Secondary cataract after crystal replacement - requires treatment. Each third person has been developing in a lens replacement operation. It is found in all age groups, more often in people over 50-60 years.

- The defeat of the optical system of the eye, when the lens crumbled. With usually retain the rear capsule, which serves as a support for a new intraocular artificial lenses. It is subjected to recurring, wrinkling due to the thinning of the walls, pathological growth epithelial tissue.

Secondary cataract is divided into 3 forms:

1. Fibrous cataract when the connecting elements are growing.
2. Proliferative cataracts, when specific cells are determined, indicating the long flow of the process.
3. Thickening the capsule, not accompanied by turbidity.

Unpleasant symptoms cause the first two forms of secondary cataracts.

The reasons

The secondary form of the disease does not have a specific cause of occurrence. There are predisposing factors:

• Leaving destroyed fragments for inattention or inexperience surgeon.
• Materials IOL. Acrylic lenses with a square edge less often than silicone with a rounded edge cause the development of secondary cataracts after the operation.
• Elderly age.
• Somatic diseases ( autoimmune diseases connective tissue, arterial hypertension, impairment of the thyroid gland).
• Ophthalmological diseases (take away, high degree Myopia, glaucoma, retinal detachment, dystrophic changes in the organ of vision).
• Complications after.
• Hypovitaminosis, avitaminosis.
• Irritating auditorium Factors: Frequent effects of bright sun, welding, caustic vapor, smoke.

The development of secondary cataracts after the crystal replacement does not have clear reasons. No specialist will guarantee that you will not have repeated changes in the lens during the recovery period or in a few years. The exclusion of predisposing factors will only reduce the risk of occurrence.

Symptoms

After surgery on eye apple A person may notice a progressive reduction in the quality of vision. So begin the first symptoms of secondary cataracts after the crystal replacement. What other manifestations cause a secondary form of the disease?

• Flash flashes, sparks.
• , bold look.
• Twist in the eyes.
• Turbidity of vision.
• Violation of color perception.
• Fuzzy image, blur of contours.
• Focus disorders.
• Reducing visual acuity. Point correction unsuccessful.

The clinical picture develops in different ways. Someone the secondary form arises sharply and suddenly, and someone slowly progresses for years. Typically, the first symptoms occur no earlier than 3 months after facoemulsification.

Video: Secondary cataract after crystal replacement

Diagnostics

Repeated cataract is treated with an ophthalmologist. First, a number of surveys are appointed. The doctor measures VGD. Uses the Sivz-Golovin Tables to assess visual acuity (visometry). Conducts perimeter: determines the boundaries and sections of the loss of fields.

Inspection using a slit lamp (biomicroscopy) gives an assessment of the structures of the eye, it allows you to see the localization of the pathological focus, its size, characteristics. In suspected of the edema of the macular region, fluorescent angiography and Octa (optical coherent tomography) are carried out.

If a person has diseases internal organs, it is sent to the survey to the doctors of the corresponding profile. Requires the treatment of basic pathology, normalization of laboratory indicators. Otherwise, repeated cataracts after treatment will recur.

Video: Secondary cataract after replacing lens and treatment

Treatment

Strengthened impairment requires the treatment of secondary cataracts. If it is not treated, then over time, partial or complete blindness will be separated. What ways to remove the re-cataract is treated?

The best treatment of re-cataracts after the crystal replacement is the conduct of a laser discission of secondary cataracts. Laser discision is widespread, ophthalmosurgeons have extensive experience. It is considered a gold standard of treatment, it is carried out quickly, does not require hospitalization.

Before carrying out operation, instant mydritis for the expansion of the pupil. Then the laser creates a small hole. Next, the photodegradation of altered tissues is carried out, i.e. dissection and destruction using a laser.

Treatment of secondary cataracts is a difficult task. This is due to the frequent necessity of the operation and the impossibility of its implementation due to concomitant diseases. In this case, to slow down the development of pathology, conservative methods of treatment helps to improve the quality of life. Patients prescribe drops that have a positive effect on the state of the lens that improve exchange processes In it, contributing to the normal regeneration of damaged tissues. For example, a doctor can recommend Offant Katova - Finnish eye drops With a proven clinical effect, which includes antioxidant cytochrome C, vitamin nicotinamide and an adenosine energy source.

Removal of secondary cataracts with a laser is small-acting, to introduce surgical tools to the eye cavity is not necessary. 98% of people celebrate a significant improvement in vision. Contraindications for the treatment of secondary cataracts with a laser: scars, turbidity, edema of the horn shell, pathological changes in the eye dna, inflammatory eye diseases.

