Cataracts in the Adult Eye
IMPORTANT INFORMATION
IMPORTANT INFORMATION
Key Points
...Key...
...ract is a surgical disease. Dietary intake and n...
...The standard of care in cataract surge...
Diagnosis
...Dia...
...of cataract has its own anatomical location, pat...
Table 2. Types of Cataracts
...of Cataracts Type De...
Table 3. Ophthalmic Examination
...phthalmic ExaminationBasic Patient...
...tear function (II+, G - Good quality, S - Stron...
Management
...Prevention...
...g is associated with nuclear sclerosis an...
Cumulative lifetime exposure to ultravi...
There is an increased risk of cata...
Nonsurgica...
...ists should advise patients that at this time...
...ho are long-term users of oral and inhaled c...
...Surgical Management...
...edominant method of cataract surgery...
...rating ophthalmologist should perfo...
...dergoing cataract surgery should have a...
...perative laboratory testing in association with...
...rate measurement of axial length an...
...n should consider the patient’s ind...
...gional) and topical anesthesia is ge...
...access is recommended to treat poten...
...onitoring during administration of anesthes...
...eview of cataract surgery studies involvin...
...k of evidence for a single optimal anesthesia st...
...Infection Prophy...
Careful watertight incision construc...
...l studies support the safety of intra...
...ompared with an intracameral bolus, ant...
...vidence for the use of a 5% solution of po...
...surgeon must ensure that antisepsis of the p...
...Surgical...
...almologist has the medical and microsur...
...en feasible, small-incision surgery is...
...Femtos...
...may be certain types of cataracts, such as pos...
...Intraocular Lenses...
...sular-bag IOL fixation may at times be necessary d...
...psular bag fixation may increase the potenti...
...ridectomy should be used to reduce the...
...uld be made to determine the true corneal refrac...
...ndidacy of patients with amblyopia or abnor...
Complications of Cataract Surgery
...Complic...
...Incisional Comp...
...is not watertight can lead to several comp...
I...
...the iris can result from iris prol...
...Corneal Co...
...roper instrument entry into the anterior...
...onged elevated IOP can lead to further...
...Prolonged Inflam...
Malposition or misplacement of IOLs of specific...
...Endophth...
...thalmitis is suspected, referral to a r...
...Posterior C...
...rs for posterior capsular tears and vitreous loss...
...Retained Lens Fragments...
...vitreous loss with posteriorly dislocated l...
...t appropriate timing of a secondary pars pl...
...Retinal Detachment...
...s for development of retinal detachm...
...Supracho...
...of published studies support the cont...
...Cystic Macular E...
...level I evidence that visual outcome is improv...
...Intraocular P...
...oid cessation usually results in a reductio...
...C...
...table or intolerable refractive error resu...
...Posterior Capsular Opacific...
...perform capsulotomy should take int...
Laser posterior capsulotomy should no...
...e eye should be inflammation-free and the IO...
...atients, the surgeon should monitor t...
...Ocula...
...any comorbid conditions are associated with...
...periocular, intraocular, and systemic anti...
...comorbidities, patients with high-risk characteri...
...Intraope...
...tretching and sphincterotomies are ineffec...
...able 4. Selected Ocular Comorbidities...
...High-Risk Charact...
...igh-Risk Characteristics for Intraoperative a...
...System...
...tients with complex medical conditions...
...based guidelines recommend continuation...
...nd that aspirin be discontinued perioperatively o...
Combined Surgery and Special Circumstances
...Combin...