Cataracts in the Adult Eye

Publication Date: November 11, 2021

IMPORTANT INFORMATION

IMPORTANT INFORMATION

This pocket guide has been archived and is no longer updated. The information below may be outdated. Please refer to AAO website for current guidelines.

Key Points

...Points...

...c cataract is a surgical disease. Dietar...


...ard of care in cataract surgery in the...


Diagnosis

Diagnos...

...taract has its own anatomical location, patho...


Table 2. Types of Cataracts

.... Types of CataractsHaving trouble viewing...

Table 3. Ophthalmic Examination

...Ophthalmic ExaminationHaving trouble viewi...

...of tear function (II+, G - Good quality, S -...


Management

...agement...

...evention...

...is associated with nuclear scleros...

...umulative lifetime exposure to ultraviole...

...eased risk of cataract with blunt and penetrating...


...ical Management...

...logists should advise patients that at...

Patients who are long-term users of oral and i...


...rgical Managem...

...dominant method of cataract surgery...

...erating ophthalmologist should perform the preo...

...tients undergoing cataract surgery should h...

...ative laboratory testing in association...


...metry and Intraocular Lens Power Calcul...

...te measurement of axial length and central co...

...e surgeon should consider the patient’s...


...sthesia

...ocal (regional) and topical anesthesia is ge...

Intravenous access is recommended to trea...

...ng during administration of anesthesia an...

...review of cataract surgery studies invol...

...the lack of evidence for a single op...


...nfection Prophylaxi...

...ght incision construction and closure (w...

...veral studies support the safety of intrac...

...red with an intracameral bolus, antibiotic i...

...s good evidence for the use of a 5%...

...ensure that antisepsis of the perio...


Surgical Techn...

...ophthalmologist has the medical and microsurgic...

...small-incision surgery is generally pr...


...second Laser...

...be certain types of cataracts, such as posterio...


...cular Lenses...

...ag IOL fixation may at times be necessary d...

...oncapsular bag fixation may increase the potentia...

...ral iridectomy should be used to reduce...


...and Refractive Considerations...

...t should be made to determine the true corneal...

...didacy of patients with amblyopia or abnormalit...


Complications of Cataract Surgery

...tions of Cataract Surgery...

Incisional Compli...

...t is not watertight can lead to several compli...


...s Complication...

...to the iris can result from iris prolapse due...


...neal Complications...

...ument entry into the anterior chamber c...

...evated IOP can lead to further endothelial dec...


...nged Inflammation...

...isplacement of IOLs of specific design may also...


...ophthalmitis...

...halmitis is suspected, referral to a retina sp...


...ular Tear or Zonular Rupture...

...sk factors for posterior capsular tears an...


...ned Lens Fragments...

...here is vitreous loss with posteriorly dislocated...

...most appropriate timing of a secondary pars pla...


...l Detachment...

...development of retinal detachment after cataract...


...rachoroidal Hemorrhage

...of published studies support the c...


...ystic Macular...

...evel I evidence that visual outcome is...


...raocular Pressure

...osteroid cessation usually results in a r...


...mplications of Intraocular L...

...n an unacceptable or intolerable refractive er...


...psular Opacification (PCO)...

...cision to perform capsulotomy shoul...

Laser posterior capsulotomy should not be performe...

...uld be inflammation-free and the IOL stable...

...sk patients, the surgeon should monitor th...


...r Comorbidities...

...morbid conditions are associated with...

...al and/or periocular, intraocular, and sy...

...comorbidities, patients with high-risk charact...


...raoperative Floppy Iris Sy...

...stretching and sphincterotomies are ineff...


...le 4. Selected Ocular ComorbiditiesHaving t...


...Risk Characteristics...


...isk Characteristics for Intraoperative a...


...temic Comorbidities

...ts with complex medical conditions, it may b...

...d guidelines recommend continuation of antico...

...rin be discontinued perioperatively on...


Combined Surgery and Special Circumstances

...ined Surgery and Special Cir...