Cataracts in the Adult Eye
IMPORTANT INFORMATION
IMPORTANT INFORMATION
Key Points
...Key Points...
...taract is a surgical disease. Dietary intake and n...
...e standard of care in cataract surgery in the Uni...
Diagnosis
...Diagnosis...
...pe of cataract has its own anatomical...
Table 2. Types of Cataracts
...2. Types of CataractsHaving trouble viewing...
Table 3. Ophthalmic Examination
...Ophthalmic ExaminationHaving trouble v...
...essment of tear function (II+, G - Good...
Management
...Prevent...
...associated with nuclear sclerosis and demonstra...
Cumulative lifetime exposure to ult...
...creased risk of cataract with blunt and pene...
...Nonsurgica...
...thalmologists should advise patients tha...
...atients who are long-term users of oral a...
...Surgical Ma...
...predominant method of cataract surgery...
...operating ophthalmologist should perform t...
...ients undergoing cataract surgery shoul...
...operative laboratory testing in assoc...
...Biometry and Intra...
...ccurate measurement of axial length and central c...
...geon should consider the patient’s indi...
...Anesthesia...
...ional) and topical anesthesia is generall...
...ss is recommended to treat potential adverse e...
...ng during administration of anesthesia...
...ew of cataract surgery studies involvin...
...of evidence for a single optimal a...
In...
...ight incision construction and closure...
...es support the safety of intracameral moxifl...
...an intracameral bolus, antibiotic in the...
...s good evidence for the use of a 5% solut...
...ust ensure that antisepsis of the...
...Surgica...
...halmologist has the medical and microsurgical t...
...small-incision surgery is generally preferred...
...Femtosecond Laser...
...e may be certain types of cataracts, such as...
...In...
...r-bag IOL fixation may at times be necessary...
...se noncapsular bag fixation may increase the p...
...idectomy should be used to reduce the risk of...
...Optical and...
...d be made to determine the true corne...
...ndidacy of patients with amblyopia or a...
Complications of Cataract Surgery
...Co...
...Incisional Compl...
...ision that is not watertight can lead...
...Iris Complications...
...is can result from iris prolapse due to condit...
...roper instrument entry into the an...
...elevated IOP can lead to further endothelial dec...
Prolo...
...misplacement of IOLs of specific design may also...
...Endophthalm...
...ophthalmitis is suspected, referral to a retin...
...Posterior Capsula...
...ctors for posterior capsular tears...
...Retained Lens...
...treous loss with posteriorly dislocated lens f...
...e most appropriate timing of a sec...
...Retinal Detachme...
...factors for development of retinal detac...
...Suprachoroi...
...jority of published studies support the c...
...Cystic Macu...
...vel I evidence that visual outcome is im...
...Intraocular Pres...
...ticosteroid cessation usually results in a redu...
...Complications of Int...
...en an unacceptable or intolerable refractive err...
...Posterior Capsular Op...
...o perform capsulotomy should take into account the...
...capsulotomy should not be performed p...
...e should be inflammation-free and the IOL stab...
...tients, the surgeon should monitor the IOP in t...
...Ocular...
...comorbid conditions are associated with...
...d/or periocular, intraocular, and syst...
...with ocular comorbidities, patients wit...
...Intraope...
...stretching and sphincterotomies are...
...ble 4. Selected Ocular ComorbiditiesHa...
...High-Ris...
...isk Characteristics for Intraoperative and Pos...
...Systemic Comorbi...
...h complex medical conditions, it may be beneficia...
...idence-based guidelines recommend continuation of...
...n be discontinued perioperatively only if t...
Combined Surgery and Special Circumstances
...Combined...