|
NR. 4/2007
|
|
|
|
|
|
|
|
|
Kwalifikacja
pacjentów do operacji usunięcia zaćmy
Patients Qualification for Cataract Extraction Surgery
Justyna Izdebska, Urszula
Kołodziejska, Anna Kamińska, Jacek P. Szaflik, Agnieszka
Piwowarczyk
Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii
Medycznej w Warszawie
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
|
|
|
|
|
|
|
| Summary: |
Cataract is one of the
major causes of blindness throughout the world. None of
the factors like gender, race or ethnic group protect
against age related lens opacification. Surgical
procedures for restoring vision reduced due to cataract
are distinguished by high effectiveness. Visual acuity
of 5/10 or better occurs in greater than 90% of the
operated patients. Intra- and postoperative
complications have negative impact on final result. At
least some of them can be prevented. To make the surgery
safer and more effective, the thorough preoperative
examination and proper qualification for the specific
procedure is essential.
Preoperative evaluation should start with the patient’s
medical history including previous and current medicines,
illnesses, past surgeries. Next basic step is visual
acuity testing (with near vision and glare testing).
Slit- lamp evaluation of each part of the anterior
segment of the eye and funduscopy are the main part of
the examination. When evaluating the patient before
cataract surgery, additional special tests like US,
endothelial cell count, pachymetry and perimetry are
often needed to be taken.
As it is shown in the article, qualification to cataract
surgery requires holistic approach to patient. After all,
the burden of responsibility is borne by a surgeon who
has to consider his own experience and skills. The
chance of success is enhanced only when knowledge and
experience is put together. |
|
|
|
|
|
|
|
|