The surgical removal method of the secondary cataract is outdated, is rare. Capsulotomia is called. The essence of the method in the dissection of the slurry capsule of the lens by surgical instrumentaries. Surgical capsulotomy is dangerous by the risk of traumatic damage to structures visual organ. It has a long recovery period. Conjugate with increased risk of infectious complications.

In the postoperative period, symptoms may be observed: eye redness, eyelidity, tear. This is the result of interference in the auditorium. To improve the condition of a person, an ophthalmologist prescribes eye drops, ointments.

The goal is the prevention of infectious complications, a decrease in inflammatory manifestations, stabilization of WGD. Local therapy - up to 1 week. On control inspections after surgery, the doctor assesses the state of the visual body and decides the issue of reducing or extending the course of therapy.

Prediction and prevention

Laser discision proceeds, as a rule, without complications. Secondary cataract requires re-intervention only in 2% of people. Most often rises in DGs within 3 hours after surgery. To reduce, prescribe drops from pressure. Requires a test inspection the next day.

Front will take away - the second is the complication after the operation. Antibacterial and anti-inflammatory prescribed for its prevention local means. Makula or iris rarely swell extremely rarely, the retina is peeling, IOL is damaged, hemorrhage occurs. Causes lie in the defects of the operation.

Almost all people with the secondary form the forecast is favorable. At the beginning of the recovery period, the quality of visual functions is returned. In the first month, people impose complaints about swimming points, the appearance of outbreaks before eyes. Complaints will be held when the organ of vision is fully recovered. In general, a person begins to clearly see in the first days after laser treatment.

• When leaving outside, wear sunglasses.
• Refuse eye makeup for 2-3 weeks.
• Install the designated drops of 3-4 p / d, duration 1 week.
• Pass the planned inspection the next day, in a week and a month after surgery.
• At first suspicious symptoms immediately contact an ophthalmologist.

Video: What can and can not be done when Cataract

After the end of the recovery period, it is recommended to be observed in an ophthalmologist at least 1 r / year. Attend your doctor even in the absence of symptoms. Secondary cataract may occur again. The risk exists, but it is minimal.

Operational cataract intervention is a simple, fast and safe way to get rid of the problem. A procedure is carried out in outpatient conditions under local anesthesia. But despite the simplicity and high efficiency, Operational intervention can cause complication.

Repeated cataract after the crystal replacement is a serious ophthalmic problem. Specific causes of surgical complications were not fully understood. The essence of pathology lies in the growth of epithelial tissue on the lens. This leads to clouding of lens and deterioration.

According to statistics, in twenty percent cases, repeated cataract develops. Treatment of secondary cataracts after replacing the lens includes laser correction or surgical intervention. So why is there a complication?

The reasons

Despite the fact that the true causes are still being studied by experts, provoking causes of this complication are established:

• burdened heredity;
• age changes;
• mechanical damage;
• inflammatory processes;
• ultraviolet radiation;
• violation of metabolism;
• eye disease - myopia, glaucoma;
• violation of metabolism;
• radiation;
• metabolic disease;
• reception of preparations with steroids;
• harmful habits (smoking, alcoholism);
• intoxication.

Specialists note the role of poor quality operation and medical error in the emergence of complications. It is possible that the whole problem is in the reaction of cell capsule cells on artificial material.

Symptoms

Surgical complication is a sufficiently long process. The first signs of secondary cataracts appear months or even years. If you have worsened eyesight after surgery and the color susceptibility decreased, contact a specialist immediately. Most often, the complication occurs in young children and people of old age.

Replacing the lens can again provoke impairment of sight

As the secondary cataracts progresses, such symptoms appear:

• stains before your eyes;
• diplopia - Two;
• blurry boundaries of objects;
• grayish stain on pupil;
• yellowness of items;
• the feeling of "fog" or "hams";
• image distortion;
• lenses and glasses do not adjust visual dysfunction;
• one-sided or bilateral defeat.

In the early stages, the visual function may not suffer. initial stage May last to ten years. The clinical picture depends largely on which part of the lens is obstacious. Lounge in the peripheral part practically does not affect the quality of vision. If the cataract is approaching the center of the lens, then the vision begins to deteriorate.

Complication develops in the form of two forms:

• Fibrosis rear capsule. The seal and clouding of the rear capsule causes vision.
• Pearl dystrophy. Luxury epithelial cells grow slowly. As a result, visual acuity is significantly reduced.

