Lensectomy: Definition, Procedure, Risks, and Recovery
Lensectomy is a surgical procedure used to remove the natural lens of the eye that has become cloudy due to a cataract. This procedure is performed to restore vision and can be performed in various ways. In this article, we will discuss the definition, procedure, risks, and recovery associated with lensectomy.
Definition
Lensectomy, also known as extracapsular cataract extraction (ECCE), is a surgical procedure used to remove the natural lens of the eye that has become cloudy due to a cataract. This procedure is performed to restore vision and involves the removal of the lens through a larger incision in the cornea, as opposed to phacoemulsification which uses small incision and ultrasound energy to remove the lens.
Procedure
The procedure for lensectomy typically takes around 30 minutes to complete and is typically performed as an outpatient procedure. The steps of the procedure include:
- Anesthesia: The patient will be given local anesthesia to numb the eye and surrounding area to minimize discomfort during the procedure.
- Incision: A larger incision is made in the cornea, typically around 2.8 to 3.2 mm.
- Extraction of lens: The lens is removed through the incision.
- Insertion of artificial lens: Once the natural lens has been removed, an artificial lens, called an intraocular lens (IOL), can be inserted into the eye to replace the natural lens.
- Closure of incision: The incision is closed with a small suture or left to heal on its own.
Risks
Like all surgical procedures, lensectomy has risks associated with it, including:
- Infection: An infection can occur at the surgical site, which can cause inflammation and discomfort.
- Bleeding: There is a risk of bleeding during or after the procedure.
- Injury to the retina or other parts of the eye.
- Swelling or inflammation
- Loss of vision
- Glare or halos around lights
- Development of secondary cataract
Recovery
After the procedure, the patient will be monitored for a short period of time before being released to go home. The recovery period can vary, but most patients can return to normal activities within a week. The patient will be given eye drops to help prevent infection and inflammation, as well as to aid in healing.
Patients will be advised to avoid strenuous activities for a few days after surgery and will be given instructions on how to care for the eye to avoid any complications. It is important to note that while lensectomy is a less common procedure than phacoemulsification, it may be necessary in certain cases where the catar
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