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What are the symptoms?
Common symptoms may include the following complaints:
’I'm not seeing as well as I used to’ : Blurred / foggy
vision
’I sometimes see double’ : cloudiness in the lens
may occur in more than one place.
’My vision is poor in bright light’
’I’ve noticed a change in colours’ : With the maturity of
the caratact the centre becomes more yellow / white.
Causes
Cataracts develop from a variety of reasons, including
long-term ultraviolet exposure, exposure to radiation,
secondary effects of diseases such as
diabetes, hypertension and advanced age; they are
usually a result of
denaturation of lens
proteins.
Cataract Surgery
When a cataract is sufficiently developed to be removed by
surgery, the most effective and common treatment is to make
an incision into the capsule of the cloudy lens in order to
remove the lens.
Surgery Types
ICCE: intracapsular cataract extraction- involves removing
the entire lens of the eye, including the lens capsule. But
it is very old technique. Now a days not performed.
ECCE: extracapsular cataract extraction - consists of
removing the lens but leaving the majority of the
lens capsule intact.
SICS: manually the lens removed, with out suturing the
wound.
Phaco: Computerized process with the use of
High frequency
sound waves (phacoemulsification)
is used to break up the lens before extraction.
Summary of cataract Surgery:
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Modern small incision cataract surgery
is a very successful operation with an excellent outcome
in over nine out of ten cases
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The risk of complications is low, and
sight-threatening complications are rare
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Most operations are carried out under
local anesthetic as a day-case procedure
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You can return to your normal daily
activities straight away; there are no restrictions
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The eye will feel gritty and
uncomfortable for a few days but should not be painful
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Visual recovery takes place for most
people over the first week or two
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You will be using eye drops for about a
month
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You will need to replace your glasses
with a new prescription once the drops are finished.
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