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Doctor insights on: Cataract Removal Without Surgery

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85 year old with Salzmann's is scheduled for cataract removal surgery. Are there any concerns? Should nodules be removed prior to surgery? Scaring?

85 year old with Salzmann's is scheduled for cataract removal surgery.  Are there any concerns?  Should nodules be removed prior to surgery?  Scaring?

Salzmann's nodules: hyaline deposits between the epithelium and Bowmans membrane of Cornea causing astigmatism. Superficial keratectomy of astigmatism-inducing Salzmann’s nodules should always be performed prior to cataract surgery. Stable keratometry readings and IOL calculations cannot be reliably obtained until 3 to 6 weeks after surgery. Toric IOLs should be avoided because of the risk of recurrent nodule. ...Read more

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Dr. Richard Bensinger
821 doctors shared insights

Cataracts (Definition)

A cataract is a clouding (or change in protein composition) of the normally clear lens (which is located behind the pupil and iris) inside the eye. Cataracts are most commonly due to aging, but can be congenital (born with it), due to trauma or uveitis (eye inflammation). The condition can worsen by long-term topical steroid ...Read more


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How much pain with cataract removal surgery?

How much pain with cataract removal surgery?

Minimal: With modern cataract surgery techniques pain either during or after the surgery is generally very mild or even absent. Some patients will experience a mild foreign body sensation or scratching feeling for a day or two, and some have a very mild pressure feeling. Usually, otc medications, typically tylenol or acetaminophen, are all that are required for pain control, and many patients don't use any. ...Read more

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Can lower lid surgery be done after cataract removal?

Can lower lid surgery be done after cataract removal?

Yes: After you heal completely from your cataract surgery, you can have any other surgery. Be sure to get the clearance from your original cataract surgeon. ...Read more

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85 year old with Salzmann's is scheduled for cataract removal surgery. Are there any concerns? Should nodules be removed prior to surgery? Scaring?

Salzmann's nodules: hyaline deposits between the epithelium and Bowmans membrane of Cornea causing astigmatism. Superficial keratectomy of astigmatism-inducing Salzmann’s nodules should always be performed prior to cataract surgery. Stable keratometry readings and IOL calculations cannot be reliably obtained until 3 to 6 weeks after surgery. Toric IOLs should be avoided because of the risk of recurrent nodule. ...Read more

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After cataract removal and laser surgery, I need vitreotomy surgery--is it safe to do all these things?

After cataract removal and laser surgery, I need vitreotomy surgery--is it safe to do all these things?

Yes, if indicated: It is safe to do all these operations on the same eye if there is a medical reason to do so. Your doctor, perhaps with the input from a retinal consultant, will explain the reasons the procedures are required, what is hoped to be accomplished, and the associated risks. ...Read more

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Are you put under for cataract surgery?

Are you put under for cataract surgery?

Rarely: Most cataract surgery is performed under local anesthesia, sometimes with a little assist intravenously but not asleep. The only patients consistently put to sleep are children, and adults with movement disorders and mental deficiency;. ...Read more

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Which lens are good for cataract surgery?

Lens options: There are 3 key options for cataract surgery: monofocal (give you ability to see 1 distance); multifocal (see multiple distances but risk of glare/halos); accommodative lenses (allow multiple distances; less risk of glare; but may not work as well for reading vision especially over time). More info: eyedoc2020@blogspot.com Visionary Ophthalmology, Rockville, MD ...Read more

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What are effective alternatives to cataract surgery?

No surgery: Cataract surgery is considered an elective procedure. Except for a few situiations, you, as the patient, decide when you want to have the surgery. If you are happy with your vision, you can wait on the surgery as long a you want. ...Read more

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What are possible complications of a cataract surgery?

Cataract surgery: Cataract surgery is usually very safe. There can be complications. More common ones are posterior capsule opacification requiring a later laser procedure, wound leak, posterior capsule rupture. Less common ones are retinal detachment, infection, and prolonged inflammation. For more information please check out: http://www.allaboutvision.com/conditions/cataract-complications.htm ...Read more

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What is the definition or description of: cataract surgery?

What is the definition or description of: cataract surgery?

Lens surgery: Cataract surgery is the surgical procedure performed when the natural lens in the eye becomes opaque affecting vision. The cloudy lens is removed surgically and replaced with an artificial intra-ocular lens (iol). ...Read more

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Dr. Michael Ham
74 doctors shared insights

Cataract Removal (Definition)

Cataract removal is a procedure to remove a clouded lens (cataract) from the eye. Cataracts are removed to improve vision. The procedure almost always includes placing an artificial ...Read more