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Kameen Potential Complications of Cataract Surgery
I wanted to describe a few of the potentialcomplications that can happen during Cataract Surgery. None of us like to think about complicationsof surgery, but we have to acknowledge that surgery is surgery, therefore, there are variables.What we try to do during cataract surgery, as in any procedure, is we try to reduce thenumber of variables so the potential for complications is minimized. But we still have to acknowledgethere are some. If you look at the cataract procedure, and I don't want to get too graphic,but we do want to talk about the steps. The first part of the procedure, if you pictureas I describe over and over, a cataract is being shaped like an MM candy. The firststep of the procedure is to remove the front
surface of that MM shell and then the secondstep is to actually vacuum out the cataract here. One of the risks that we run in doingcataract surgery (which is quite rare and with a decent surgeon probably happens onetime in a year, maybe every other year) is while we're working in this MM shell (asI like to describe it), the MM shell, if it's fragile (and it's extremely fragile),can actually break and when the Mif you picture now the MM shell where the back sideof it is, has a tear in it, then the implant that we want to put inside of that shell isnot supported as well, so we have to put it in the eye in a little bit different manner.Now the results are still great, but sometimes
the type of implant has to be adjusted becauseof that little rupture in the membrane. Another potential complication, which thankfully isvery rare, and that's the risk of infection. The risk of infection is estimated to be aboutone in every five to tenthousand procedures, and that's really good. We try to make itzero, but still it's surgery. The things that help us avoid infection are doing this procedurein a sterile environment (which we do) using obviously sterile equipment, doing very goodsurgical steps, surgical procedures, and then we use very good, the most powerful antibioticeye drops in the world the night before surgery and for about a week after surgery and theytend, that tends to minimize the risk of infection.
If we happen to get an infection, then thetrick is to identify it early. We can generally identify it pretty quickly and then we stepup the antibiotics and we eliminate it that way. Very rarely, I think I've had two patientsin the last decade that have, need a second procedure in order to improve the infection.So again, we try to minimize that. Other minor risks are on the surface of the eye. There'ssome irritability in the surface from where we do the little incision, but otherwise cataractprocedure is known as the safest procedure, really, of any surgery. There are millionsand millions of cataracts done every year and it's extremely safe and extremely predictable.Again, we try to reduce variables so we reduce
potential complications. Again though, we'restill human beings, and so am I, so things happen. Good surgical technique helps to getus ahead of it.
How cataract surgery is carried out
This animation will show how surgery is usedto correct a cataract. This operation is called phacoemulsificationcataract surgery. the navigation arrows below the animationscreen to play, pause, rewind or fastforward the animation.This animation contains sound. Here we show the different parts of the eye.A contract is caused by changes in the lens protein of your eye.It usually develops over a long period of time.Most often a cataract is due to the aging process.Once your ophthalmic surgeon has examined
you, drops will be placed in you eye to dilate(widen) your pupil. This makes it easier for the surgeon to seethe lens of your eye. Local anesthetic drops will be placed in youreye. This will completely numb your eye.Sometimes a local anesthetic injection is used instead of drops.A tiny cut is made on the surface of your eye.The cut or opening is usually so small that no stitches are needed after the operation.An ultrasound tool is used to break up the lens.The lens sits in a thin sac of tissue called
a lens capsule.The broken up pieces of lens are removed from the lens capsule through a small tube.An artificial lens (intraocular lens) is inserted through the cut into the lens capsule.The lens is folded so that it can pass easily through the tiny opening.Once inserted, the artificial lens unfolds itself and replaces the old lens.Your eye will be covered with a dressing to protect it.You will need to wear the dressing over your eye for a few hours after your operation.This is the end of the animation. on the animation screen to watch itagain.