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NR. 3(II)/2004
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Wczesne powikłania
operacji zaćmy
Early complications of cataract surgery
Roman Goś, Piotr Jurowski
Katedra Chorób Oczu i Klinika Okulistyki i Rehabilitacji
Wzrokowej
Uniwersytetu Medycznego w Łodzi
Kierownik: prof. dr hab. med. Roman Goś |
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| Summary: |
Taking into account that
cataract surgery is more often performed as a one day
surgery ophthalmologists in outpatient clinics should
focus to look for any potential early postoperative
complications. In practice, eye examination just after
surgery is difficult to perform. However, comprehensive
examination allows to later avoid many complications
development. Majority of the early postoperative
complications are transient and self-limiting e. g.
abnormal function of lids, ocular muscles paresis,
squint and binocular diplopia, conjunctival haemorrhage.
Additional surgical procedures as well as fortified
pharmacological treatment therefore are not needed. Some
significant problems for the convalescent period may be
present later on the day of surgery e. g. corneal
abrasion, raised intraocular pressure, leaking wound and
suprachoroidal haemorrhage. Special attention should be
paid on the routine use of viscoelastic substances and
blood-aqueous barrier breakdown. The most often
postoperative complications present within first week
after surgery are: uveitis and endophthalmitis, glaucoma,
corneal oedema. Preoperative prevention and efficient
treatment of postoperative complications are the
relevant factors of straightforward recovery and results
of the present cataract surgery. |
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| Key words: |
cataract surgery
complication, corneal abrasion, raised intraocular
pressure, leaking wound, suprachoroidal haemorrhage,
endophthalmitis. |
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