Cataracts are a common eye problem that can often lead to blindness if it remains untreated.
There are several surgical techniques available to treat the condition, among which Extracapsular Cataract Extraction (ECCE) is the most popular.
The procedure is highly safe to perform, has good success rates, and can improve one’s vision effectively.
Since it is one of the most popular Cataract surgeries, it is important to learn its pros and cons.
This article will discuss the steps, advantages, and disadvantages of this Cataract Surgery.
What is Extracapsular Cataract Extraction
Extracapsular Cataract Extraction, commonly known as ECCE, is a form of Cataract surgery.
In this procedure, a portion of the capsule of one’s lens is removed, allowing only the extraction of the nucleus and cortex.
The nucleus and the cortex of the eyes help a person focus their vision on an object clearly.
The procedure helps remove these affected parts when they become too opaque and rigid.
The lens is then replaced with an artificial lens, leading to improvement in one’s vision.
Extracapsular Cataract Extraction Steps
Source: Signature_imagesThe ECCE happens in several steps, which ensures its safety and effectiveness. The steps are as follows:
- Anesthesia: In order to make sure the procedure is painless, the patient is given anesthesia to numb their eyes
- Creating an incision: After the anesthesia, an incision of 10 mm is made in the cornea (clear front part of the eyes) to get access to the lens of the patient
- Lens Extraction: In this step, only the cortex and cloudy lens nucleus are extracted from the anterior capsule. This leaves the posterior capsule of the lens intact
- IOL implantation: After the extraction, the surgeons place an artificial Intraocular Lens (IOL) to replace the natural lens. However, the selection of the IOL depends on the individual and surgeon performing the surgery
- Closure: Stitches are used to close the incision, or, in some cases, self-sealing incisions are also made, which do not require any stitches
The patient is usually observed for a short time after the procedure to make sure there are no immediate complications.
Posterior Capsule is the rear, transparent part of the eye lens. It helps maintain the lens shape and supports the placement of the Intraocular Lens (IOL) during the Cataract surgery.
Advantages of Extracapsular Cataract Extraction
The procedure of ECCE has several advantages, among which its effectiveness for advanced Cataracts is commendable.
According to research, with the improvement of ECCE techniques, its success rate is about 90% to 95% now.
In this procedure, the surgeons have the flexibility to select the most appropriate IOL.
The Extracapsular Cataract Extraction can also help in correcting the shape of the cornea or lens (Astigmatism).
ECCE is also more cost-effective than other surgery techniques for treating Cataract Symptoms.
Extracapsular Cataract Extraction Complications
Although there are several advantages of Extracapsular Cataract Extraction, there are also a few complications.
Like any other surgical procedure, ECCE may also pose a risk of infection, which is usually treatable using antibiotics.
Some patients may experience temporary eye swelling, which may go away with time.
Research states that it has longer surgical time and can take much time for patients to recover.
The lens that is placed during the ECCE can obstruct the flow of fluid in one’s eyes, raising one’s eye pressure.
This increase in the Intraocular Pressure increases the risk of Open-Angle Glaucoma in individuals.
Conclusion
Extracapsular Cataract Extraction (ECCE) is one of the most popular Cataract eye surgery methods.
In this procedure, an incision is made in the cornea, and the cortex and nucleus of the lens are extracted.
After the extraction, an artificial Intraocular Lens (IOL) is placed, which improves the vision.
This surgical procedure is cost-effective, has a success rate of 90%-95%, and can also correct the shape of one’s lens or cornea.
However, it can result in swelling, infections, and Open-Angle Glaucoma in some individuals.
It is best to consult a medical expert thoroughly before undergoing Extracapsular Cataract Extraction.
Frequently Asked Questions
Are there any Extracapsular Cataract Extraction types?
No, there are no types of Extracapsular Cataract Extraction (ECCE). However, ECCE has its variants, such as Manual Small Incision Cataract Surgery (SICS) and Phacoemulsification.
What is the recovery time after Extracapsular Cataract Extraction?
The duration for recovery after ECCE depends on the size and type of Cataracts. The full recovery of a patient after the procedure may take four to six weeks in general.
Is Extracapsular Cataract Extraction the right choice for all Cataract patients?
No, Extracapsular Cataract Extraction might not be the right choice for all Cataract patients. It is usually reserved for advanced Cataracts or specific cases. It can depend on the Cataract type and the surgeon.
How does a person prepare for Extracapsular Cataract Extraction?
The preparation of the Extracapsular Cataract Extraction starts with pre-operative eye exams. Doctors may ask the patients to fast or avoid certain medications before the surgery.
What is the difference between Extracapsular and Intracapsular Cataract Extraction?
Extracapsular Cataract Extraction involves removing the cloudy lens while leaving the lens capsule intact and requires a larger incision. Intracapsular Extraction removes both the lens and its capsule and can reduce post-surgery complications due to removing the entire lens.
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