engleski

Cataract Surgery

Phacoemulsification is the most common ophthalmic surgery and it revolutionized cataract surgery. With the introduction of sutureless clear corneal incisions surgical time has been reduced, faster postoperative recovery enabled, and induced astigmatism lowered. Various premium intraocular lenses (IOLs) such as multifocal, accommodative and toric IOLs are designed to enable the best refractive outcomes. In order to further increase accuracy and precision femtosecond laser assisted cataract surgery (FLACS) has been introduced with ability to perform incisions, capsulorhexis and disassembly of the lens. Most frequent long-term complication of cataract surgery is posterior capsule opacification (PCO). Another most common cause of patient dissatisfaction after uneventful surgery is pseudophakic dysphotopsia. Acrylic materials with a higher index of refraction and square edge designed IOLs are developed in order to minimise PCO, but on the other hand they seem to enhance dysphotopic phenomena in patients. To achieve the best possible postoperative result, careful selection of patiens, individual approach and patient education is mandatory.

Phacoemulsification, clear corneal incision, intraocular lens, posterior capsule opacification, pseudophakic dysphotopsia

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