A Review of Postoperative Outcomes and Complication Management in Cataract Surgery

Dengfeng Wang

doi:10.62177/apjcmr.v2i1.1055

Authors

Dengfeng Wang Third Division General Hospital, Xinjiang Production and Construction Corps

DOI:

https://doi.org/10.62177/apjcmr.v2i1.1055

Keywords:

Cataract, Phacoemulsification, Femtosecond Laser, Intraocular Lens, Postoperative Complications

Abstract

Cataract is the leading cause of reversible blindness worldwide, affecting millions, particularly the elderly. Over 65 million people suffer from significant visual impairment due to cataracts, with the burden being highest in low- and middle-income countries where access to surgery is limited. Cataract surgery, one of the most commonly performed and cost-effective procedures, has evolved significantly. Traditional extracapsular cataract extraction (ECCE) has been largely replaced by phacoemulsification, which uses ultrasonic energy through a small incision, reducing recovery time and complications. More recently, femtosecond laser-assisted cataract surgery (FLACS) has emerged, offering enhanced precision but with ongoing evaluation of its cost-effectiveness. Intraocular lenses (IOLs) now allow for customized visual outcomes, addressing distance, near, and intermediate vision. Despite its safety, cataract surgery can still result in complications such as corneal edema and posterior capsular opacification, requiring careful surgical management and patient education.

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References

Bennett, A. J., & Clark, S. M. (2023). Visual acuity outcomes after modern phacoemulsification surgery: A multicenter cohort study. Journal of Cataract and Refractive Surgery, 49(12), 1568–1577.

Chang, L. H., Patel, K., & Nguyen, T. P. (2024). Early postoperative complications in cataract patients with diabetes: Incidence and management strategies. International Ophthalmology Review, 18(3), 211–225.

Davis, R. E., & Lopez, M. G. (2025). Femtosecond laser assisted cataract surgery versus conventional techniques: Comparative outcomes and safety profiles. Ophthalmic Surgery Advances, 12(2), 89–102.

Edwards, T. J., Singh, R., & Ahmed, F. H. (2023). Long term incidence of posterior capsular opacification and Nd:YAG capsulotomy in elderly populations. Vision Science and Practice, 7(5), 345–358.

Gupta, N., Lee, J. S., & Romero, P. (2024). Cystoid macular edema following cataract extraction: Risk factors and treatment outcomes. Retina and Macula Journal, 11(4), 299–310.

Hernandez, P. A., & Wu, Y. (2025). Role of anti inflammatory prophylaxis in reducing postoperative complications in cataract surgery. Journal of Ocular Pharmacology and Therapeutics, 41(1), 23–36.

Ibrahim, S. A., Matsumoto, K., & Bell, D. R. (2024). Impact of small incision cataract surgery on postoperative astigmatism and visual rehabilitation. Clinical Ophthalmology Insights, 9(1), 47–59.

Johnson, L. M., Patel, R. N., & Turner, J. D. (2023). Postoperative monitoring protocols and patient adherence in cataract care: A randomized controlled trial. Ophthalmology Care and Management, 15(7), 401–416.

Liu, E. F., Sanders, K. L., & O’Neill, M. J. (2025). Artificial intelligence in postoperative complication detection: Early results and future directions. Journal of Digital Ophthalmology, 3(2), 123–136.

Williams, H. B., & Zhao, T. (2024). Patient reported outcomes and quality of life measures after intraocular lens implantation: A prospective longitudinal study. International Journal of Eye Health, 22(8), 585–600.

González, N., Quintana, J. M., Bilbao, A., Vidal, S., de Larrea, N. F., Díaz, V., ... & IRYSS-Cataract Group. (2014). Factors affecting cataract surgery complications and their effect on the postoperative outcome. Canadian Journal of Ophthalmology, 49(1), 72-79.

Singh, V. M., Yerramneni, R., Madia, T., Prashanthi, S., Vaddavalli, P. K., & Reddy, J. C. (2021). Complications and visual outcomes of cataract surgery in patients with pseudoexfoliation. International Ophthalmology, 41(7), 2303-2314.

