Cataract Surgery Options for Elderly Patients

Cataract SurgeryCataract Surgery and Recovery in Elderly Patients

Does your loved one appear to be having greater difficulties seeing than they have in the past? Have they recently complained about not being able to see clearly, or have troubles reading or recognizing fine details? If so, they may be suffering from cataracts. This eye condition is one of the most prevalent in elderly people, affecting nearly half of those age 80 and older. Old age is the prevailing cause in most cases, though certain risk factors can aggravate the disease and impact individuals earlier in their life.

 

What are Cataracts?

In brief, a cataract is a clouding of the eye lens that occurs naturally over time as a result of muscle strain and due to the gradual wear and tear of the parts of the eye that allow us to see clearly. When the lens is clouded (imagine a film placed over glass), its ability to reflect light to the retina is hindered, thus resulting in poorer vision.

Though it is very common, cataracts can be a potentially debilitating condition that can render individuals incapable of performing daily activities. It is worth noting the difference between cataracts and glaucoma, as many people confuse these two different  eye disorders as the same problem. By contrast, glaucoma occurs when the eye’s optic nerve is damaged, which is caused by built up fluid pressure in the eye. The key difference between glaucoma and cataracts is that, with glaucoma, just one part of the eye is affected. However, blindness can result from both diseases.

Gradual vision loss is no less serious than its acute counterparts, especially when it jeopardizes your loved one’s safety. The good thing is that treatment options are available that can help restore vision loss and prevent future cataracts from occurring. Though minor forms of cataracts are typically treated by way of prescription eyewear and the use of magnifying lenses (to aid the lens’ role of reflecting light to the retina), cataract surgery for older people is the only permanent solution. When cataracts start to interfere with a person’s life, physicians usually advise that surgical removal is warranted.

Cataract Surgery for Elderly Patients

The two types of cataract operations for the elderly are Phacoemulsification (Phaco) and Extracapsular surgery, both of which are effective at removing the cataract. Your loved one’s doctor will discuss which option is recommended depending on their individual needs.

Phaco entails making a small incision in the cornea, followed by the insertion of a small device that emits ultrasound waves to slowly break the cataract down. Once it has dissolved, the surgeon will suck the particles out of the eye and lens’ clarity will be restored. Extracapsular surgery is essentially a quicker process of Phaco; instead of breaking the cataract down, the surgeon will make an incision large enough to remove it in one piece.

While there are some risks involved with surgical intervention, cataract surgery for elderly patients is one the safest and most effective procedures available. 90% of individuals notice a marked increase in their vision afterwards.

Identifying the problem and discussing the best ways to treat cataracts with your doctor can help ensure years of healthy vision for many older adults.

For more information, please review our Cataracts Resources.

3 Responses to Cataract Surgery Options for Elderly Patients

  1. Eye Doctor January 28, 2014 at 10:48 am #

    Some of the information above is correct. Glaucoma has irreversible blindness, cataracts are the leading cause of reversible blindness. Your lens is not cleaned as is suggested above. It is removed and replaced with a man-made lens. This allows for correction of refractive error(need for glasses) and often patients only need reading glasses or possibly no glasses after surgery. Very rarely is extracapsular surgery performed anymore as it is higher complication, longer recovery than clear corneal cataract extraction.

  2. Eye Doctor January 28, 2014 at 10:52 am #

    Cataracts often begin to onset around age 50 (you can call that elderly if You wish). Most surgeries are performed in the age range of 60 to 75 years old.

    • naresh March 14, 2014 at 4:27 pm #

      I have a question. If patient is having Glaucoma & catrat both. Will it be done in one operation? Or it requires different procedure?

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