Can Cataracts Rupture, and What to Do?

Cataracts develop when the transparent eye lens becomes foggy. A clear lens is necessary for the eyes to see effectively as it allows the passage of light. The lens helps focus light, allowing the brain and eye to function together to process details.

When cataracts cloud the eyes, they fail to function effectively. It results in blurred vision and other vision changes. Treatment for cataracts involves surgery. It is helpful to find out if cataracts can rupture and what to do.

Risk of Developing Cataracts

Some individuals are more predisposed to developing cataracts than others, such as:

 

• People over 40
   

• Cigarette smokers
   

• People with a family history of cataracts
   

• Heavy alcohol drinkers
   

• People who live in badly polluted areas
   

Over 50 percent of individuals over 80 years old have had cataracts. In some rare cases, babies may develop cataracts due to congenital disabilities.  

Treating/Managing Cataracts

If cataracts are mild, a new glasses prescription may be all that is required. However, cataracts tend to worsen over time. It means that eventually, the patient will need surgery to remove them.

Cataract removal surgery is ideal when vision loss makes it difficult to perform daily activities. In some cases, cataract surgery can help treat age-related conditions like changes in the retina or diabetic retinopathy. 

During Cataract Surgery

An ophthalmologist at Quality Eye Care performs cataract surgery by removing the clouded lens and replacing it with an artificial implant. The clear implant fits the eye since it is unique for the patient’s vision needs.

The procedure is straightforward, taking about one hour. Local anesthesia helps numb the area, and the patient is awake throughout the surgery.

Can Cataracts Rupture?

Cataract surgery is usually routine, and complications are minimal. However, there are cases where the cataract ruptures. The posterior capsule can break, turning a simple procedure into a complex issue. Every eye surgeon has had to deal with a rupture at some point.

When the posterior capsule ruptures, the vitreous fluid enters the anterior chamber. The surgeon must work to preserve part of the capsule before implanting the IOL to complete the procedure. Trying to preserve as much of the capsule as possible is desirable.

Results of a Broken Cataract

A ruptured posterior capsule increases the patient’s risk of developing endophthalmitis, cystoid macular edema, retinal detachment, and vitreous traction. It can also lead to retained cataract fragments, displaced IOL position, and other vision-threatening complications.

However, the patient can expect a positive visual outcome with the right techniques and proper management. The surgeon needs to remove all traces of the vitreous to reduce the chances of leakage or infection. Implanting an IOL should be avoided if it might cause further eye trauma.

It is crucial to deal with the complications of a ruptured capsule immediately after it happens. Dealing with the issue promptly will help address the challenges more effectively. It will help prevent or minimize vitreous prolapse. The surgeon can implant the secondary IOL in a later operation.

For more on whether cataracts can rupture and what to do, visit Quality Eye Care at our office in Jacksonville or Gainesville, Florida. Call (904) 601-1300 today to schedule an appointment.