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Similar to a lens in a camera, the lens in the eye is present behind your iris and pupil, which focuses light onto the retina, forming clear images at various distances. This lens is composed mostly of water and proteins, making it transparent. Certain factors may contribute to cataract formation, causing the lens to become cloudy due to the natural breakdown of proteins. Cataract Surgery in Bhubaneswar is a surgical procedure that aims to remove the cloudy natural lens of the eye, followed by the replacement of an artificial lens. The procedure is usually performed in an outpatient setting and is performed either on one or both eyes. If Cataract Surgery is done on both eyes, the procedure is scheduled after the first eye is healed. Our specialist will also let you know whether you require any contact lenses or glasses after the procedure.
At Manipal Hospitals in Bhubaneswar, Odisha, specialists in the Department of Ophthalmology are tremendously experienced and adept at addressing cataracts by employing cutting-edge techniques, ensuring that patients receive the highest quality of care Our specialists will discuss and properly guide you in preparation and post-care, including instructions on medication, activity restrictions, and follow-up appointments to monitor your recovery and provide optimal results for you.
Some symptoms associated with cataracts that may require Cataract Surgery include:
Reduced visual activity
Sensitivity to light or photophobia
Seeing halos or glares around or from the light
Frequent changes in contact lens prescription or eyeglasses
Double vision, present in one eye
Difficulty in reading fine print, performing daily activities, or driving at night
Cataract is a gradually progressive disease and can affect infants, adults, and the elderly, although it is usually seen in latter groups, especially after the fourth or fifth decade. The disease eventually matures, causing your lens to become completely opaque and affecting your normal routines.
Several factors can lead to cataract formation, some of which include:
Congenital factors, especially due to poor maternal nutrition, infections like rubella, or deficiency of oxygen to the foetus
Trauma or injury to the eye, such as blunt force, sharp objects, radiation to treat ocular tumours, or electric shock
Certain conditions, which include diabetes myotonic dystrophy, atopic dermatitis, neurofibromatosis type 2, hypoparathyroidism, acute glaucoma, high myopia, or hereditary eye diseases
Lack of vitamins and antioxidants
Heavy smoking and alcohol use
Due to medications such as tamsulosin (alpha-blockers), topical or systemic corticosteroids, or anticholinesterase inhibitors
During your consultation with an ophthalmologist, your symptoms and medical history are discussed, followed by a complete eye exam. Our specialist will recommend you undergo an ultrasound or a laser scanning device to measure the dimensions of your eye, which helps them select the right type of artificial lens or intraocular lens (IOL). IOLs are of several types, and you will be informed of the type of IOL selected specifically for your condition. Our specialist will also guide you in preparing for your surgery and will schedule the procedure based on your availability. Cataracts are usually not a medical emergency, and our specialist may recommend watchful waiting. However, surgery is recommended only if it affects your daily activities. You are encouraged to share any concerns or questions you have, and our specialists will resolve them promptly.
Selecting an intraocular lens (IOL) is usually based on your condition, cost, and lifestyle, such as the way you read or look at digital devices, drive, especially at night, the presence of moderate to high astigmatism, or other eye conditions. Common types of intraocular lenses include:
Multifocal IOLs
Extended depth-of-focus (EDOF) IOLs
Toric lenses
Accommodative lenses
Light-adjustable lens (LAL)
Our specialist will perform a thorough assessment and will discuss with you an appropriate IOL, along with its advantages.
Before the procedure, you will be given particular instructions, such as fasting, avoiding certain medications, arranging for your transport, and using eye drops. During the procedure, topical anaesthesia in the form of eye drops is applied to numb your pain. Using a laser or blade, a tiny incision is made on the cornea. Our specialist may employ several techniques to break the cataract, such as:
Extracapsular Extraction, where a large incision is made to remove the cataract in one piece
Laser Surgery, which uses lasers to make incisions and soften the cataract, while the remaining steps are similar to Phacoemulsification.
The cataract is removed using any of the above-mentioned techniques, and IOLs are fixed. The incisions are closed with small stitches, and the doctor may recommend using an eye patch to protect against any infection.
Possible complications that can arise during or after a Cataract Surgery include:
Prolonged eye pain
Vision loss or disturbances, such as halos or glares
Displacement of IOLs
Rare cases of infection or retinal detachment
Posterior capsular opacification, characterised by cloudiness around the membrane that holds the lens
Our ophthalmologist will give you specific instructions that will help facilitate recovery after Cataract Surgery, which include:
Using eye drops at specified times
Avoid putting pressure or rubbing on the eye
Wear shades or sunglasses and eye shields when you go outside, sleep, or at other times, as recommended by our ophthalmologist.
Refrain from applying cosmetics such as eyelashes, shampoo or soaps
Perform light activities for a few days.
A complete recovery may take around 2 weeks, and our ophthalmologist will schedule a follow-up appointment to remove the stitches and monitor your progress. In the event of any post-surgical complications, you are required to seek medical attention.
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