With a film form, a certain portion of the tissue of the lens is absorbed, and the capsules are struggling to each other. Cataract film cataract is dissected with a laser beam or a special knife. Artificial lens is placed in the resulting hole.

Breakfast capsules are primary and secondary. In the first case, the complication occurs immediately after the operation or a short time. Lounge has various shapes and size. As a rule, such turbidity does not affect the quality of vision, therefore does not require compulsory treatment. Secondary turbidity occurs more often due to cell reactions and are able to worsen the results of the operation.

One of the signs of secondary cataract is the appearance of glare before the eyes.

Effects

Removal of secondary cataracts can lead to such complications:

• damage to the lens;
• retina swelling;
• ·retinal disinsertion;
• shift of lens;
• glaucoma.

Diagnostic examination

Before correction, a specialist conducts an extended ophthalmological examination:

• checking visual acuity;
• using a slit lamp, a specialist determines the type of turbidity, and also excludes swelling and inflammation;
• measurement of intraocular pressure;
• study of the vascular vascular bottom and exclusion of retinal detachment;
• if necessary, angiography or tomography is carried out.

Before treatment, a comprehensive survey of organs of vision is carried out, after which the doctor will say what to do next.

Methods of treatment

Currently, there are two main methods of combating crustal clouding:

• Surgical. Muddy film dishes with a special knife.
• Laser. This is a simple and safe way to get rid of the problem. Does not require any additional surveys.

In order to prevent patients, anti-collar drops for the eyes are prescribed. The dosage is selected a strict doctor. In the next four to six weeks after surgery, drops that have an anti-inflammatory effect and prevent the development of the infectious process are used. The only contraindication to the use of operational intervention is the failure of the patient himself.

In the postoperative period, the patients should avoid sharp movements, lifting weights. Do not press the eye and rub it. During the first months it is not recommended to visit the pool, bath, sauna and play sports. Also in the first four weeks it is undesirable to use decorative cosmetics.

The first thing to be done in the event of symptoms of secondary cataracts is to make an appointment with an ophthalmologist.

Laser Discussion Secondary Cataract

Laser therapy was developed by an ophthalmologist, who for a long time studied physics and the possibility of using a laser in medical practice. Indications for the treatment of the laser are such violations:

• clouding lens with significant impairment of vision;
• reducing the quality of life;
• traumatic cataract;
• glaucoma;
• cyst iris;
• violation of vision in bright light and in poor light conditions.

Unlike an invasive operation, laser therapy is not related to the risks of infection, and also does not cause the edema of the cornea and the formation of hernia. During surgery artificial lens Often shifted, the laser method does not damage and does not shift a lens.

It is worth highlight the advantages of the laser technique in the following:

• ambulatory treatment;
• fast process;
• lack of need for deployed diagnosis;
• minimum restrictions B. postoperative period;
• does not affect performance.

Laser discision is a modern minimally invasive way to eliminate secondary cataracts.

The treatment of secondary cataracts with a laser has a number of its limitations, they can be attributed to them:

• scars on the cornea, swelling. Because of this, the doctor during operational intervention will be difficult to consider the structures of the eye;
• macular swelling swelling;
• inflammation of the iris;
• noncompensated glaucoma;
• turbidity of the cornea;
• with great care, the operation is carried out at a break and retinal detachment.

There are also relative contraindications:

• previously, six months after the operation to remove cataracts during artifakia;
• previously three months after the Cataract Operation during Aphakia.

Laser discision is carried out under local anesthesia. Before the procedure, the patient burst drops, expanding pupils. As a result, the surgeon will be easier to see the rear capsule of the lens.

After a few hours, the patient can return home. No need for the applying of seams and dressings. In order to avoid the development of inflammatory reactions, doctors prescribe eye drops with steroids. A week later and a month after the laser discission, an ophthalmologist should seem to evaluate the results.

Sometimes after surgery, patients may make complaints similar to those that were before the operation. So, vision can worsen, fog and glare appear before your eyes.

Summary

Secondary cataract after the crystal replacement is a serious complication that requires surgery. A sign of pathology is a deterioration of vision, vagueness of objects, image distortion. Patients complain about the appearance of glare before your eyes. When these symptoms appear, immediately contact a specialist. Elimination of secondary cataracts in our time is carried out using a laser discission. This is a simple, safe, and most importantly, an effective solution to the problem.

The secondary cataract occurs in the postoperative period and causes the deterioration of contrast sensitivity. Treatment of secondary cataracts at an early stage, only drugs can be carried out - it all depends on the patient's lens.

