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This pocket guide has been archived and is no longer updated. The information below may be outdated.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

...y Points

...ract is a surgical disease. Dietary intake and nu...


...d of care in cataract surgery in the United Stat...


Diagnosis

Diagnosis

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


Table 2. Types of Cataracts

...Types of CataractsHaving trouble vi...

Table 3. Ophthalmic Examination

...3. Ophthalmic ExaminationHaving trouble...

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


Management

...nagement

...revention...

...moking is associated with nuclear scle...

...time exposure to ultraviolet-B radiation has bee...

There is an increased risk of cataract wit...


...urgical Management...

...gists should advise patients that at this...

...ents who are long-term users of oral and inhal...


...urgical Management

...redominant method of cataract surgery in the...

...lly, the operating ophthalmologist should perform...

...undergoing cataract surgery should have a preoper...

...rative laboratory testing in association with t...


...Intraocular Lens Power Calculation...

...urement of axial length and central corneal power,...

...ould consider the patient’s individual...


Anesthes...

...al) and topical anesthesia is general...

...ntravenous access is recommended to...

...onitoring during administration of...

...ataract surgery studies involving loca...

...lack of evidence for a single optimal...


...fection Prophylaxi...

...watertight incision construction an...

...tudies support the safety of intracameral moxiflo...

...pared with an intracameral bolus, antibiotic...

...vidence for the use of a 5% solution of...

...st ensure that antisepsis of the per...


...gical Technique...

...phthalmologist has the medical and...

...mall-incision surgery is generally preferred for...


...second Laser...

...tain types of cataracts, such as poster...


...raocular Lenses...

...ar-bag IOL fixation may at times be ne...

...ause noncapsular bag fixation may increa...

...dectomy should be used to reduce the risk of pup...


...al and Refractive Considerations...

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

...cy of patients with amblyopia or ab...


Complications of Cataract Surgery

...mplications of Catarac...

...nal Complications...

...ncision that is not watertight can le...


...omplications...

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


...Complications...

Improper instrument entry into the anterior cham...

...ed IOP can lead to further endotheli...


...olonged Inflammati...

...or misplacement of IOLs of specific de...


...dophthalmitis...

...endophthalmitis is suspected, referral to a r...


...ior Capsular Tear or Zonular Ru...

...own risk factors for posterior capsular tears...


...ined Lens Fragme...

...s vitreous loss with posteriorly disloc...

...e most appropriate timing of a secondary p...


...etinal Detac...

...development of retinal detachment after c...


...prachoroidal Hemorrha...

...ority of published studies support the continu...


...ystic Macular...

...no level I evidence that visual outcome is imp...


...ntraocular Pres...

...teroid cessation usually results in a r...


...ations of Intraocular Le...

...ptable or intolerable refractive error results fo...


...osterior Capsular Opacificat...

...perform capsulotomy should take in...

...sterior capsulotomy should not be performed pro...

...d be inflammation-free and the IOL...

...tients, the surgeon should monitor the I...


...ar Comorbidities...

...d conditions are associated with the pot...

...r periocular, intraocular, and systemic a...

...ular comorbidities, patients with h...


...tive Floppy Iris Syndrom...

...ng and sphincterotomies are ineffe...


...ed Ocular ComorbiditiesHaving trouble viewing...


...Risk Characteristics...


...h-Risk Characteristics for Intraoperative...


...ystemic Comorbiditie...

...r patients with complex medical con...

...uidelines recommend continuation o...

...aspirin be discontinued periopera...


Combined Surgery and Special Circumstances

...Surgery and Special Circumstances...