Cataract Operations

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Cataract Operations

An unnoticeable, transparent - natural lens is located just behind the coloured part of the eye. This lens is very transparent which is why we see the pupil as the colour black. This lens reflects the light which is received by the eye on a layer of nerves, and it must definitely be transparent so that light can reach the layer of nerves. If the lens loses its transparency and becomes blurred, this is known as cataract. This opacity can occur in any part of the lens or all around it.

The cataract surgery procedure basically consists of removing the lens of the eye and replacing it with an artificial lens.That lens is called intraocular lens (IOL) Normally, the lens of the eye is transparent. Cataracts cause clouding of the lens. 

Your eye doctor will probably suggest cataract surgery if you have vision loss that cause difficulties in most of the everyday activities such as driving, reading and watching television. Cataract surgery is performed by an ophthalmologist on an outpatient basis. There are procedures you need to do to prepare for your cataract surgery. Your doctor will explain to you exactly what to do. The patient doesn't have to stay in the hospital after the procedure. 

In this article, we will talk about cataract operation genareally. Causes of cataract, techniques in cataract surgery, prepairing for cataract surgery and choosing the right intraocular lens for cataract surgery are among the subtitles of the article.

Causes of Cataract 

After the age of forty, the proteins in the lens of the eye naturally begin to break down. These natural changes are known lead to cataract formation.

Exactly why cataracts occur continues to be investigated. Other than aging, some factors have been identified that make cataracts more likely can be lined up as below:

  • Diabetes
  • Serious eye injuries
  • Family record for eye diseases like cataract
  • Radiaton treatment for the other diseases like cancer
  • Smoking
  • Drinking a lot
  • Spending too much time in the sun with no sunglasses
  • Steroids used in the treatment of  arthritis and allergies

Techniques in Cataract Surgery

There are two types of cataract surgery in each different techniques are used for treatment.

  • Small-incision cataract surgery: also known as “Phacoemulsification”. Small incision cataract surgery is the most common type of cataract operation. The surgeon makes a small hole near the outer corner of the eye. A small probe emits ultrasound waves to dissolve the hard part of the cloudy lens. At the next stage, the remainder of the cataract material is removed by a probe.
  • Extracapsular surgery: In the technique used in this type of cataract surgery, a longer opening is made in the upper part of the eye to remove the hard center of the lens. The remainder of the cataract material is suctioned out through the large opening.

Preparing for Cataract Surgery: Important Considerations

Before having a cataract surgery, you have a preparition process. Preparing for cataract surgery is an important period. Your medical expert will talk to you in this period and tell you what to do. They will explain you some techniques like 

laser-assisted cataract surgery as well.

  • One week before your surgery, your doctor will do some tests. These tests help your eye doctor choose the right type of artificial lens.
  • Your eye doctor may prescribe you some eye drops to prevent eye infection.
  • If you are using a medicine that may cause bleeding during your surgery, you should not use this medicine for a while at the request of your ophthalmologist.
  • You should not eat or drink fluids the night before cataract surgery. Your ophthalmologist will warn you about this.
  • You may be asked to clean your eyelids and eyelashes with baby shampoo the night before and the morning of the surgery to minimize the risk of infection. Your eye doctor will make reminders about the subject.

Choosing the Right Intraocular Lens (IOL) for Cataract Surgery

Different Intraocular Lens (IOL) are shown to the patient as options and it is reached the stage where the most suitable one for the patient is selected. Before surgery, you will discuss the type of IOL that will best suit your lifestyle.

IOLs are made of plastic, acrylic, or silicone. Some IOLs block ultraviolet light, while others are hard plastic and are mounted through an incision that requires several stitches to close.

IOLs are generally flexible. The surgeon puts the lens into the empty capsule containing the natural lens. The folded IOL opens and fills the empty capsule.

Most known lens tyepse that are that taken consideration for each patient are:

  • Multifocal
  • Astigmatism correction
  • Accommodating focus monofocal
  • Fixed-focus monofocal

These lenses will improve your vision and you won’t feel the lens at all. The main purpose of these lenses is to bend light rays that come into your eye. They can be used life-long and no need any care.