Causes of occurrence

Many are concerned about the appearance of secondary cataracts after, the reasons for which the following factors are:

Important! The presence of the cells-balls of Adamyuk-Elshunig, says that the postoperative period passed with complications. Fibers of the fabrics, which remained on the inner surface of the lens, are converted into dense nodes over time. The visual acuity deteriorates, due to the fact that the film appears on the central optical zone.

The process of occurrence of secondary cataracts

As practice has shown, clouding a lens capsule on the inside is a natural process accompanying the overall aging of the body. The intraocular lens, located inside the lens, is sometimes deformed and thinned.

With untimely appeal to the doctor and the absence of competent treatment, the patient may develop fibrosis of the front capsule. Early fibrosis leads to a manifestation of capsuofimosis, which is characterized by a sharp cloud of a crystal capsule.

Launched crystal fibrosis, to cure drugs, it is impossible - surgery should be applied. The removal of the capsule is completely complicated by the task of implantation. However, modern medicine stepped forward. Now a new lens is inserted along with an artificial capsule.

The operation gives the maximum percentage of the fact that the secondary cataract after the crystal replacement will no longer return.

Removing Capsules Lens:

• clouding the rear wall of the capsule (secondary cataract);
• reduction of the size of the capsule, its wrinkling, associated with the stench of the walls;
• luling the front wall of the capsule, due to the increasing of the skin epithelium.

The result of the operation directly depends on the state of the rear wall of the lens. In order for the treatment to be successful, the lens should be militant and have a certain degree of moisture. In preparation for surgical intervention, doctors can introduce a special solution into a lens.

Symptoms and clinical picture of lens

Symptomatics is the same as for the primary cataract, but still secondary cataract is sometimes accompanied by unpleasant sensations.

Any change (seal or deformation), radically affects spectacular perception Peace by man.

First of all, the symptoms of the disease lens are considered:

1. Light. This is due to the refraction of light rays from the uneven surface of the lens.
2. Flare. The reflected light falls on the eye iris, after which it is reflected from the lens. This effect creates a feeling of glare or as if someone shines in the eye.
3. Fog. The fog has the character to appear and disappear, and in difficult cases - the fog is in front of the eyes constantly and fully explains the sharp decline in view. A person can see partially or not to see at all.
4. Balls or spherical clots. The migration of the epithelium creates a vacuole lens on the surface, which prevent light on the walls of the capsule.

Important! With illiterate treatment of lens, such a disease may appear as the epithelial cell metaplasia. Metaplasia develops into an inflammatory stage, if not taken medicines. Capsuphomophomy and capsulorexis provoke silicone implants, with disc-like optics or implants consisting of several parts: acrylic optics and polymer gape.

Cataract lens can be divided into 2 groups:

1. Primary cataract. Characterized by absence pain sensations, preservation of acute vision, and does not have extensive velocity areas. As a rule, the primary cataract does not need medical intervention. At this stage, the doctor may see the presence / absence of changes and muddy areas on the lens surface. Such a type of disease, most often available in pensioners.
2. Secondary cataracts mainly occur in patients who have undergone an operation on the lens. Availability chronic diseases Lens, complicate the process of recovery and make it longer. Concomitant diseases for cataracts: inflammation (including chronic) vessels of the eye, inner mucous membrane, glaucoma.

Features of laser therapy and forecast of the operation

Capsulotomy - painless laser operationat which the capsule itself remains in place. At first, the doctor removes a smooth crystal through a small hole made by a laser, and then sets an intraocular lens. Do not be afraid that during the operation, the lens can be broken or burst - the walls have sufficient elasticity to withstand such loads.

Of course, surgical interventions are carried out now, but the percentage of successfully performed operations is significantly inferior to laser therapy.

The secondary cataract laser discision is carried out using the latest YAG technology that does not require the hospitalization of the patient.

Advantages in the treatment of crust cataracts:

Before surgery for 3 days, it is necessary to exclude:

• using eye drops and solutions;
• wearing lenses;
• alcohol consumption;
• long stay in the sun;
• antibiotics treatment.

In order to effectively get rid of secondary cataracts, the treatment with a laser must be made on an empty stomach and under local anesthesia. If you have high pressure, diabetes or other illness that requires constant adoption of drugs, it should be remembered that the last reception of the drug should be in 6 hours before the start of surgery.

Possible complications in the postoperative period

Like any operation, laser, also has its own characteristics. The result largely depends on the skills of the doctor, the quality of equipment and medical materials, as well as from the patient's physiology.

