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Is There Any Risk or Side Effects from Lens Replacement Surgery?

Refractive lens exchange, often known as clear lens extraction, is a surgical procedure that replaces the eye’s natural lens with an artificial intraocular lens (IOL). The procedure is often used to correct refractive errors or age-related visual impairments. Although lens replacement surgery is generally considered a safe and effective treatment, it is critical to be aware of possible risks and side effects that may arise, as with any surgical intervention. It is essential to have a comprehensive discussion with the surgeon and carefully evaluate these aspects regarding the potential advantages offered by the procedure.

Here are some possible risks and adverse effects that might arise following lens replacement surgery.

Post-Surgery Inflammation

It’s quite common to experience some inflammation in the eye after the procedure. However, there is no need to panic as this normally goes off over time and can be managed using anti-inflammatory eye drops prescribed by your doctor. However, inflammation can persist or worsen in certain situations, requiring further intervention.

Infection Risk

As with any surgical procedure, there is a risk of developing an infection in the eye following lens replacement surgery. This risk is low, but it can still occur, especially if the post-operative care recommendations are not strictly followed.

Vision Changes

While lens replacement surgery is intended to enhance vision, some patients might notice variations in vision quality. These changes could include reduced contrast sensitivity, visual errors, or difficulties with night vision. Such changes may be temporary and improve as the eye adapts to the new lens, but they could persist in certain situations.

Glare & Halos

Following lens replacement surgery, some people might observe glare, halos, or starbursts around light sources, especially during night. These visual disturbances usually subside as the eye recovers and adjusts to the new lens, although they may persist in certain cases.

Elevated Intra Ocular Pressure

Lens replacement surgery may occasionally lead to an increase in intraocular pressure (IOP), which is known as ocular hypertension. Increased intraocular pressure increases the risk of developing glaucoma, a serious visual disorder that can cause vision loss if not treated early.

Retinal Detachment

While relatively uncommon, retinal detachment is a serious complication that may arise after lens replacement surgery. To avoid long-term visual damage, this procedure must be performed immediately by an eye surgeon.

Expressing Dissatisfaction with Results

While the majority of patients experience significant improvements in their vision and overall quality of life following lens replacement surgery, there are times when individuals feel dissatisfied with their outcomes. This unhappiness may result from unmet expectations or complications.

It is vital to discuss the potential risks and side effects with your surgeon and undergo a comprehensive assessment prior to surgery to determine whether you are a suitable candidate. Your surgeon is committed in offering personalised guidance, resolving any concerns you may have, and helping you make an informed decision about lens replacement surgery. Furthermore, closely following your surgeon’s post-operative care instructions will help reduce the possibility of complications while enhancing your recovery.

Manu Mathew is a specialist in cornea and glaucoma surgery, with a special interest in oculoplastic surgery, strabismus and medical retina. 

Meet the Author

Mr Manu Mathew

Mr Manu Mathew

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