Complicated cataract surgery without intraocular lens implantation



Submitted by Anonymous (not verified) on Sun, 06/11/2017 - 09:46
United States
Did you perform any surgery for the eyes?

Cataract Eye Surgery

Do you suffer from pre-existing illnesses in the eye?


Do you suffer from any diseases in the body?
Do you use any eye drops?
Do you use any eye drops?





My 80 year old mother just underwent cataract surgery this morning. She was in theater (fully awake)for over an hour. She was aware that the procedure was not going well.

They were unable to attach a lens and she has been sent home without a lens and a patch until tomorrow morning. The eye was also stitched.

The cataract was thick but what could have gone so wrong and is it possible to insert a lens at a later stage?

Please help. She is extremely distressed.




Thanks for your question.



One of the most common complications that can occur during cataract surgery especially when the cataract is thick and mature, is rupture of the posterior capsule or the back surface of the bag which surround the cataract.

The intraocular lens (IOL) in this case can be inserted either in the bag (in case the rupture is small) or in the sulcus which is the space between the bag and the back of the iris or it can be inserted in anterior chamber.

Sulcus insertion needs a different power of the IOL. Anterior chamber insertion needs a different power and type of IOL. Some doctors will insert the IOL at the time of the surgery and some of them will insert the IOL after few days or week.

Other intra-operative complications that can occur with rupture posterior capsule are retinal detachment or drop of parts of the cataract to the posterior part of the eye. In both of these situations, a retinal surgeon should be involved in the treatment.

Double check with your doctor about the events that happened during the operation and the reason why IOL was not inserted during the surgery, maybe there was no complication at all. You should also ask your doctor about his future plans for your mother.

Imp.Note: The information provided on this website is intended for your consideration only and should not be regarded as a substitute for professional medical advice.

My intention is to give you useful information about eye diseases and any recommendations I make are not intended to diagnose, treat, cure of prevent any illness.

You should not use any information contained on this website to self-diagnose or treat any medical condition or disease and you should always speak with your own health care provider before taking any dietary, nutritional or herbal supplements.