Complications or the appearance of secondary cataracts after the primary replacement of the lens are:

Contraindications to the treatment of lens

Before signing up the operation, you need to tell the doctor about all the diseases available, to pass blood from the finger and veins and other tests.

There are a number of diseases in which laser intervention is strictly contraindicated:

1. High pressure. Before entering anesthetic patients, it is measured arterial pressure. If it is higher than the norm (120-130 / 80-90), then the surgical operation is prohibited.
2. Epilepsy of any stage. The injected drug can provoke convulsions or strong headache, loss of consciousness.
3. Heart diseases. The absence of a permanent rhythm (bradycardia) during the operation can introduce a person to the state of anaphylactic shock, and the arrhythmia will contribute to the loss of consciousness.
4. Kidney diseases associated with blood filtering disorders. In order for the patient to easily transfer anesthesia, his body must quickly remove the drug. If this does not happen or happens for too long, then the person will receive a number side Effects.
5. Recent head injuries. This also includes all types of operations on the brain.
6. Tumor or cancer. Surgical operations are a bit, but still weaken the human body, and therefore there is a chance that the disease will begin to progress.

Treatment and surgery on lens, it is not advisable to carry out pregnant women.

What will happen if not treated secondary cataract

Since the lens has a very gentle epithelium, then first of all the entire blow will have to the inner shell.

The absence of timely treatment may result in the following consequences:

• partial or complete loss of vision;
• retina pathology caused by inflammation of the epithelium;
• diplopia caused by a deterioration in the elasticity of the capsule.

Secondary cataracts after replacing the lens will no longer return if you comply with the following recommendations:

1. You should not attend the pool for a month or swim in the river.
2. In the summer season, avoid a sharp hit of the sunlight on the iris eye and do not sunbathe in an open area.
3. Periodically change the load on the eyes: your main task is not overwhelming the visual nerves.
4. Women are recommended after surgery to abandon cosmetics. Wash your face with baby soap.

After the operation carried out, the patient passes a course that includes eye exercises, medication and regular visits to the doctor.

The main thing in the life of every person is a healthy look at the world!

Secondary cataract - pathology, which develops in patients after conducting extracapsular extraction of primary cataracts, that is, after removing the lens of the eye with signs of clouding. In patients secondary cataract A slowdown decrease in the visual function is noted, which gradually reduces the positive results achieved from the operation. This complication is usually observed in 10-50% of patients who passed extracapsular extraction.

This disease has many causes of development. But, as a rule, they act in the aggregate. This means that for the development of secondary cataracts requires not only the surgery in the lens area, but also any other accompanying factor. Identifying and removing it, you can noticeably reduce the intensity of the processes that proceed in the lens capsule. It should immediately begin treatment, as this will allow you to save up to 90% of the visual function.

Causes of occurrence

W. primary cause Simply simple: natural change in the organ of vision due to aging, external influences. Secondary glaucoma is caused by several other factors, including:

• Incomplete resorption of mass lens, if it was injured;
• Incomplete extraction of parts of the lens during the operation;
• Disturbed metabolism and endocrine pathologies;
• Autoimmune processes;
• High degree of myopia;
• Retinal disinsertion;
• Inflammation in the vascular eye shell.

It is possible to determine the specific reason for an ophthalmologist. Self-treatment of secondary cataracts is fraught with complete loss of vision.

Important! What it is - secondary cataract, only a doctor will answer you. But it should be understood that despite the progression of the disease to preserve the visual function there is a chance if you turn to the doctor in time.

Types of secondary cataracts

In general, secondary cataracts are divided as primary according to the same types:

• Rear and front subcapsular cataracts. The front is distinguished by the location under the capsule. For the rear, it is characterized by the location in front of the back capsule. Because of this location, this type most often leads to loss of vision. If you compare it with a cortical or nuclear cataract, it further affects the urgency of vision in general. But at the same time, patients have residual vision. They see worse with the narrowed pupil, bright light and light headlights. To the greater the ability to see suffers in relation to the near objects.
• Waving in cases where the age change proceeds abnormally. The crustal kernel is involved in the process. This type of pathology is almost always accompanied by myopia. At the same time, the kernel sclerosis at first may have a yellowish tint, which is caused by the depositing of the pigment. When pathology progresses, it becomes drowned.
• With cortical cataract covers the rear, front and equatorial part in whole or in part.
• The church cataract flows in a rather rare form. The deep layers of the lens suffer from depositing multiple multi-colored needles in them, which resemble fir. Hence the name.

How quickly will progress the secondary cataract, as well as how much the crystal is like - many factors play. In particular, the patient's age is the most significant of the patient and the severity of inflammatory processes.

