Cataract Surgery

What is a Cataract?

The crystalline “Human” lens, situated behind the iris, is the primary focusing mechanism of the eye. As we age, this crystal clear lens becomes cloudy and yellow and loses its elasticity, or ability to change focus. This condition is called a cataract.

What causes Cataracts?

Ageing

Natural ageing causes the hardening and clouding of the lens over a period of time which is experienced as a gradualreduction of vision. Most cataract surgeries between 60-70years.

Congenital

It can occur in new born infants as a result of German Measles or any other viral infection occurring in the first three months of pregnancy of the mother. Certain medication taken by the mother during this early stage of pregnancy can also cause cataracts.

Trauma

It can develop overnight due to the penetration of a sharp object of foreign body into the eye or a direct blow of the eye.

Diabetes

Diabetics get cataracts earlier and more often than the normal population

Diet

Longstanding poor nutrition increases your change of cataracts.

What are the symptoms?

  • Blurry vision
  • Some colours seem dull
  • Increased light sensitivity
  • Glare when driving or reading
  • Double vision or ghosting in the affected eye
  • Frequent changes in the prescription for glasses / contact lenses

When should an eye specialist be consulted?

  • Regular eye examinations by an ophthalmologist (eye specialist) are essential.
  • Sudden vision reduction needs an immediate examination.

Diagnosis

During the eye examination, the following is done by the ophthalmologist:

  • Investigation of general health, family history, previous eye diseases and eye medication being taken.
  • Visual test to determine if reduced vision is due to a cataract or other causes like glaucoma, etc.
  • Examination after dilating the pupil to eliminate other pathological conditions.
  • Discussion

If cataracts are diagnosed, treatment options will be discussed. If the cataracts do not limit normal activities, a change of spectacles may help temporarily. When they begin to affect daily lifestyle – glare and blur interfere with driving, reading or the favourite hobby, it is time to consider surgery.

Surgery

Cataract removal is one of the most successful operations. It involves the removing of the opaque lens with phacoemulsification and replacing it with a foldable silicon Intraocular Lens (IOL), to restore focus to the eye.

After surgery

A patch and eye shield is placed over the operated eye. The patient's blood pressure will be monitored and will rest until ready to leave.

Recovery

  • For the first few days after cataract surgery, the eye may be red and sensitive. Full recovery usually takes about four weeks.
  • All instructions from the doctor must be followed strictly to ensure proper healing.
  • Follow-up visits
  • The operated eye will be examined by the doctor the day after the surgery. Further follow-up visits will be scheduled to monitor the progress of healing.