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LUX VISION · PATIENT GUIDE

Further surgery after cataract complications

 

For patients advised they may need another operation after cataract surgery.

 

Mr Mahmoud Rabie · Consultant Ophthalmic Surgeon

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Understanding what happened

If your surgeon has advised that you may need another operation, Mr Rabie can assess what happened, how the eye is healing and whether further treatment would help. He accepts referrals from other surgeons.

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Retained or dropped cataract material

Some of the natural lens can remain in the eye or move into the vitreous cavity. Small, soft fragments can sometimes be managed with drops and close review. Larger or harder fragments may need vitrectomy, particularly if they cause inflammation, raised pressure or swelling.

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Vitreous at the front of the eye

If the lens capsule opens, vitreous gel can move into the front of the eye. Further treatment may involve removing gel from the front of the eye or a pars plana vitrectomy, depending on the findings.

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When there is insufficient support for a lens

Sometimes it is safest to leave the eye without an implant at the first operation. Mr Rabie can assess whether a lens can be fitted later and how it could be secured. The health of the eye and the available support guide the options.

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Planning treatment and recovery

Assessment includes the previous operation details, vision, eye pressure, inflammation and the health of the retina and cornea. Mr Rabie will explain the urgency, whether treatment should be staged and what improvement is realistic. Recovery can take longer than after straightforward cataract surgery. If vitrectomy is planned, the Pars plana vitrectomy PDF explains the operation and recovery.

 

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