Cataract

Combined Cataract Surgery

Cataract surgery can be done in combination with other eye procedures when there are pre-existing conditions. Hence it is important to have a thorough eye check to detect other co-existing eye conditions so that all conditions can be treated concurrently.

Concurrent Glaucoma & Cataract Surgery

Glaucoma is a condition characterized by the buildup of fluid inside the eye, leading to increased intraocular pressure. This elevated pressure can damage the optic nerve, impair vision, and potentially cause blindness if not properly treated.

For patients with both glaucoma and cataracts, cataract removal can be combined with a trabeculectomy or glaucoma microstent. This procedure helps lower intraocular pressure and provides effective glaucoma management while addressing the cataract.

Micro-incision cataract surgery procedure being performed using a surgical microscope under sterile operating theater conditions.

During a cataract surgery, your eye surgeon/specialist replaces the natural lens clouded by cataracts an artificial lens. Once healed, the new lens functions exactly like the natural lens. It should be noted that there are also different types of lenses should your vision require correction. In a trabeculectomy, a small opening is made in the white part of the eye. Following that, a bubble (known as a bleb), is allowed to form at the site of the opening. The excess fluid from buildup drains from within the eye, into the bleb, reducing the pressure within the eye. (need to edit according to given sentence.) The excess fluid that builds up in the eye, drains into the bleb, hence reduces the pressure within the eye. Naturally, your body will absorb the fluid that drains into the bleb. Both of these procedures can be done in 1 surgery.

The latest and most advanced glaucoma surgery, instead of a trabeculectomy, is placing a glaucoma microstent into the anterior chamber angles to increase fluid drainage and reduce intraocular pressure. This microstent insertion is often performed concurrently during cataract surgery and less invasive than trabeculectomy. This is a good method to help patients with glaucoma reduce the need for daily glaucoma eyedrops in future.

Anatomical schematic displaying a natural lens clouded by advanced nuclear sclerotic cataract formation.

Concurrent Pathological Floaters & Cataract Surgery

Floaters are a frequent concern reported to eye specialists. They are typically described as small grey, black, or translucent spots that occasionally appear in one’s field of vision. Floaters develop due to changes in the vitreous, the gel-like substance that fills the inside of the eye. When light passes through the vitreous, denser regions can block the light, casting shadows that appear as grey or black spots in our vision.

Floaters are generally harmless, but in some cases, they can indicate more serious conditions, such as age-related macular degeneration or retinal tears. It is advisable to consult an eye specialist if you suddenly notice new floaters, especially if they interfere with your vision or affect your quality of life.

Concurrent Epiretinal Membrane & Cataract Surgery

Epiretinal membranes (ERMs), often referred to as “cellophane maculopathy” due to their resemblance to cellophane tape in appearance and behavior, are translucent membranes that occasionally develop on the surface of the retina. In most cases, they cause few or no noticeable symptoms, and many patients remain unaware of their presence until detected during an eye examination by a specialist. However, in more severe instances, ERMs can lead to metamorphopsia or visual distortion.

In general, epiretinal membranes cause the most issues when they develop on the central part of the retina, which is responsible for detailed vision tasks such as reading, studying, or distinguishing fine details.

Adult patient undergoing advanced cataract assessment or receiving detailed lens implantation guidance in Singapore.
Adult patient undergoing advanced cataract assessment or receiving detailed lens implantation guidance in Singapore.

In general, epiretinal membranes cause the most issues when they develop on the central part of the retina, which is responsible for detailed vision tasks such as reading, studying, or distinguishing fine details.

Treatment

The treatment for epiretinal membranes typically involves a procedure called a vitrectomy. During this surgery, the vitreous gel inside the eye is removed through a small incision made in the sclera (the white of the eye). The vitreous gel is then replaced with a saline solution. This process provides the surgeon with access to carefully remove the epiretinal membrane using delicate forceps.

Patient undergoing comprehensive glaucoma screening or eye pressure monitoring at our specialized center in Singapore.

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