What Is Phacoemulsification With IOL?

Phacoemulsification is a very safe surgery. Among all other cataract operations, phacoemulsification is associated with better vision at six weeks after surgery.

However, like every procedure, it has a few risks. These are as follows:

• Postprocedural pain and redness: Pain and redness post the procedure are mostly minor and bearable.
• Swelling of the cornea: The cornea becomes swollen when the cut is made near its surface. This generally settles on its own.
• Endophthalmitis: This is a serious complication of cataract surgery. The entire eye becomes red and swollen. This may result in a permanent loss of vision.
• Retinal detachment: The probe may heat up during the procedure causing damage to the surrounding structures. The vibrations during the procedure may cause the separation of the retina (layer of the eye responsible for transmitting signals to the brain) from its surrounding structures.
• Cystoid macular edema (CME): The appearance of cystoid (cyst-like) swellings on the macula (the central part of the retina) is called CME. This may also cause vision loss.
• Glaucoma: Damage to the drainage system of the eye during the surgery can cause glaucoma. In this, the pressure inside the eye increases. It adversely affects the optic nerve (the nerve responsible for sight).

The ideal candidates for phacoemulsification are patients with cataracts with no other medical conditions. The outcomes of patients with diabetes who undergo phacoemulsification are not that good.

After the surgery, the cut will be covered with an antiseptic ointment and a sterile dressing. You will be shifted to a ward for observation. You must lie down and avoid sudden head movements. You may have mild-to-moderate eye pain after the surgery. If throbbing in the eye is severe, you must notify your doctor.

The day after the procedure, the doctor will remove the bandage and check for eye redness and eye discharge. He will check the pupil reaction to light and for the position of the inserted lens in the eye. He will give you antibiotics and anti-inflammatory eye drops to reduce redness and promote healing.

• You must not carry weights or do strenuous exercise until advised by the doctor.
• You must avoid straining, coughing, or any other activity that may increase pressure in the eye and delay wound healing.
• You must avoid dusty areas in the house or outside.
• You must avoid driving because this may put extra strain on the eyes. Moreover, your vision may not fully recover until around six weeks after surgery.
• You must discontinue swimming until your doctor okays it.
• You may wash your head and face after the operation but be careful not to let the soap or shampoo get into the eye.
• You must not rub your eyes. You must wear an eye patch or eye shield if possible.

You will be called for a follow-up visit at one month and three months after the surgery.

At both these visits, your visual screening will be done. The eye will be examined for discharge, pain, and redness. The eye pressure will be measured. The pupil will be dilated with eye drops to check for the lens position. The retina will be examined for swelling or detachment.