Name of the Procedure:

Removal of Lens Material; Extracapsular

• Common names: Extracapsular Cataract Extraction (ECCE), Extracapsular Lens Removal

Summary

Extracapsular cataract extraction (ECCE) is a surgical procedure where the cloudy lens of the eye, commonly known as a cataract, is removed while leaving the bulk of the lens capsule intact. This method ensures that the eye retains most of its structural integrity and offers a surface to support a lens implant.

Purpose

ECCE addresses cataracts, an eye condition where the lens becomes cloudy, leading to blurry vision and difficulty seeing clearly. The goal is to remove the clouded lens material to restore clear vision and improve the patient's quality of life.

Indications

• Significant vision impairment due to cataracts.
• Symptoms include blurry vision, glare, difficulty reading, and trouble seeing at night.
• Patients for whom other treatments, such as corrective eyewear, are no longer effective.

Preparation

• Patients may need to fast for a few hours before the procedure.
• Preoperative eye examination and measurements for the lens implant.
• Instructions on medication adjustments, particularly blood thinners.
• Antibiotic eye drops may be prescribed to prevent infection.

Procedure Description

1. Local anesthesia is administered to numb the eye.
2. A small incision is made in the cornea.
3. The surgeon removes the front portion of the lens capsule.
4. The lens material is extracted, leaving the capsule in place.
5. An artificial intraocular lens (IOL) is implanted to replace the removed lens.
6. The incision may be closed with stitches or self-sealing.

Duration

The procedure typically takes about 30 to 60 minutes.

Setting

ECCE is usually performed in an outpatient surgical center or hospital.

Personnel

• Ophthalmic surgeon
• Anesthesiologist or nurse anesthetist
• Operating room nurse(s)
• Surgical technicians

Risks and Complications

• Common risks: Infection, bleeding, increased intraocular pressure.
• Rare risks: Retinal detachment, significant vision loss, chronic inflammation.
• Management: Medication for minor complications; additional surgery for severe complications.

Benefits

• Improved vision clarity
• Reduced glare and better night vision
• Enhanced overall quality of life
• Benefits are typically realized within a few days to weeks post-surgery.

Recovery

• Use of prescribed antibiotic and anti-inflammatory eye drops.
• Avoid rubbing the eye and strenuous activities for a few weeks.
• Follow-up appointments to monitor healing and adjust medications.
• Most patients resume normal activities within a few days, with complete recovery in about 4 to 6 weeks.

Alternatives

• Phacoemulsification (a less invasive cataract removal technique)
• Laser-assisted cataract surgery
• Non-surgical options like stronger eyeglasses might offer temporary improvement.
• Comparison: ECCE may be chosen if the cataract is too dense for phacoemulsification.

Patient Experience

• Minimal discomfort during the procedure due to local anesthesia.
• Postoperative mild discomfort, light sensitivity, and blurry vision are common.
• Pain is usually manageable with over-the-counter pain medication.
• Temporary eye patch or shield usage might be required.