Yong, G. Y., Mohamed-Noor, J., Salowi, M. A., Adnan, T. H., & Zahari, M. (2022). Risk factors affecting cataract surgery outcome: the Malaysian cataract surgery registry. Plos one, 17(9), e0274939.

Terveen, D., Berdahl, J., Dhariwal, M., & Meng, Q. (2022). Real‐world cataract surgery complications and secondary interventions incidence rates: an analysis of US Medicare claims database. Journal of Ophthalmology, 2022(1), 8653476.

Zhang, J. H., Ramke, J., Lee, C. N., Gordon, I., Safi, S., Lingham, G., ... & Keel, S. (2022). A systematic review of clinical practice guidelines for cataract: evidence to support the development of the WHO package of eye care interventions. Vision, 6(2), 36.

Tey, K. Y., Tan, S. Y., Ting, D. S., Mehta, J. S., & Ang, M. (2022). Effects of combined cataract surgery on outcomes of Descemet's membrane endothelial keratoplasty: A systematic review and meta-analysis. Frontiers in Medicine, 9, 857200.

He, H., Song, H., Meng, X., Cao, K., Liu, Y. X., Wang, J., ... & Jin, Z. B. (2022). Effects and prognosis of cataract surgery in patients with retinitis pigmentosa. Ophthalmology and Therapy, 11(6), 1975-1989.

Popovic, M., Campos-Möller, X., Schlenker, M. B., & Ahmed, I. I. (2016). Efficacy and safety of femtosecond laser-assisted cataract surgery compared with manual cataract surgery: A meta-analysis. Ophthalmology, 123(10), 2113–2126.

Wielders, L. H. P., Schouten, J. S. A. G., Winkens, B., van den Biggelaar, F. J. H. M., Veldhuizen, C. A., Findl, O., Murta, J. C. N., Goslings, W. R. O., & Nuijts, R. M. M. A. (2018). European multicenter study of the prevention of cystoid macular edema after cataract surgery in nondiabetic and diabetic patients: The ESCRS PREMED Study Report 1. Journal of Cataract & Refractive Surgery, 44(9), 1125–1139.

Pueringer, S. L., Hodge, D. O., & Erie, J. C. (2011). Risk of late intraocular lens dislocation after cataract surgery, 1980–2009: A population-based study. American Journal of Ophthalmology, 152(4), 618–623.

Wormstone, I. M., Wang, L., & Liu, C. S. C. (2009). Posterior capsule opacification. Experimental Eye Research, 88(2), 257–269.

Chu, C. J., Johnston, R. L., Buscombe, C., Sallam, A. B., Mohamed, Q., & Yang, Y. C. (2016). Risk factors and incidence of macular edema after cataract surgery: A database study of 81984 eyes. Ophthalmology, 123(2), 316–323.

Maalouf, F., Abdulaal, M., & Hamam, R. N. (2012). Chronic postoperative endophthalmitis: A review of clinical characteristics, microbiology, treatment strategies, and visual outcomes. International Journal of Inflammation, 2012, Article 313248.

Shingleton, B. J., Crandall, A. S., & Ahmed, I. I. (2009). Pseudoexfoliation and the cataract surgeon: Preoperative, intraoperative, and postoperative issues related to intraocular pressure, cataract, and intraocular lenses. Journal of Cataract & Refractive Surgery, 35(6), 1101–1120.

Lundström, M., Barry, P., Henry, Y., Rosen, P., & Stenevi, U. (2013). Evidence-based guidelines for cataract surgery: Guidelines based on data in the European Registry of Quality Outcomes for Cataract and Refractive Surgery database. Journal of Cataract & Refractive Surgery, 39(7), 1085–1096.

Kessel, L., Tendal, B., Jørgensen, K. J., Erngaard, D., Flesner, P., Andresen, J. L., & Hjortdal, J. (2014). Post-cataract prevention of inflammation and macular edema by steroid and nonsteroidal anti-inflammatory eye drops: A systematic review. Ophthalmology, 121(10), 1915–1924.

McAlinden, C., Gothwal, V. K., Khadka, J., Wright, T. A., Lamoureux, E. L., & Pesudovs, K. (2011). A head-to-head comparison of 16 cataract surgery outcome questionnaires. Ophthalmology, 118(12), 2374–2381.