Cataract is a common disease in ophthalmology, and many medical examiners will ask the ophthalmologist, "Do I have cataracts and can I be treated with eye drops?" "Doctor, is my cataract serious and does I need surgery?"
In response to these problems in the outpatient clinic, on April 11, Professor Rao Huiying, director of the Department of Ophthalmology, chief physician and medical doctor of Fujian Provincial Hospital, was a guest in the "Doctor I Want to Ask: Provincial Live Room" to share the knowledge of cataract. Up to now, there have been about 210,000 online views and recalls on multiple platforms.
Presbyopia reduction can be a trick to cataracts
"The human eye is like a 'camera', and the lens in the eye is like a 'lens'. When cataracts appear in the eyes, it is like the 'lens' becomes cloudy, making it difficult to take clear pictures. At the beginning of the live broadcast, Rao Huiying made a visual analogy and introduced the cause of cataract to the audience.
In addition to blurred vision, decreased contrast sensitivity, particularly unclear vision at night, deepening myopia, loss or change in visual field, and double vision are all symptoms that can accompany cataracts. If you have these symptoms, you need to see an eye doctor in time.
It should be reminded that some elderly people who were originally presbyopia found that they could write and read newspapers clearly without reading glasses for a period of time, so they secretly rejoiced that their presbyopia symptoms had improved. In fact, this sudden reduction of presbyopia symptoms may be a trick of cataracts, but it is actually a sign of worsening cataracts.
Generally speaking, this kind of vision does not last long, and as the cataract becomes more severe, the patient's near and distance vision will gradually blur. Therefore, if you find this situation, you should seek medical attention in time and do not have a fluke mentality.
Can you pick cataracts when they are "cooked"?
According to Rao Huiying, senile cataract is a very common degenerative eye disease. Cataracts can occur at any age, and she has seen a 9-year-old child with cataracts. However, cataracts are more common in people over 50 years old, and the probability of cataracts in people over 80 years old is almost 100%.
So, how to treat cataracts? In the comment area, many netizens raised their confusion: "Do you have to wait until the cataract is ripe to pick it?"
In this regard, Rao Huiying explained that cataract, as a blinding eye disease, should be detected and treated early, and the view that 'it must wait until maturity' is outdated.
The reason for this is that cataract surgery was relatively backward a few decades ago, and it was necessary to wait until the cataract had developed to a very hard "core". Nowadays, early treatment can not only enjoy good vision, but also prevent complications.
"Usually the opacity of the lens is more obvious, which has affected the normal life of the patient, and the vision loss is more serious, such as falling to about 0.5, then surgery can be considered. Rao Huiying said.
Surgery usually takes about 10 minutes to regain the patient's sight
How long does cataract surgery take?
Will it hurt?
Will I be hospitalized after surgery?
On air
Many patients are afraid of surgery
Raised their own perplexities.
In this regard, Rao Huiying said with a smile: "The whole process of cataract surgery is very fast, usually I am used to asking patients to count a thousand numbers silently to divert attention, but often they only count to five or six hundred, and the operation is completed, which greatly reduces the patient's fear of cataract surgery." ”
Nowadays, cataract surgery is very mature, and most patients only need eye drops and local anesthesia, and the whole procedure can feel comfortable. Among them, phacoemulsification surgery, which is widely used in clinical practice, has become the mainstream surgical method due to its short operation time, the size of a ballpoint pen refill, fast recovery, and few postoperative complications.
In addition, patients can also choose different functional intraocular lens implantation according to their actual situation, which can not only regain their sight, but also meet the patient's vision needs throughout the process.
Recently, the first batch of the country's and the world's first world's most advanced 3D digital navigation microscope in Fujian Province settled in Fujian Provincial Hospital.
The ophthalmology department of the hospital has started a new journey of 3D surgery, and more than 100 cataract and other ophthalmic surgeries have been completed within one week of installation, among which many complex refractive cataract phacoemulsification combined with intraocular lens implantation have greatly improved the effect and efficiency of cataract surgery.
Since cataract surgery is a day surgery, most patients can be hospitalized on the same day, operated on the same day, go home to rest on the same day, or choose to stay overnight for observation and be discharged the next day, or even return to normal work the next day.
Cataract surgery has fewer complications, but there are more postoperative considerations.
Rao Huiying reminded patients to pay attention to eye rest after surgery, avoid long-term eye use, prevent eye fatigue, avoid rubbing the eyes with hands, so as not to cause eye infection, pay attention to light diet, avoid spicy and irritating food, and consume more vitamin-rich fruits and vegetables.
During the live broadcast, the audience was also given free consultation quota benefits, and the winning netizens were as follows: Wen Chuan, Zhang Wenjuan, wxl, and Si.
Organization of the event
Organizers: Fujian Health News, Fujian Daily
Co-organizer: Fujian Provincial Hospital