Early Post-Operative Complications in Cataract Surgery

Kurt, Emin; Mayalı, Hüseyin

doi:10.5772/19157

Cited by 4 publications

(2 citation statements)

References 51 publications

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“…Although this procedure is not free of complications, neuroophthalmological adverse effects are rare and when they occur, they are more often related to the effects of retrobulbar anesthesia than to the surgery itself. Reported consequences include binocular diplopia secondary to the effects of the local anesthetic drug and traumatic optic neuropathy from direct trauma to the optic nerve during retrobulbar injection [ 2 , 3 , 4 ]. However, several publications described an association between cataract surgery and nonarteritic anterior ischemic optic neuropathy (NAION) [ 4 , 5 , 6 , 7 ], with an estimated incidence of 1 in 2,000 surgeries in patients aged >50 years, which is higher than the calculated risk for NAION in that age group [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Sequential NAION following Cataract Extraction: Case Report and Review of the Literature

Barequet

Moisseiev

Michaeli

et al. 2014

Case Rep Ophthalmol

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We report a 64-year-old patient who developed nonarteritic ischemic optic neuropathy (NAION) in both eyes following cataract extraction. The cataract surgeries in both eyes were uneventful and performed within a year, and NAION occurred a few months postoperatively in both eyes. A review of the literature on this rare complication is provided. This case report serves to raise awareness among cataract surgeons about this potential complication associated with irreversible visual loss, and especially about its high risk of bilaterality.

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Section: Introductionmentioning

confidence: 99%

Bilateral Sequential NAION following Cataract Extraction: Case Report and Review of the Literature

Barequet

Moisseiev

Michaeli

et al. 2014

Case Rep Ophthalmol

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“…Localized edema is due to trauma to the corneal endothelium and resulting inflammation, and diffuse edema causes increased IOP. Steroids may be used to treat inflammation and thus decrease pressure inside the eye [38]. The IATS described corneal edema as an adverse postoperative complication only if it persisted for more than 30 days.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Intraoperative and Postoperative Complications

Trivedi

Wilson

2021

Essentials of Pediatric Cataract Surgery

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Cataract surgery in children is more difficult and the rate of complications is higher when compared to adult surgery. The rate of intraoperative and postoperative complications is inversely proportional to the age at surgery. In addition to age, surgical technique can influence the rate of complications (e.g., primary intraocular lens implantation vs. aphakia). Higher intraoperative complications in children may be attributed to the common occurrence of an immature iris that results in poor pupil dilation. In addition, the eyes of young children are small and soft. Even small and well-constructed surgical wounds leak when not sutured securely. The anterior capsule in children is highly elastic and difficult to predictably tear into a circular and centered capsulorhexis. Scleral collapse and a formed, non-liquified, vitreous body create the upthrust commonly referred to as posterior vitreous pressure. Postoperative complications are also higher due to an intense inflammatory response and poor compliance to postoperative topical anti-inflammatory drops. The detection of postoperative complications can be challenging because of the difficulties encountered in performing detailed postoperative examinations in children, who may be uncooperative.

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Complications of Pediatric Cataract Surgery

Gasper¹,

Trivedi²,

Wilson³

2016

Developments in Ophthalmology

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Postoperative complications associated with cataract surgery in children vary significantly from those typically seen in adults. Pediatric patients are at an increased risk of problems after intraocular surgery due to increased ocular elasticity, heightened inflammatory reactions, and an elevated risk of postoperative trauma. Any complication is particularly important to detect early in children due to the potential for aberrant development, which may result in decreased visual acuity. Further, complications arise throughout the immediate and extended postoperative periods that may be challenging to detect given the difficulty of the clinical examination of some young patients. Herein, we address common complications observed during the immediate postoperative period and during the months and years following cataract surgery in pediatric patients.

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Early Post-Operative Complications in Cataract Surgery

Cited by 4 publications

References 51 publications

Bilateral Sequential NAION following Cataract Extraction: Case Report and Review of the Literature

Bilateral Sequential NAION following Cataract Extraction: Case Report and Review of the Literature

Intraoperative and Postoperative Complications

Complications of Pediatric Cataract Surgery

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