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    Cataract and Implant Surgery: Dominic Mchugh MD Frcs London, Uk

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    Cataract and Implant Surgery discusses the causes and types of cataracts as well as their management and treatment options. Cataract surgery involves removing the cloudy lens and implanting an intraocular lens (IOL). Sir Harold Ridley pioneered IOL implantation in 1949-1950 by collaborating with Rayner Company to develop early IOL designs. Modern cataract surgery uses phacoemulsification, where an ultrasonic probe emulsifies and removes the lens through a small incision, followed by insertion of a foldable IOL. Post-operative care includes antibiotic/steroid eye drops for about a month. Complications are possible but many techniques aim to reduce risks.

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    Cataract and Implant Surgery: Dominic Mchugh MD Frcs London, Uk

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    Cataract and Implant Surgery discusses the causes and types of cataracts as well as their management and treatment options. Cataract surgery involves removing the cloudy lens and implanting an intraocular lens (IOL). Sir Harold Ridley pioneered IOL implantation in 1949-1950 by collaborating with Rayner Company to develop early IOL designs. Modern cataract surgery uses phacoemulsification, where an ultrasonic probe emulsifies and removes the lens through a small incision, followed by insertion of a foldable IOL. Post-operative care includes antibiotic/steroid eye drops for about a month. Complications are possible but many techniques aim to reduce risks.

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    Cataract and Implant Surgery discusses the causes and types of cataracts as well as their management and treatment options. Cataract surgery involves removing the cloudy lens and implanting an intraocular lens (IOL). Sir Harold Ridley pioneered IOL implantation in 1949-1950 by collaborating with Rayner Company to develop early IOL designs. Modern cataract surgery uses phacoemulsification, where an ultrasonic probe emulsifies and removes the lens through a small incision, followed by insertion of a foldable IOL. Post-operative care includes antibiotic/steroid eye drops for about a month. Complications are possible but many techniques aim to reduce risks.

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    17 views33 pages

    Cataract and Implant Surgery: Dominic Mchugh MD Frcs London, Uk

    Uploaded by

    vladimanpe
    Cataract and Implant Surgery discusses the causes and types of cataracts as well as their management and treatment options. Cataract surgery involves removing the cloudy lens and implanting an intraocular lens (IOL). Sir Harold Ridley pioneered IOL implantation in 1949-1950 by collaborating with Rayner Company to develop early IOL designs. Modern cataract surgery uses phacoemulsification, where an ultrasonic probe emulsifies and removes the lens through a small incision, followed by insertion of a foldable IOL. Post-operative care includes antibiotic/steroid eye drops for about a month. Complications are possible but many techniques aim to reduce risks.

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    of 33

    Cataract and Implant Surgery

    DOMINIC MCHUGH MD FRCS LONDON, UK

    Cataract Causes
    Age Congenital
    (genetic, metabolic) Trauma Infection Inflammation Surgical Drugs (eg steroids)

    Cataract
    May be induced by surgical procedure:
    lens touch; gas; oil

    Cataract types

    Nuclear sclerosis

    Posterior subscapsular

    Congenital (rubella)

    Trauma

    Management of Cataract
    ECCE (Extracapsular cataract extraction)
    But longer wound healing time

    Cataract Surgery
    Small incisional Phacoemulsification
    surgery (Developed by Kelman, USA)

    Aphakic spectacles Contact lenses

    Before IOL implantation was developed

    Pioneer of intraocular lens implant

    Sir Harold Ridley FRS FRCS

    Harold Ridley collaborated with the Rayner company to develop the IOL

    John Pike, Rayner Company

    1949-1950: First IOL implants

    Choice of IOL
    Insertion through small incision High biomcompatilbility Allows good retinal view Stable centration Low PCO (posterior capsular opacification)
    rate

    IOL choice Why foldable/injectable? Minimise incision size to reduce healing time and astigmatism
    PMMA(rigid) : Non-foldable+large incision Acrylic: Injectable through 2.2-3.2 mm currently.

    Biometry: The calculation of required IOL power Keratometry (K) (corneal curvature) Axial length (AL) of eye (ultrasound) IOL power= A constant-2.5xAL0.9K Eg: 118-2.5x 24-0.9x45=17.5 dioptres IOL power

    Preparation for cataract surgery

    Phacoemulsification with IOL implantation

    Phacoemulsification: surgical sequence


    Corneal tunnel CCC (continuous curvilinear capsulorrhexis Hydrodissection Phacoemulsification Aspiration of cortical lens matter IOL insertion

    Phaco parameters

    Phaco+IOL surgery Hydrodissection

    Phaco+IOL surgery Phacoemulsification

    Phaco+IOL surgery Aspiration of cortex

    Phaco+IOL surgery Foldable IOL insertion

    Typical injectable IOL

    Superflex lens: 6.25mm x 12.50mm


    C-Flex lens 5.75mm x 12.00 mm

    Cflex/Superflex injector

    Loading the Superflex IOL

    Superflex insertion

    Superflex insertion

    Superflex insertion

    Insertion of injectable IOL

    Endoscope view of Superflex

    Cataract surgery
    Postoperative management Eye pad overnight Antibiotic+steroid drops for up to one month Change glasses at one month

    Complications of cataract surgery (many!)


    Posterior capsular rupture and
    vitreous loss Dropped nucleus IOL dislocation Endophthalmitis Retinal detachment

    Cataract surgery complications

    Cataract surgery: complications

    Thank you!

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