If you can find a retinal problem before surgery, its a preexisting condition (i.e. the patient owns the problem). If you find the problem after cataract surgery, it‘s considered a complication of the surgery and this puts pressure on us to do pre-operative diagnosis.
ZEISS Workflow solutions for challenges of dense cataract
ZEISS offers reliable technologies and services to optimize cataract procedures - even when a supposedly routine case turns into a challenge.
After the removal of a dense cataract, patients expect to quickly and permanently regain perfect vision. However, post-operative complications like inflammation and edema can be more common after hard cataract surgery, and, longer term, issues like dislocated IOLs or dysphotopsias may occur.5,6
M. Colvard, Phacoemulsification of the rock hard cataract, Eyeworld 2012, https://www.eyeworld.org/article-phacoemulsification-of-the-rock-hard.
U. Devgan, Dense brunescent cataracts present surgical challenges, Ocular Surgery News 2011, https://www.healio.com/news/ophthalmology/20120331/dense-brunescent-cataracts-present-surgical-challenges.
S.Garg, Surgeons meet challenges of removing rock-hard cataracts, Ocular Surgery News 2018, https://www.healio.com/news/ophthalmology/20181010/surgeons-meet-challenges-of-removing-rockhard-cataracts.
A.Brissette, OCT Is Indispensable for Pre-op Cataract Evaluation, Opthalmology Management 2019, https://www.ophthalmologymanagement.com/newsletters/insights-into-integrated-diagnostic-imaging/may-2019.
R. J. Olson, MD, Salt Lake City, Review of Ophtalmology, PUBLISHED15 JANUARY 2005 Demystifying Dysphotopsia.
R. Varsits, N. Hirnschall, B. Doeller, O. Findl; Increasing the number of successful axial eye length measurements using swept-source optical coherence tomography technology compared to conventional optical biometry; presented at ESCSR 2016.