks of infections have been reduced over recent years
after cataract surgery. Because of the daily use of
antibiotics infections into the eyes and additionally better sterile surgical conditions at the end of surgery. If you are unlucky to have an infection, prompt
treatment with antibiotics is essential.
Your Sight Can be Restored Quickly
A large bleed is known as suprachoroidal haemorrhage can rarely
develop during cataract surgery. According to research, it occurs
in 1 in 10000. If your blood pressure is not high, the chances of
happening this are very low.
Insertion of the Wrong Intraocular Lens Implant
It can occur due to the
surgeon’s error and it is
quite uncommon. It can also occur due to the
inaccurate measurements of the eyes before the Cataract surgery. This
is done to calculate the power of the
intraocular lens implant.
Change the Wrong Intraocular Lens
Lens exchange is a minor procedure if you get the best results. If you
are unlucky you can get persistent eye Inflammation at the back of the eye. this is known
as cystoid macular oedema. It subsides with anti-inflammatory eye
drops in the majority of people with time.
Cloudiness of the Cornea
Cloudiness of the front surface of the eye is known as
corneal decompensation. Now it is very uncommon with better cataract
surgery techniques. As well as less
energy-producing instruments
used inside the eye during cataract surgery.
Some patients have more chances to develop this complication if they have a
co-existent condition of the cornea such as
Fuch’s endothelial guttata. There are some steps that your surgeon
can take to reduce this complication in the susceptible few.
Retinal Detachment
It is an emergency condition in which the film at the back of the eye
retina can tear and peel away. It usually requires urgent surgical
correction treatment. It is more common in that patients who had already a
retinal detachment or those who have very thin retinas such as
the very short-sighted.
Posterior Capsular Rupture
It can occur at the time of cataract surgery. There is a break in the back
of the clear bag that holds your new intraocular implant. As a result
fragments of cataracts can drop to the back of the eye. It can cause
blurred vision,
inflammation, and
retinal detachment.
The risk of happening of this complication is too low. It is found in 1 in
100 and in more complex surgery cases the chances are high. Long recovery
time and further surgery is required in patients having
posterior capsular rupture.
Iris Prolapse
Iris prolapse occasionally occurs when the
colored part of the
iris can “escape“. It gets trapped after cataract
surgery in the small opening made in the cornea.
The usual practice to treat this is to undergo a further minor procedure to
push it back into the eye and after that secure the
corneal wound with a micro stitch. The wound is carefully
constructed and stitches are not used routinely. it has a valve-like
structure or shape that self-seals.
Inserting the Intraocular Lens upside down
It is also an uncommon complication in which an
intraocular lens implant is inserted the wrong way, around or
upside down. To treat this it needs further minor surgery to turn it the
right way around. If you leave it you have to need a
slight alteration in your glasses prescription.
This is because the change in power of the intraocular lens is
fairly small if it is inserted the wrong way round.
An Unstable Capsular Bag
A clear capsular bag can become loose during
cataract surgery
or not be stable enough for the surgeon to insert the intraocular lens
implant safely. If it occurs it can be
stabilized by inserting a
small plastic ring known as a capsular tension ring.
The intraocular lens implant can be inserted into the more stable
capsular bag. The majority of cataract surgery complications can be
treated with excellent visual results.
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