posterior polar cataract

1.What is probability of success in operation.Probability of neuclus drop/capsul rupture during operation.
2. What are essensials of operation from paitient poin of view.
3.Which type of post operation complications are likely to be and care is needed.
4.Whether operation needs presence of retina surgeon along with cataract surgeon.
5.Whether operation is avoidable as have similar cataract in both eyes.Left eye is more effected.
6.Any specialist known for this type of cataract operation in INDIA.

[John C Hagan III, MD, FACS, FAAO]

1. It is definietly higher than normal since the back wall has a hole in it.
2. Nothing from the patient except understanding higher than nomral risks.
3. Dropping the nucleus into the vitreous and needing a second operation to get the nucleus out.
4. Retina surgeon needs to be available. Almost none are done with a retina surgeon actually scrubbed in on the case.
5. No surgery doesn't need to be done until cataract causing "significant problems with vision"
6. I don't know any, I'm sure they are. Indians are fine surgeons and respected ophthalmologists.

JCH II MD

[coolac]

Hello Dr. Hagan,

Is a posterior polar cataract alwaya associated with a hole in the back? Is the probability of a hole or a tear increased if you wait to have surgery? Does this effect the final outcome of the surgery if you are willing to go with mono focal IOLs?