If you have cataracts, If you or those around you have a foreign body sensation following cataract surgery, If you or those around you feel that there is a body inside your eye after cataract surgery, If you want to know about the complications or problems after phaco surgery or cataract surgery, we recommend that you read more.
A cataract will actually be part of the satiety that the lens of a person’s eye reaches throughout life. In addition to age-related cataracts, which in some cases are inevitable, there are other types of cataracts.
What is meant by the term cataract?
Corneal opacity, in which the sufferer feels that he or she is looking out of a window through foggy glass. In other words, cloudy, foggy vision will be a major feature in people with cataracts. This vision can be very annoying when driving. Most cases in people with cataracts, the person will not have immediate and sudden disorder. In people with cataracts, visual impairment occurs gradually and slowly.
More than 24 million people over the age of forty are said to have cataracts in the United States, and about one in six people in their forties and between the ages of forty and eighty, have cataracts. More than 50 percent of Americans have cataracts. Cataracts are said to be slightly more common in women than men.
Another study found that sixty-eight percent of people over the age of forty to eighty in the United States have cataracts.
What are the signs and symptoms of cataract?
The signs and symptoms that occur following a decrease in lens clarity, in other words, occur in a person with a blurred lens, are as follows:
Blurred vision, increased inability to see at night, in other words, in people with cataracts, night vision will be more difficult.
Increased sensitivity to light
Increased need for bright light, Existence of bright light for study and work and other measures, Seeing the halo around the lights, increasing changes in the number of glasses or contact lens number, if we to briefly describe the signs and symptoms of cataract disease We must say in this way:
Painless Blurred vision, decreased visual acuity, seeing bright spots, darkening of colors and scattering of light,
fading and yellowing of colors
Double vision in a single eye:
One of the most common signs and symptoms in a person with cataracts is that the person sees only a part of the visual field in a cloudy and foggy way. As the disease progresses and turbidity spreads throughout the lens, the person is exposed to light emitted around the lens, which may lead to more pronounced and annoying symptoms.
What causes cataracts?
As we have said, the most common cause of cataracts is aging, after that, injuries and trauma to the head and eyes, as well as substances that you may have inserted into the eye through cosmetics, It is also said that there are some genetic disorders that can increase a person’s risk of developing cataracts. Cataracts can also be the cause of eye problems, for example, a person with diabetes, a person with a history of surgery or some health problems and long-term use of corticosteroids can also cause Increased risk of cataracts.
What are the types of cataracts?
There are several types of cataracts, some of which we will briefly mention below:
- Cataracts that involve the middle of the lens and are called nuclear cataracts. This type of cataract usually occurs with a decrease in near vision and vision problems when reading. And gradually, the lens becomes duller and makes the vision more hazy. The lens may even turn brown in the process of increasing turbidity. It is said that in advanced stages, when the lens is yellow or brown, it makes it difficult to differentiate between shadows and colors.
- The next type of cataract is Cortical Cataracts. This disorder is accompanied by the formation of streaks of opacity around the lens that propagate toward the center. This cataract grows slowly.
- Another type of cataract affects the back of the lens. This cataract can affect your vision while studying. Vision in bright light decreases and can be accompanied by glare and halo around the light at night. This type of cataract progresses faster.
- Another type is congenital cataract. This cataract has a genetic background or is associated with an intrauterine infection or trauma. Usually, congenital cataracts do not affect vision but should be treated early after detection. People with the following disorders may develop congenital cataracts:
- Neurofibromatosis type 2 (NF2)
- And Rubella
What are the risk factors for cataracts?
Aging, Diabetes, Smoking, Obesity, High blood pressure, Recent inflammations, History of inflammation and eye surgery, Long-term use of corticosteroids, Drinking alcohol and being exposed to a lot of sunlight and ultraviolet rays.
How do we get cataracts?
The human eye is made in such a way that the lens is located behind the iris and pupil. After the light passes through the front of the eye, the light reaches the lens, and is focused by the lens, and a precise and clear image is reflected in the eyelid. In a way, we can think of the eye lens and the retina as a lens and a camera, and a screen.
The presence of any stain on this lens or the darkening and opacity of the lens can cause light not to be focused on the retina by the lens, light is scattered and therefore a clear and accurate image is not formed on the retina. This is when a person suffers from visual impairment. The lens of the eye is made up of water and proteins. The lens proteins are placed in a regular manner; thus, this ensures the clarity of the lens of the eye.
