Canine Cataract Surgery with a lens implant #2

[Rissaa03]

wow this was amazing to watch. I wish I could afford to have this done for my chihuahua. thank u for sharing your work.

[johnbl1954]

you definitely need to optimize your fluidics (asp rate and vacuum),,there is a lot of lens piece repulsion that is not helping the corneal endothelium

[ExFilmaker2]

@johnbl1954 I concur.

[jeffbrant]

To me, it appears that the canine capsular bag is considerably stronger and more forgiving than the human capsular bag. If you inadvertently tear the posterior capsule, do you perform anterior vitrectomy? If so, and you can't get a PC IOL in the bag safely, do you implant a 3-piece IOL in the ciliary sulcus (since, at least in humans, plate-haptic IOLs such as the one in this video are not safe to implant in the sulcus). Nice job!

[EyeCareForAnimals]

The canine posterior lens capsule is 2 to 4-um thick, which can easily tear. If this occurs inadvertently, then a curvilinear capsulorhexis is performed. If the anterior vitreal face is intact and significant vitreal degeneration is not present, then an anterior vitrectomy is usually not performed. At this time there are limited IOL's for use in the canine, however, there are IOLs that can be sutured in the ciliary sulcus if the integrety of the capsular bag will not hold a foldable IOL.

[EyeCareForAnimals]

If both eyes have the same type of cataract then Yes it is better to do both at the same time. It is usually more cost effective to do both at the same time. However, there are times when only one eye can or need be done.

There are different techniques to the surgery but the outcome is basically the same. The goal is to remove the cataract and replace with an artificial lens.

[MDINHI]

Are there different stages of cataracts... does it matter when the surgery is done...ie..is it better to have it done as soon as it is noticed... Should only one eye be done.. or both at the same time...and are there different methods... Sorry for all the questions... but I dont speak the language here.. and feel a bit helpless.. Your surgery looks very professional and thorough... I hope I can get the same professional care here...

[EyeCareForAnimals]

Yes, there are several different stages of cataracts based on how dense they are.

It depends on the stage of the cataract but in general it is better to have cataract surgery (if recommended by an ophthalmologist) done sooner than later because chronic cataracts can cause other problems that can effect the outcome of the surgery.

[MDINHI]

Doc... I moved to Japan from Hawaii... I got a cocker spaniel and he only 8 months old.. I noticed a milky look to his eyes today.. I took him to the vet today.. and she said that he is getting cataracts... Needless to we were shocked.. We setup an appointment for an eye specialist in Japan... I am just worried .. can you give any advice .... if the Vet Surgical care is anything like the dental care here... I am worried... Thanks ahead of time for any input...

[EyeCareForAnimals]

The veterinary ophthalmologist will be able to determine if the cloudiness is indeed a cataract or simply a normal aging change called nuclear (lenticular) sclerosis. They are very different and sclerosis does not require surgery.

Cataracts do not always require surgery right away unless vision is being impaired or they are due to diabetes. The veterinary ophthalmologist you see will advise you as to the best plan for your pet following the examination.