Important! After implantation of IOL, the secondary cataract may, against the background of an improved vision, significantly affect the visual function. At the same time, the doctors refuse to change the lenses, as it does not solve the problem. Say, what treatment will help, you can only after the examination.

Clinical stages and different pathology development scenarios

If we speak directly about pathological processes that flow during the development of secondary cataracts, they flow four stages:

1. Initial;
2. Immature or swelling;
3. Mature;
4. Overrear.

initial stage

The initial stage involves the separation of the fiber lens. They are formed between them gaps. Under the capsule itself, gradually vacuoles are formed, which are filled with liquid.

It is noted that patients with a cortical form of complaints are extremely rare. They can talk about a minor reduction of vision, the presence of flies in front of the eyes, dots or strokes. Nuclear cataract occurs quickly enough, worsening central vision. As a result, the lens is clouded. At the same time, the vision of the distance in parallel and the vision is worse. Signs of myopia if they are manifested, then on a short time.

Such a flow leads to the development of ophthalmogypertensation, which in turn further worsens the condition of the visual apparatus and provokes the accelerated development of pathology. At the same time, if the therapy is absent, it can develop and glaucoma. In such cases, treatment is one - complete removal of the lens. Plots in which clouding is present, gradually capture the increasing territory and with time the pupil hole is closed. It is at this time that the color begins to change the gray-white. At this stage, the visual function is very quickly reduced.

Mature Stage

Mature stage is characterized by a decrease in lens. Its layers are completely purified. He himself shrinks, loses moisture and gradually acquires the shape of the star. The pupil appears a muddy white or bright gray shade. At this stage, patients cease to distinguish objects. The whole feature comes down to the light, that is, the patient can see the beam of light, determine where it comes from and to distinguish colors.

Overrearia

The overripe of cataract is characterized by the complete destruction of the structure of the crustal body fibers. The whole lot becomes homogeneous. The cortical layer becomes milk, liquid. Over time, he is absorbed. The kernel decreases, becomes dense and heavy. Because of this, it sinks to the bottom of the camera, which increases. If at this stage does not conduct an operation, then the result is only a small nucleoline, and the lens capsule itself will cover cholesterol plaques.

With a different variant of the development of pathology, lens proteins are destroyed by creating conditions for the liquefaction of the lens. In the capsule will begin to increase the osmotic pressure. The kernel is also lowered to the bottom of the camera, but it does not solidify it, but on the contrary - it softens until it does not disintegrate and dissolve.

Secondary Cataract

The secondary cataract is essentially the growth of fibrous tissue in the back capsule of the lens. These processes begin not immediately, but after some time after third-party intervention - injury, operations. Since, for an implantation operation or Iol, doctors try to maintain a lens camera, then over time, it can start independently produce lens cells. After installing the IOL, the secondary cataract is often observed due to the turbidity of these very cells, which the body tried to restore crustock fibers. Over time, they begin to curly, which provokes the pathological course of the period after the operation.

If talk more simple language, these cells, which were given the name of the Amaduk-Elshinag cell, begin to move. They go to the central part of the optical area. After that, an opaque film is formed. It is she who reduces visual sharpness.

Important! Such a course of pathology after the operation is not the result of the negligence and non-professionalism of the surgeon. This is an individual feature of a specific organism, the result of cell reactions occurring in a crystal capsule.

Signs of secondary cataracts

If we talk about specific symptoms, the secondary cataract manifests itself:

• Worsening view that occurs gradually;
• Vesty before eyes;
• Covered near light sources;
• Bulk view.

These symptoms may be upset for years or progress within a month. It depends on the form and concomitant diseases. To tell the more accurate picture and predict the course of pathology can only doctor.

Important! Symptoms of secondary cataracts may be similar to other pathologies of the eye. Therefore, before starting treatment - consult your doctor. Often, the disease is hiding behind other diseases, and the wrong or defective treatment will only aggravate the state of the visual apparatus.

Diagnosis and treatment

Diagnostics involves a number of studies that will help identify the form of the disease. Based on this data, you can decide which treatment will help preserve the patient's eyesight and eliminate pathological processes. The diagnostic procedures for secondary glaucoma include:

• Biomicroscopy;
• Consider over a slit lamp.

Based on the data obtained, it will be possible to determine the type of treatment. Typically, laser or surgical, depending on what means and equipment has a clinic, as well as on which method is preferable. Laser treatment is more common, as it is safer and has fewer contraindications and consequences than ordinary surgical intervention.

