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SURGICAL TREATMENT
A few facts about cataracts
• What are cataracts?
• Painless opacification of the lens
HPI/HPC
• 90-year old male presenting with a left nuclear sclerotic cataract. He was referred for
surgical treatment due to deteriorating sight in his left eye. The patient previously
had an operation on his right eye due to cataracts earlier this year.
Relevant history
• Medical HX: glaucoma, handicapped (wheelchair), on apixaban (stopped a day prior)
• Allergies: shellfish
Diagnosis
• Axial length 19 mm in diameter
Surgery for Cataracts
PRE-OP, INTRA-OP, POST-OP
Pre-op assessment
BIOMETRY SPECIFIC REQUIREMENTS
• Blood test
Anesthesia
TOPICAL INTRACAMERAL
• Eye drops used conveniently for short • Injections into anterior chamber
surgeries
• Iris and ciliary body
• Limited to conjunctiva, cornea, and anterior
sclera • Usually lidocaine