Secondary Cataract Surgery and Its Complications - Ophthalmology

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Secondary cataract surgery?


Hello doctor, I would like to ask why the doctor mentioned using artificial vitreous during my second surgery.
After the surgery, the things I see appear yellowish and blurry.
Is this due to inflammation inside the eye or is there another issue? I would appreciate your clarification.
Thank you.

Mr. Wang, 30~39 year old female. Ask Date: 2016/03/13

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Wang: Cataract surgery requires the use of an intraocular lens to maintain the shape and pressure of the eye.
The postoperative yellowing may be due to the use of a yellow intraocular lens.
A detailed assessment would require a clinical examination.
In Taiwan, the Department of Ophthalmology at Puzi Hospital is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is essential to seek medical care at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2016/03/13

More Info


Understanding secondary cataract surgery and its complications is crucial for patients who have undergone cataract surgery and are experiencing issues post-operatively. Secondary cataract, also known as posterior capsule opacification (PCO), occurs when the thin membrane that holds the lens in place becomes cloudy after cataract surgery. This can lead to blurred vision, similar to the symptoms experienced before the original cataract surgery.

In your case, the use of an artificial vitreous body during the second surgery suggests that there may have been complications during the initial procedure or that your eye required additional support due to structural issues. The vitreous body is a gel-like substance that fills the eye and helps maintain its shape. If the natural vitreous body has been affected, an artificial one may be used to ensure proper eye function and stability.

The symptoms you describe—seeing things with a yellow tint and experiencing blurriness—could be attributed to several factors. One possibility is that inflammation is still present in the eye, which can occur after surgery. Inflammation can lead to changes in vision and may cause the perception of colors to shift. This is often temporary and can be managed with anti-inflammatory medications prescribed by your ophthalmologist.

Another reason for the yellow tint could be related to the type of intraocular lens (IOL) that was implanted during your cataract surgery. Some IOLs are designed to filter out blue light, which can sometimes give a warmer, yellowish appearance to the vision. However, if this change is significant or bothersome, it’s essential to discuss it with your eye care provider.

Additionally, if the blurriness persists, it may indicate that the secondary cataract has not been fully addressed, or there could be other complications such as retinal issues or macular edema. It’s crucial to have a follow-up appointment with your ophthalmologist to assess the situation thoroughly. They may perform a comprehensive eye examination, including visual acuity tests and imaging studies, to determine the underlying cause of your symptoms.

In summary, while secondary cataract surgery is generally safe and effective, complications can arise, and it’s essential to communicate any changes in vision or discomfort to your healthcare provider. They can provide the appropriate interventions to help restore your vision and address any concerns you may have. Regular follow-ups are vital to monitor your recovery and ensure that any issues are promptly managed.

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