Cataract surgery is a procedure that has been around since the 18th century. With the advances in technology, infection control, and equipment, the number of adverse postoperative events has decreased significantly. However, it is still possible for complications to occur during and after the operation. The goal of cataract surgery is to remove the cataract and replace it with an intraocular lens, which is usually placed in the capsular pouch of the back chamber.
As with any surgical procedure, there are risks associated with cataract surgery. These can include discomfort, bruising and swelling of the eyelids, increased intraocular pressure, and allergic reactions to the steroid or antibiotic drops. These complications can range from immediate to late after the procedure. If pain progresses, vision decreases, or any eye discharge decreases, patients should seek medical attention.
More serious complications include suprachoroidal hemorrhage, vitreous loss due to capsular rupture, endophthalmitis, and retinal detachment. Although it may not be possible to prevent cataracts completely, there are steps you can take to reduce the risk or delay their onset. When cataracts begin to interfere with daily activities, your doctor may recommend cataract surgery. Improved surgical techniques have reduced the risk of complications from 1.5 percent in the 1980s to 0.1 percent today. Recovery from cataract surgery usually lasts a short time and you can resume many of your normal daily activities. Modern cataract surgery creates a capsular pouch that contains part of the anterior capsule, the entire back capsule, and the implanted intraocular lens.
Over-the-counter pain relievers generally help with any discomfort after surgery. People with very myopic eyes or with a history of premature retinopathy and premature cataracts are at greater risk of retinal detachment after surgery. When considering cataract surgery, it is important to understand all possible complications that may arise during or after the procedure. Knowing what to expect can help you make an informed decision about whether or not to proceed with the operation. It is important to discuss all potential risks and benefits with your doctor before undergoing cataract surgery. Your doctor will be able to provide more information about the risks associated with this procedure and help you make an informed decision about whether or not it is right for you.
