Saturday, 13 August 2016

Cataract




Cataract as we know is a clinical condition characterized by gradual painless loss of vision, in which, in most cases the lens of our eye becomes opaque or cloudy, as a result light rays cannot pass through easily, and vision is blurred.


It is a usual phenomenon in people of old age, usually after 50 years. Lens is situated within the capsule. Old cells die and accumulate within the capsule. For a long period of time, these are associated with fluid accumulation also damage and denaturation of proteins in lens fibers.
Why does cataract occur?
1.     Old age
2.   Any previous eye injury
3.    Any recent eye surgery
4.   Long term use of steroids, diuretics, tranquilizers
5.    Diabetes mellitus
6.   Low blood calcium level
7.   Alcoholism’
8.   Family history
9.   Unprotected prolonged exposure to sunlight

What are the clinical symptoms of cataract?
1.     Painless blurred vision
2.   Poor night vision
3.    Double vision in the affected eye
4.   Need for bright light while reading
5.    Color fading seen

What to do if you have cataract?

You need not have to worry, as cataract is surgically treatable. During surgery the cloudy lens is removed which is replaced with a permanent clear plastic or intraocular lens implant.
1.      EXTRACAPSULAR EXTRACTION
An incision is made in the eye to remove the lens as a whole. Posterior capsule of lens is kept intact which holds the intraocular lens implant.

2.     PHACOEMULSIFICATION
In this procedure, cataract is broken into smaller fragments by ultrasonic vibrations. A laser probe helps in damaging the lens material without damaging the capsule. Lens fragments are aspirated out of the eye. A foldable intraocular implant is then introduced through the incision. This on entering the eye unfolds to take the position inside the capsule. No sutures are needed and the incisions are self-healing.