OUR DOCTORS

Prof. Dr. Günhan Erbakan He was born in Ankara in 1945. He attended TED Ankara College, İzmir Bornova Anatolian High School and Ege University, Faculty of Medicine between 1963 and 1969, respectively. Upon his graduation, he started his specialization at Ege University, Faculty of Medicine, Eye Diseases Department and assumed the title of Eye Diseases Specialist in 1971. Between 1974 and 1975, he performed his military service as an ophthalmologist in Hatay Military Hospital in İzmir. After that, he was educated on Retinal Diseases and Lasers in Ophthalmology Clinic of the Faculty of Medicine at University of Gant, Belgium for 1 year. In 1977, he assumed the title of Associate Professor of Ophthalmology, and he founded and operated Retina and Contact Lenses units in Ege University, Faculty of Medicine, Department of Eye Diseases. In 1982 he became a Professor of Eye Diseases. Between 1992 and 2000, he served as the Head of Department of Eye Diseases, Faculty of Medicine, Ege University. In the meantime, he published 3 books and more than 150 domestic and foreign scientific papers, and about 170 papers in national and international congresses. He is married to Dr. Nigar Erbakan and has two sons.
Assoc. Prof. Dr. Esat Çınar Dr Esat Çınar was born in Diyarbakır in 1976. He started İstanbul University, Faculty of Medicine in 1997 and graduated in 2003. He completed his speciality degree between 2003 and 2009 at İzmir Ege University, Faculty of Medicine, Ophthalmology Department. He was in charge of Glaucoma and Cornea Departments as a Deputy Associate Professor in İzmir University Hospital Faculty of Medicine, Department of Ophthalmology. He studied “Keratoplasty” in Ege University, Faculty of Medicine for 6 months (also known as “eye transplant”). He also was in charge of the controls of the premature babies’ in İzmir University Ophthalmology Department. He attended the course for vivisection both in clinical and laboratory fields for one month. His special interests are; Cataract surgery (multifocal, trifocal and thoric intraocular lenses), Cataract surgery with laser (Femtosecond Cataract), Keratoplasty, glaucoma surgery (non-penetrant surgeries such as viscocanalostomy, deep sclerotomy), Excimer Laser Surgeries (Lasik, Lasek, PRK), medical retinal diseases. He has many published articles in international indexes. He has many verbal and written presentations in national and international scientific meetings. He is an active member of the Turkish Association for Ophthalmology. He speaks fluent English and has one child.
Opr. Dr. Gökhan Erbakan He was born in Izmir, in 1971. He attended summer school at Mids School of English, Eastbourn, England for learning a foreign language while he was in Bornova Anatolian High School and graduated with a high degree. He started his medical education at Ege University and continued with his specialization at JL Uni-Giessen, Germany, where he had the chance of working peer to peer with names such as Prof. Dr. Karl W. Jacobi, Prof Dr. Herbert Kaufmann, Prof. Dr. S. Pavlovic. Then, he found the opportunity to further his education in the field of refractive surgery by working with the most important names, such as Prof. Dr. T. Kohnen, JWG Uni-Frankfurt, Prof. Dr. I. Pallikaris, University of Crete, Prof Dr. Mahmut Kaşkaloğlu, Ege University Faculty of Medicine and Kaşkaloğlu Eye Hospital. Besides, he did scientific studies about medical glaucoma treatment, which is his other field of interest, with Ass. Prof. Dr. Karl Georg Schmidt, CGC Uni-Dresden. He is a member of DOG, ESCRS, ISRS of the AAO and TOD. He is married and has one child.
Opr. Dr. Lider Çelik He graduated from Hacettepe University Faculty of Medicine in 1998. He completed his speciality in İzmir Dokuz Eylül University Faculty of Medicine Department of Eye Diseases between 1998 and 2002. He studied Retinal Surgeries in Munich Ludwig – Maximillian University Faculty of Medicine, Department of Eye Diseases. Special Interests: Cataract Surgeries (Multifocal, Trifocal, Toric Intraocular Lenses), Laser Cataract Surgeries (Femtosecond, Laser Cataract), Excimer Laser Surgeries (Lasik, Lasek, PRK) and Medical & Surgical Retinal Surgeries, Eyelid Surgeries. He has many articles published which were also scientifically indexed. He has oral and poster presentations in national & international science meetings. He is an active member of Turkish Society of Ophthalmology. He speaks English & German well, and married with 2 children.
Opr. Dr. Sezar Mural He graduated from Istanbul University, Faculty of Medicine and completed his specialty training in S.S.K Istanbul Hospital in 1984. He worked at Çanakkale State Hospital between 1984 and 2007. After 2007, he worked in private sector health units. He is an active member of The Turkish Ophthalmology Association and American Cataract and Refractive Association. Anterior segment (cataract) medical retina, glaucoma and contact lens are his areas of interest. He has a good command of English.
Opr. Dr. Gökmen Yıldırım He was born in 1977. He graduated from Ege University. Fields of Interest: Cataract Surgery (Monofocal, Multifocal, Trifocal, EDOF, Toric Lenses) Excimer Laser (Femtosecond LASIK, PRK, No-Touch) ICL Keratoconus - Crosslink, Hard Contact Lens Application, Intrastromal Corneal Ring Strabismus Surgery Oculoplastic Surgery (Eyelid Aesthetic Surgery, Ectropium, Entropium, Ptosis, Probing, Tear Duct Obstruction) Pterygium Surgery (with Autograft) Glaucoma Medical and Laser Therapy Retinal Diseases (Intraocular Drug Injections, Diabetic Retinopathy, Yellow Spot Disease, Retinal Tears) Soft Contact Lens Inspection and Application He is a member of Turkish Association of Ophthalmology. He is married.