Laser treatment or discusion allows you to cross the rear capsule of the lens. Such intervention is considered the safest and most effective. It is only worth considering that IOL may be damaged by the laser. Therefore, doctors pre-diagnose, inspection and decide which type of procedure is better to use.

It is noted that laser discus - an outpatient intervention, in which the patient does not even need to enter general anesthesia. It is enough to instill anesthesia to the eye-processed eye and you can start an operation. The process uses a high-precision laser, with which the selective effect on the fabric is made. From the rear wall, the turbid part of the capsule is eliminated.

Important! Before agreeing with the operation, make sure that the clinic has appropriate equipment and equipment, as well as in the experience of specialists. Otherwise, no one can guarantee the successful course of the operation and the recovery period after it.

The possibility of restoring initial acuity of vision is minimal. It is usually restored about 90% of the initial vision. Patients after such an impact noted literally immediately improve the visual function. In surgical intervention, it takes some time to restore.

In the surgical type of operation, local anesthesia is also used. At the same time, through the micro-section, doctors affect the near-cut part of the crustal capsule, removing it. In general, choosing between surgical and laser method, doctors, if possible, try to choose the second option, as it shows a greater efficiency, fewer side effects and contraindications.

Medicia treatment

Many want to do without operations during primary and secondary cataracts. Doctors in such cases prescribe medications based:

• Salts of potassium;
• Calcium salts;
• Magnesium salts;
• Iodine;
• Hormones;
• Biogenic preparations;
• Substances of plant and animal origin;
• Vitamins.

This type of treatment at best allows to slow down the process. The very formation of the formation of the film is not possible due to the anatomical inaccessibility of this area. Therefore, it was not possible to recover such medicines to anyone.

Important! for full cure You should contact the doctor and decide whether to carry out an operation. Modern methods are minimally invasive and, with proper execution, pass as painlessly as possible. As a result, the vision is significantly improved without massive influence on the tissue.

Forecasts for secondary cataract

Forecasts for secondary cataract largely depend on how quickly the patient turned to help. If the therapy has begun at the very beginning, when the vision is only beginning to fall, that is, a chance to suspend drug pathology or eliminate the resulting protein film by an operational way.

If the patient appealed when symptoms began to manifest itself more intensively, then the positive outcome of the operation is guaranteed, but medicia treatment Results no longer gives in such cases. Surgical or laser treatment allows you to return to 90% of the visual function.

When contacting later stages, it should be understood that pathological processes were progressed for too long. In such cases, doctors, as a rule, can slightly improve the visual function by the operational or laser method, but completely restore the vision will not succeed. Medicase therapy will be relevant only in the presence of concomitant pathologies. At the last stage, complications like glaucoma are often developing, and therefore there is a risk of complete loss of visual function.

It is worth noting that the secondary cataract does not have any preventive Mer. The only thing that a person can take in such cases is to regularly visit the doctor on the subject of votes. If the secondary cataract will be detected on early stages, that is, the chance to stop the pathological process of medication without the development of complications.

It is worth noting that in such cases, the use of drugs will have almost constantly, periodically changing them. Replacement is done to ensure that there is no tolerance for the composition of the funds. The correct approach to rehabilitation and treatment will allow you to preserve vision for a long period after the operation. After surgery, consult your doctor with respect to what measures to do is to prevent such development in the future.

Sometimes, after, it seemed, a successful surgery for replacing a lens, a relapse occurs - secondary cataracts.

Note! "Before you start reading an article, find out how Albina Guryva was able to defeat the breakdowns with his eyesight taking advantage of ...

Cataract

Cataract is a pathology, leading to a decrease in vision, due to the turbidity of the biological lenses (lens), an important component of the human eye apparatus. Usually, the cataract occurs in the elderly, but sometimes, it is the consequence of injuries or hereditary inclinations to this disease.

Unfortunately, if the Cataract process began, it will continue further, we can only slow down this process.

There are several prophylactic measures for this:

1. the use of special eye drops (Taurine, Catalina, Quinax and others), which include substances, their disadvantage contributes to the development of cataracts;
2. comprehensive physiotherapy consisting in electrophoresis sessions (electrical impulses that provide therapeutic effect and allowing drug act as much as possible on the human body);
3. folk Methods (two tbsp. Herbs of orders pour a liter of boiling water, insist the half an hour, strain, gauze napkin wet in warm infusion and rinse his eyes in the morning and at night).

To cure cataract, the cardinal solution is only a surgery, which consists in replacing the affected lens on artificial.

