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Benefits
and Risks of Cataract Surgery
Advantages
1. Improve eyesight at
·
Everyday activities
·
Drive
·
Read
·
Professional activity
·
free time activities
2. Increased safety at home and on the road
3. Increased self-confidence
4. Greater independence in everyday life.

Risks and
Complications
Cataract surgery is performed millions of times a year
now and has become a very safe operation. In spite of everything, it is a
complicated microsurgical procedure in the eye and no operation is risk-free.
It is therefore important that we discuss the risks and benefits of the
operation with you. The following are complications and how often they occur.
Infection risk: occurs in less than 1 out of 1000
cases, even if meticulous attention is paid to sterile work. In extremely rare
cases, the infection can be very severe and result in follow-up operations and
hospitalization. Loss of vision can occur in very rare cases despite immediate
treatment.
Retinal detachment: occurs in less than 0.1% of cases.
If retinal detachment occurs, retinal surgery must be performed.
Capsular rupture and anterior chamber lens: in rare
cases, the lens capsule, a few thousandths of a millimeter thick, tears during
the operation.
In this case, cystoid macular edema (see below) can
occur. Furthermore, the artificial lens is not inserted into the capsular bag,
but directly in front of it. The risk of a capsule rupture is significantly
increased in patients with a so-called PEX syndrome or PEX glaucoma. We talk to
affected patients in detail about possible side effects before the operation.
Secondary implantation: in rare cases (0.1-0.2%) it is
not possible to insert an artificial lens at the first attempt. In this case,
the eye is closed again and the artificial lens is inserted in a second
procedure a few weeks later.
Cystoid macular edema: even after a problem-free
operation, about 1% of all patients experience an accumulation of water under
the central retina. This can affect vision for weeks to months and must be
treated with eye drops (and sometimes with tablets). A permanent diminution of
the view through this water accumulation is very rare.
Despite the above list, cataract surgery is a very
safe operation. However, we are of the opinion that you, the patient, must be
informed about such complications, even if they occur very rarely.
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