The continued debate is whether or not uncomplicated cataract surgery can contribute to AMD development. Some studies reveal that cataract surgical procedure can improve visual function in the AMD patient within the short-time period, but others affiliate cataract surgical procedure as a danger issue for wet AMD in the long-time period.5-7 As a result of conflicting studies and the lack to predict which patients are at high threat, practitioners are left to make a clinical judgment based mostly on the restricted data obtainable.
Dispersive OVD was injected posterior to the tear, and microscissors were used to chop and create a flap in the posterior chamber simply past the central tear. Microforceps have been used to proceed the tear in a circular trend. Suggestions for performing a posterior CCC embody 1) balancing strain anterior and posterior to the posterior chamber (OVD must be injected behind and in front to sandwich the posterior chamber, however not to the point of overfilling); and 2) grasping and regrasping typically, using each standard shearing in addition to stretching strategies for continuing the tear. Cautious focusing and managing vector forces are vital during the creation of the rhexis. On this case, a 4-mm posterior CCC was carried out. It is vital to maintain the rhexis from being too giant.
Cataract grading is essential as a result of patients will usually give a very nebulous complaint about their vision getting worse, and will probably be your job to figure out why. A cataract is commonly the trigger, and solely an correct prior grading might help you determine whether the cataract has really modified since the final visit. If it hasn’t, then it is advisable look for different causes of imaginative and prescient loss. Having a reliable grading system helps immensely.