Evidence-Based Surgical Treatment of Age-related Cataract
In age-related cataract, treatment targets reduction of visual symptoms, improvement in visual function, and improved corrected distance visual acuity (CDVA). The structured protocol below covers the surgical approach and the perioperative steps taken to achieve these goals.
Surgical Approach
Management involves a minimally invasive outpatient surgical procedure with foldable intraocular lens implantation, combined with a structured infection prophylaxis protocol — the complete technique, agents, and clinical sequence are detailed in the full regimen.
Clinical Goals
- Reduction of visual symptoms
- Improvement in visual function
- Improved corrected distance visual acuity (CDVA)
References
- The predominant method of cataract surgery in much of the world is sutureless, small-incision phacoemulsification with foldable IOL implantation performed on an outpatient basis.
- Nonrandomized controlled trials and a prospective trial with the unoperated eye as the control provide evidence that instilling topical 5% povidone iodine in the conjunctival cul de sac preoperatively reduces the bacterial load and the incidence of postoperative infection.
- There is substantial evidence to support the injection of antibiotics intracamerally to reduce the risk of endophthalmitis.
DOI: 10.1016/j.ophtha.2021.10.006
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