Opr. Dr. Kaan Okan Erdem Dr. Kaan Okan Erdem was born in İzmir, in 1968. He finished middle school in Private İzmir Türk College and high school in Atatürk High School. He studied medicine in Selçuk University Faculty of Medicine. He is an active member of European Association of Cataract and Refractive Surgery, European Association of Ophthalmic Plastic and Reconstructive Surgery. He is interested in cataract, refractive surgery, oculoplastic and reconstructive surgery (upper and lower eyelids, tumour removals around the eye, entropium, ectropium ptosis, blepharoplasty), eye ultrasound, medical retinal and glaucoma. He speaks fluent English and married with 2 children.
Opr. Dr. Uğur Karagöz He graduated from Dokuz September University Faculty of Medicine in 1996. He completed his specialized education in the Department of Ophthalmology of the Faculty of Medicine of the Aegean University between 1996-2001 and earned the title of ophthalmologist Dec. He has published numerous scientific articles that fall into international scientific indexes. There are numerous oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (Tod). He speaks good English, Opr. Dr. Uğur Karagöz is the father of 2 children. Special interests: Cataract surgery (multifocal, trifocal, Toric intraocular lenses) Cataract surgery with laser (Femtosecond Laser Cataract) Excimer laser surgeries (Lasik, Lasek, PRK) Medical and surgical Retina Eyelid Surgeries
Opr. Dr. Hasane Pehlivan Yoleri Born in Cyprus Serdarlı, he graduated from Nicosia Turkish High School. He graduated from Dokuz Eylul University Faculty of Medicine. He completed his specialization in Atatürk Health Site Yeşilyurt State Hospital with his thesis on the comparison of the rear camera lens application and the front camera lenses, which was started to be applied for the first time in the clinic under the management of Zühal Çakırca, the clinical chief. She worked as a contact lens center in İzmir for three years and then as chief physician at Karşıyaka Kızılay Fatma Kutluay Dispensary. He continued to work in Karşıyaka by establishing the Private Yalı Polyclinic in 2005 and the Private Yalı Eye Health Branch Center in 2007, his special interests are refraction and contact lenses. He is a member of the Turkish Ophthalmology Association.
Opr. Dr. Gazi Duman He graduated from Ege University Faculty of Medicine in 1989. Specialization he completed his education in Izmir Education and Research between 1991-1994. He completed his Ophthalmology Department at the Hospital. International A large number of scientific articles included in scientific indexes have been published. Numerous oral and poster presentations to national and international scientific meetings has a presentation. He is an active member of the Turkish Ophthalmology Association (TOD). Fluent in English, Opr. Dr. Gazi Duman is married and has two children. Special interests: Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgery (Lasik, Lasek, PRK) Medical and Surgical Retina Eyelid Surgery Strabismus Surgery
Opr. Dr. Hüseyin Aslankara He graduated from Dokuz September University Faculty of Medicine in 2005. September 2005-2010, he completed his specialty education in the Department of Ophthalmology of the Faculty of Medicine of Dokuz Eylül University and earned the title of ophthalmologist. Dec. He has published a large number of scientific articles that have entered international scientific indexes. There are many oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (TOD), the American Academy of Ophthalmology Association and the European Society of Cataract and Refractive Surgeons. He won the European Ophthalmology Qualification Exam (European Board of Ophthalmology) and became a FEBO. Opr, who is married and has 1 child. Dr. Hüseyin Aslankara speaks English well.  Special interests: Retinal Diseases and Vitreoretinal Surgery Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgeries (Lasik, Lasek, PRK) Strabismus Treatment and Surgery Children's Eye Diseases Eye Pressure (Glaucoma) Treatment and Operations Retinopathy of Prematurity and Its Treatment Eyelid Surgeries
Opr. Dr. Mustafa Alper Çerçi He was born in Nevşehir in 1977. He graduated from Ege University Faculty of Medicine in 2000. He completed his specialization education at Celal Bayar University Faculty of Medicine, Department of Ophthalmology between 2000-2004 and earned the title of ophthalmologist. He is the owner of the Turkish Ophthalmology Board Certificate, which was first given in 2003. A large number of scientific articles that entered international scientific indexes have been published. There are many oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (TOD). Between 2007 and 2008, Ophthalmology Manual for General Practitioners, Brucellosis in the Etiology of Uveitis and A.O.O.O. There are book translations in Wound Healing Chapters. Op. Dr. Mustafa Alper Çerçi is fluent in English. Special interests: Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgery (Lasik, Lasek, PRK) Medical Retina Eyelid Surgery Strabismus Glaucoma
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