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Outline
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Cataract Surgery
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The healthy eye
  • Light rays enter the eye through the cornea, pupil and lens.
  • These light rays are focused directly onto the retina,
    the light-sensitive tissue lining the back of the eye.
  • The retina converts light rays into impulses; sent through the optic nerve to your brain, where they are recognized as images.


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What is a cataract?
  • Clouding of the normally clear lens of the eye.
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What is a cataract?
  • A clear lens refracts light onto the retina and fine-tunes our focusing ability.
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A cataract is not:
  • A film over the eye.
  • Caused by overusing the eyes.
  • Spread from one eye to the other.
  • A cause of irreversible blindness.
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Symptoms of cataracts
  • Painless blurring of vision.
  • Glare or light sensitivity.
  • Poor night vision and/or difficulty driving at night.
  • Double vision in one eye.
  • Needing brighter light to read.
  • Fading or yellowing of colors.
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What causes cataracts?
  • Aging of the eye (most common).
  • Family history.
  • Medical problems, such as diabetes.
  • Injury to the eye.
  • Medications, especially steroids.
  • Long-term, unprotected exposure to sunlight.
  • Previous eye surgery.
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How quickly does a cataract develop?
  • Most age-related cataracts progress gradually over a period of years.
  • Non-age-related cataracts, especially in younger people and people with diabetes, may progress rapidly over a short time.
  • Cataract development varies among individuals, and may even be different between the two eyes.
  • Protection from excessive sunlight may help slow the progression of cataracts (UV-protective sunglasses or regular eyeglasses).
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How is a cataract treated?
  • Surgery is only way to remove cataracts.
  • If symptoms of cataract are not affecting your normal activities, surgery may not be needed.
  • Sometimes a simple change in your eyeglass prescription can help delay the need for surgery.
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When should cataract surgery be performed?
  • When cataracts cause enough vision loss to interfere with your daily activities:
    • Performing your job
    • Driving safely
    • Reading and watching TV in comfort
    • Taking medication

  • You and your ophthalmologist (Eye M.D.) should decide together when surgery is appropriate.
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How is cataract surgery performed?
  • Outpatient procedure (usually).


  • Local or topical anesthesia.
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How is cataract surgery performed?
  • A small incision is made close to the edge of the cornea.


  • A tiny, high-frequency ultrasound instrument is inserted that breaks up center of the lens.


  • Broken-up cloudy lens material is removed through the incision.




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How is cataract surgery performed?
  • Intraocular lens (IOL) implant is inserted into your eye to replace the cloudy lens.


  • IOL is customized for your eye; restores focusing power.
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How is cataract surgery performed?
  • IOL usually placed behind the iris (posterior chamber lens).


  • Sometimes placed in front of iris (anterior chamber lens).
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What can I expect from cataract surgery?
  • Most cataract surgical procedures are performed without complications and result in immediate improvement in vision.
  • You will apply eye drops for several weeks following surgery to reduce the possibility of infection and/or inflammation in the eye.
  • You may need an eyeglass prescription to obtain your clearest vision following surgery.




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Posterior capsulotomy
  • In a small number of cases, the natural capsule supporting IOL can become cloudy after cataract surgery.


  • Posterior Capsulotomy: laser surgery to open  cloudy capsule and restore clear vision.


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Cataract surgery to restore clear vision
  • More than 1.4 million people in the U.S. have cataract surgery each year.


  • More than 95% of cataract surgeries are performed with no complications and improved vision.


  • You and your ophthalmologist should decide together when cataract surgery is appropriate for you.