Complications of Cataract Surgery You Must Know
                     Complications of Cataract 
Surgery You Must Know
-OPTIMAL VISION
Cataract and Refractive Surgery 
 It is now considered as the surgical spectrum
 Over time cataract surgery has been improvised its rehabilitation time 
and safety significantly
 Less than 10% of people below 60 years of age suffer from IOLs
 Cataract surgery becomes most cost-efficient with the accompany of 
QAL methodology
Cataract Surgery Complications
 Preoperative Complications
 Intraoperative Complications
 Postoperative Complications
       -Early (in first couple of days to fourth weeks)
       -Late (on completion of 1-month to several years)
       -Related to Intra Ocular Lens (IOLs)
Preoperative (Ophthalmic) 
Issues
 Corneal transparency and surface- Diseases including Pterygium, 
OCP, corneal dystrophies, corneal scarring and vascularisation, Fuch’s 
and Trachoma
 Pupillary abnormalities- Pilocarpine, colobomas, aniridia, polycoria, 
correctopia and poor dilation
 Ectopia lentis- Ehler’s Danlos, high myopia, Marfan’s, PXF and trauma
 Secondary- Retinal or diabetic disease, Galukemflecken, high myopia, 
drugs (amiodorone and steroids) and Uveitis
Diabetes
 There should be optimal diabetic control for the success of refractive or 
cataract Sx. 
 Risks are there for-
       -Post operative inflammation
       -Endophthalmitis
       -Worsening of diabetic retinopathy 
       -Cystoid macular oedema
 Make sure that there is strict control for minimum 3-month pre and post 
operation
Posture
 Patient should be laid down at 45-degree for about 20 minutes
 There may be an issue regarding- 
      -Dementia, schizophrenia
      -Back and neck scoliosis
      -Restless legs, tremors and Parkinsons disease
      -Orthopnoea and CAL
 Specialist/LMO advice is helpful
Preoperative complications
 Anxiety
 Gastritis and nausea
 Allergic or irritative conjunctivitis
 Corneal abrasion
 Local anaesthesia-related complications
        -Subconjuctival haemorrhage
        -Globe perforation
        -Oculocardiac reflex
        -Retrobular haemorrhage
Retrobular haemorrhage                          Spontaneous lens 
dislocation
 Blood accumulation in orbital space  Vigorous ocular massage
 Chemosis, lids tightness and  Hypermature cataract
proptosis  Degenerated zonules
 After applying 2% of pilocarpine 
drops pressurised bandage
SCH                                             Globe 
perforation

 This is a minor complication arise Vitreous hge, low red reflex and 
after you undergo hypotony
cataract surgery in London but  Photocoagulation or cryopexy is 
subsided on its own after some days. performed to resolve this condition.
Intraoperative complications
 Complications associated to anterior capsulorrhexis
         -Eccentric capsulorrhexis
         -Extremely large capsulorrhexis
         -Small capsulorrhexis
         -Escaping capsulorrhexis
 Expulsive choroidal haemorrhage
 Vitreous loss
 Zonular dehiscence
 Entrance of nucleus drop into vitreous area 
 Posterior capsular rupture
For any query related to 
cataract surgery cost and this surgery, 
feel free to contact our team of Optimal 
Vision at 020 7183 3725 or can visit here-
https://www.optimalvision.co.uk/
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