As age increases, the regular structure of ocular lens proteins deteriorates, and these structures disintegrate, and Dark spots appear on the lens. With the development of this opacity, the lens loses its clarity, and precise light is not passed through the lens, and it is often said that the cataract progresses slowly and is painless, and in cases where these opaque spots are low, the person will not have any knowledge of their visual forms.
Examination of your eye by an ophthalmologist will determine the presence or absence of cataract water. If you need cataract or phaco surgery, your ophthalmologist will tell you, If, in addition to having a cataract, you have problems with the retinal membrane of the back of the eyeball or the optic nerve, know that despite cataract surgery, you may not have full access to vision.
The ophthalmologist will notice the opacity and damage of the lens with a thorough examination. The diagnosis of cataract will not be acceptable only with the use of a flashlight. Among the examinations performed by the ophthalmologist in this direction, the following can be mentioned:
Measurement of visual acuity
Dilation and opening of the pupil and examination of all parts of the lens and the base of the eye and retina and measurement of eye pressure with tonometer.
The first stages of cataract treatment will usually improve a person’s vision by prescribing the right glasses with magnifying lenses and strong, enhanced lights.
But over time, such measures will not help and the only definitive treatment will be phacoemulsification or cataract surgery.
In cataract surgery, the lens is removed and replaced with a suitable and compatible artificial lens. It is said that phaco surgery will be necessary when a person has visual impairment and is disturbed in their daily activities such as driving, watching TV and reading. If a person delays cataract treatment, vision is reduced to the point of counting fingers or just perceiving light. Some people who have delayed their cataract surgery will develop increased intraocular pressure or glaucoma and will need emergency surgery.
How is cataract surgery performed?
In this surgery, called a phaco, the affected lens of the affected eye is removed and replaced with a clear, compatible synthetic lens. This placement is done through a very controlled and small incision.
This surgery usually takes about thirty to sixty minutes. This surgery does not require general anesthesia, and you will only undergo this surgery under local anesthesia.
In the following, we will say what measures are necessary after the surgery.
What measures are needed after surgery?
After cataract surgery, the dressing on the eye should not be removed until the first examination by an ophthalmologist. During all this time, medications and drops should be used according to the doctor’s prescription. Hand washing should be done before dropping the drops, it is sometimes necessary to take eye drops for up to a month after the surgery. During this period, avoid taking drugs arbitrarily and know that the correct and timely use of the drops after the surgery has a great impact on the success or complication of the operation. Do not rub your eyes because robbing and squeezing the eyes will interfere with the wound healing process and cause itching and burning. Reading and watching TV will be okay if your doctor approves. The person should not sleep on the operated eye. Avoid sleeping on your stomach during this time.
What measures are needed after cataract surgery?
The person will be discharged immediately after the surgery. As we said above, you should sleep on your back after the surgery Avoid sleeping on your stomach and towards the operated eye. Also, it is necessary to prepare the medicine and take the medicine on time. It is necessary to be calm after the surgery and to avoid straining, coughing and sneezing. You can eat after the surgery.
The usual way to take the drops is as follows: Betamethasone eye drops every two hours and antibiotic drops every four hours, and if needed, a pill to lower your eye pressure may be prescribed every six to eight hours, if there is pain or discomfort or if there is a Mild pain, it is perfectly normal. In these cases it is recommended to use ibuprofen or acetaminophen.
It is necessary to take two to ten minutes between pouring two drops. When sleeping on the eye, stick a protective shield with anti-allergy glue. It is said that this protective shield should be placed on your eye for three to four weeks after the surgery when you sleep. During the day, it is necessary to use sunglasses, because the operated eye is sensitive to light. The quality and vision after the operation depends on the condition of your retina, the health of the optic nerve and other parts of your eye. Know that you may not have perfect vision immediately after surgery. Be patient, after a month, if necessary, glasses number will be prescribed for your precise and delicate work.
Warning Signs After Cataract Surgery
- Decreased eyesight compared to before, eye pain and around the eyes that are not relieved or aggravated by the routine painkillers and analgesics.
- Sudden onset of pain
- Very severe, persistent headache
- Color halo around the light
- Redness, swelling, and progressive discharge from the eyes
- Seeing bright lights, sparks of light in the field of vision
- Dark spots that move in different directions in the visual field
If you there is a grain of sand in your eye after cataract surgery or if you feel there is something inside your eye, do not worry because it is a place to insert an artificial lens into your eye on your cornea. The surgeon has cut with a controlled incision and a controlled wound is created on the surface of your cornea.
As you know, sores and scratches on the cornea can be felt as sand or a foreign object inside the eye, so do not worry.
In these cases, we recommend that you do not squeeze your eyes or rub your eyes, as this will delay the healing of the wound on the cornea.