Complications after cataract surgeryComplications after cataract surgery these days were reduced because of the advanced cataract surgery and because of the proper pre-operation assessment but still there are risks for complications to happen Complications after cataract surgery are:1- Loss of near sightLoss of near sight this is usually a problem for people who do not loss near sight or have presbyopia before surgery. Presbyopia usually occurs after the age of 40. The natural lens can change its shape to focus light to the retina. The treatment of this condition can be by using glasses for near or use IOL that is designed for near and far sight2- High intraocular pressureThis is one of the most common complications after cataract surgery which can last for few days. During cataract surgery your eye doctor will inject visco-elastic material inside your eye to facilitate cataract extraction surgery and to protect the corneal endothelium from damage by phaco probe or the heat that is generated from the U/S probe. This I.O.P can be treated by antiglaucoma medications. In some cases in which there is no response to medications, your doctor will probably get you back to the surgery to wash out your anterior chamber and remove the visco-elastic material3- Low intraocular pressureIt can be due to inflammation with shut down of ciliary process that is responsible for the secretion of aqueous humor. With time the inflammation will subside and the ciliary process will start to secrete aqueous again. Another cause is leakage of aqueous humor from the phaco wound and this can be treated by the use of bandage contact lens or in severe form we can add stitch to suture the wound4- Increase in the inflammationIncrease in the inflammation after surgery with redness, swelling of the eyelids and ocular tenderness. This can be treated by the use of steroid eye drop5- EndophthalmitisFor more information click here 6- Rupture of the posterior capsuleRupture of the posterior capsule with vitreous loss in the anterior chamber and drops of parts of the cataract into the vitreous.This complication can be treated by vitrectomy and removal of the cataract parts that were dropped in the vitreous and the IOL can be inserted either in the sulcus or in the anterior chamber. Sulcus is the space between the iris and the anterior capsule.
7- Retinal detachment.For more information click here 8- Choroidal hemorrhageIt is one of uncommon complications after cataract surgery but still it can occur. If it is localized and lies peripherally it can cause no symptoms, but id it lies in or near the macular it can cause loss of vision. Usually the treatment of it is observation and in severe cases drainage of Choroidal hemorrhage with scleral incision9- Macular edemaFor more information, click here10- Corneal edemaFor more information click here11- Posterior capsular opacityPosterior capsular opacity or secondary cataract. This usually occurs after weeks or months of the surgery. It is common complication and sometimes its incidence is related to the type of IOL used. There will be opacity in the posterior part of the capsule or posterior part of the bag behind the IOL, which will increase gradually with time. There will be painless blurring of vision that will increase gradually. Treatment of this condition is done in the outpatient clinic with the use of laser called YAG capsulotomy laser. It is 5 minutes procedureFrom complications after cataract surgery to cataracts main page
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