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Cataracts

Cataract Statistics in Australia Side Effects And Complications
Causes Effects Of Cataract Surgery On Society Today
Symptoms References
Methods Of Surgery  

 

A cataract is the clouding of the lens in the eye. The cataract is the reducing and refracting of the light that goes into the eye, lessening vision. It makes the world appear as through a frosted window.

   

without a cataract            with a cataract

In Australia Today

Prevelance statistics about Cataracts: The following statistics relate to the prevalence of Cataracts:

bullet 58 per 1000 with cataracts (NHIS95)
bullet 2.0% of population self-reported having a cataract in Australia 2001 (ABS 2001 National Health Survey, Australia’s Health 2004, AIHW)
bullet 1.5% of male population self-reported having a cataract in Australia 2001 (ABS 2001 National Health Survey, Australia’s Health 2004, AIHW)
bullet 2.4% of female population self-reported having a cataract in Australia 2001 (ABS 2001 National Health Survey, Australia’s Health 2004, AIHW)
bullet 361,000 people self-reported having a cataract in Australia 2001 (ABS 2001 National Health Survey, Australia’s Health 2004, AIHW)
bullet 239,000 women self-reported having a cataract in Australia 2001 (ABS 2001 National Health Survey, Australia’s Health 2004, AIHW)
bullet 122,000 men self-reported having a cataract in Australia 2001 (ABS 2001 National Health Survey, Australia’s Health 2004, AIHW)

                                                                                [http://www.wrongdiagnosis.com/c/cataracts/stats.htm]

Causes

Cataracts are mainly due to the development of age, in fact by the age of 60 about half of the population will have some signs of cataract formation, though it may be minor and not noticeable, and by 70 almost everyone will have some cataract formation. Other factors can affect the likelihood and severity of cataracts though, such as:

bullet family history
bullet  medical conditions such as diabetes
bullet  injury to the eye
bullet  medications such as steroids
bullet  various chronic eye diseases
bullet long-term, unprotected exposure to sunlight.
bullet trauma
bullet previous inflammation
bullet previous eye surgery

 

Symptoms

Common symptoms include:

bullet a painless blurring of vision
bullet glare or light sensitivity
bullet frequent spectacle prescription changes
bullet double vision in one eye
bullet needing brighter light to read
bullet fading or yellowing of colours
bullet poor night vision
bullet as the cataract worsens, halos around lights

 

Methods Of Surgery

bullet Phacoemulsification

This is the most common method used. A small cut of about 3mm is made at the meeting of the sclera and the cornea, that's where the clear bit and the white bit of the eye meets. A probe is then placed in there, which vibrates enough to split the cloudy lens into tiny pieces. These pieces are then suctioned away and an artificial lens is placed in the lens capsule. The whole operation takes from 20 to 60 minutes.

bullet Extracapsular Extraction

This method is not used as commonly as the phacoemulsification, but it is used when the lens is too hard to use phacoemulsification on. A incision of 10mm to 12mm is made between the sclera and the cornea. The front of the capsule is opened. The lens is then removed and replaced with an artificial one. The cut is then closed with sutures.

bullet Intracapsular Extraction

This is where the entire lens and capsule is removed. It is not performed very often anymore and then only in special cases.
 

Side Effects And Complications

Some side effects may be:

bullet an irritated or sticky eye
bullet blurry vision
bullet aching of the eye for 1-2 weeks after the operation
bullet bruising of the eyelid or eye

95% of cataract surgery is successful, but if the patient happens to be in the 5% that is not, they may suffer from:

bullet tearing of the structure behind the lens, which may result in damaged vision
bullet loss of the cataract in the back of the eye, requiring another operation; or
bullet clouding of the lens capsule, which begins about 2 years after the operation and can be fixed by relatively simple laser surgery.

Effects Of Cataract Surgery On Society Today

The swiftness and ease of this operation means that vision in Australia can rise to the best standards. People can be restored to full vision and functioning within a few days. The recovery period has been lessened to the minimum, meaning a few days rest after 1hr surgery and you can have full eyesight back.

 

References

http://iris.medoph.unimelb.edu.au/new/eyecare/cataract.html

http://hcd2.bupa.co.uk/fact_sheets/html/cataractsurgery.html

http://www.wrongdiagnosis.com/c/cataracts/stats.htm

 

This page created by Merrilyn Sackett.