Hello, everyone!
Welcome to the Retina e Vítreous channel, your most complete space for retinal information on KZread. Before we start, don't forget to leave your likes and comments about the retina area. We love answering your questions, and today's video is an answer to a frequently asked question: can people with peripheral retinal degeneration have cataract surgery?
#### Peripheral Retinal Degenerations: What are they?
Peripheral retinal degenerations are areas of thinning in the retina, usually located at the edges of the back of the eye. These thinning areas can take various forms, such as lattice degeneration or snail track degeneration. These conditions are more common in patients with high myopia, especially above six degrees.
Some of these degenerations increase the risk of retinal detachment. In certain cases, treatment with laser photocoagulation is necessary to strengthen these fragile areas.
#### Cataract and Peripheral Degenerations: Is There a Risk?
A cataract is an opacity in the lens of the eye that can cause blurred vision. Cataract surgery involves removing the opaque lens and replacing it with an artificial lens. In patients with peripheral retinal degenerations, cataract surgery can be more complex due to the increased risk of retinal detachment.
Although cataract surgery itself does not cause retinal detachment, patients who have had this surgery have a slightly higher risk of detachment compared to those who have not had the surgery. This is mainly due to the possible detachment of the vitreous - a jelly inside the eye that can come loose and pull on the retina, especially where there is degeneration.
#### Precautions Before Cataract Surgery
For patients with peripheral degenerations, it is prudent to consider laser photocoagulation before cataract surgery. This procedure can strengthen fragile areas and prevent possible complications. However, the decision to perform the laser should be discussed carefully between the ophthalmologist and the patient, taking into account factors such as a family history of retinal detachment and the presence of high myopia.
#### Post-surgery follow-up
After cataract surgery, close follow-up is essential to monitor any symptoms of retinal detachment, such as flashes of light (photopsias) or floaters. In the event of any symptoms, the patient should immediately go to the ophthalmologist.
#### Conclusion
There is no absolute contraindication to cataract surgery in patients with peripheral retinal degeneration. However, prophylaxis with laser photocoagulation and careful monitoring are essential to minimize risks and ensure eye health.
If you have any more questions on this subject, leave your comment below. Don't forget to leave your like, subscribe to the channel and follow our next videos here on Retina e Vítreo.
See you next time!
Follow us on instagram: / retina.bulla
This video and its comments are not a substitute for a doctor's consultation and are for educational purposes only. They should not be used for decision-making purposes, which requires a face-to-face consultation with a specialist doctor.
Author:
Dr. Mário César Bulla
Cremers 28120
Ophthalmologist - Retinologist
www.clinicabulla.com.br
www.especialistaemretina.com.br
Instagram: @retina.bulla
Video URL: • Quem tem degeneração n...
@Retina e Vítreo
#retina
#ophthalmology
0:00 Can people with peripheral retinal degeneration have cataract surgery?
0:52 What is peripheral retinal degeneration?
1:30 Does peripheral retinal degeneration need a laser?
2:19 Cataract with peripheral degeneration, can laser surgery be performed?
3:25 Does cataract surgery lead to retinal detachment?