This operation, in our time, does not pose a lot of difficulties, it is held for half an hour, under local anesthesia, the patient is in the attending institution of just one day, and with a successful outcome of the operation the next day, it can go home.

But the postoperative period requires constant surveillance by a specialist. In 98%, this operation returns vision to patients, but unexpected complications may sometimes occur, for example, secondary cataracts (sometimes re-cataracts are also called).

Secondary cataract after replacing lens: causes, symptoms and treatment

During the operation, the doctor replaces the damaged lens artificial lens, while, if possible, it tries to keep the capsule (a thin elastic bag), in which the lens was located. Approximately 20% of cases in the occurrected patients, this capsule bag, due to the growth of the epithelium, turbines. This, in turn, leads to problems in the clarity of the perception of surrounding items, then-there to re-cataract.

Causes of secondary cataracts

The secondary cataract in the overwhelming majority of cases is not the result of the error of the doctor who has done an operation, as many patients consider. This is a consequence of reactions occurring in a capsule bag.

The causes of these reactions are not fully understood. Sometimes they can coincide with the causes of the initial cataract or being the consequence of the removal of the lens.

The cause of secondary cataracts can be:

1. incomplete removal of elements of damaged lens;
2. heredity;
3. age;
4. injury;
5. eye diseases;
6. diseases ( elevated sugar in the blood, incorrect metabolism, endocrine diseases);
7. long-term solar radiation;
8. bad habits.

Therefore, after a successful operation, and even after a favorable rehabilitation period, it is necessary to systematically attend a specialist so that it does not miss the occurrence of re-cataracts.

Symptoms of secondary cataracts

Secondary cataract is unpredictable, it may arise in a couple of months or years after surgery. The presence of re-cataracts is confirmed by the following symptoms:

• reduced visual acuity;
• objects start bother;
• in the color rendition, the eye prevails yellow;
• the eye is sensitive to light.

The secondary cataract may occur both on one eye and on two immediately. When these symptoms appear, you need to urgently consult a doctor.

Secondary cataract after replacing lens treatment

To date, there are two ways to eliminate repeated cataracts.

Surgical treatment: Facoemulsification

Facoemulsification method

Previously, only surgery was performed. Surgical treatment of secondary cataracts occurs with ultrasound, this method is called phacoemulsification, it also applies when the damaged lens is removed.

In this case, the specialist makes a slight incision, directly directs the default of the facoemulsifier device, with the help of ultrasound there is a destruction and suction of unnecessary capsule seals, due to which it occurred and sealing.

This method has a number of benefits:

• can be carried out both children and elderly;
• does not have contraindications;
• 80% of all patients with secondary cataract prefer this method.

Laser treatment of secondary cataracts

In the modern world, the most widely used method of treatment of secondary cataracts was therapy with the use of a laser.

However, this treatment is possible only in the absence of all the following contraindications:

1. diseases, as a result of which disorders occurs in the process of blood reducing;
2. oncology;
3. exacerbations of chronic diseases;
4. elevated blood sugar;
5. infectious diseases;
6. increased eye and cranial pressure;
7. less than six months after the suffered infarction;
8. cardiovascular diseases.

However, provided that all these diseases are absent in the patient, the laser therapy is the most productive method of treatment of re-cataracts.

This method is quite simple, the epithelial growth is removed by the laser and the capsule is cleaned, the operation occurs fast enough, without pain and annoying sensations, finding the patient in the clinic before therapy and afterwards.

In the treatment of a laser, adverse effects practically do not occur, but it should be carried out only when the secondary cataract is at the very beginning of its development. At the same time, it is important that after the surgery to replace the lens must pass at least six months.

The choice of treatment method determines the attending physician, after a number of surveys not only in an ophthalmologist, but also from other specialists.

Complications

The use of progressive equipment to eliminate secondary cataracts rarely leads to negative consequences, but still they are possible:

1. if during the procedure it was damaged artificial lenses, then the patient begins to seem to see what he sees a black point;
2. for surgical treatment displacement of artificial lenses;
3. penetration bacterial infection in the capsule after the procedure and the appearance as a result of this chronic inflammation;
4. sometimes, if the secondary cataract is treated more than six months after the first operation, the retinal ends occurs.

Prevention

So, what measures will help avoid the risk of re-illness:

• systematic visits to ophthalmologist;
• use of eye drops that slow down the development of secondary cataracts;
• lack of loads;
• rejection of bad habits;
• lack of impact of strong radiation of the sun on the eye.

If you comply with these measures, you can reduce the risk of re-cataracts.