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Doctor Koch

ophthalmologist, cataract and vitreo-retinal surgery

Doctor Piens

ophthalmologist, glaucoma and medical retina

Thursday afternoon:
Dr Koch

Clinique du Parc Leopold :
38 rue Froissart
1040 Etterbeek

Téléphone : 02/379-03-76

Tuesday morning:
Dr Piens

Thursday and Friday morning and Saturday:
Dr Koch

Private consultation
91 Avenue Henri Jaspar
1060 St-Gilles

Phone : 02/379-03-76

Private surgery:
Dr Koch

Parc Leopold clinic (CHIREC)
38 rue Froissart
1040 Etterbeek

Phone : 02/379-03-76

drkoch@docteurkoch.be
drpiens@docteurkoch.be

Cataract surgery

The cataract is an opacification, with time, of the natural lens of the eye. The development of cataract induce some visual troubles such as decreased vision, difficulties for color discrimination, light glare, limitations for reading, etc… This pathology develops more frequently after the age of 60 but can occur at any age for various reasons.

However, any reduction or change in vision should lead you to consult an ophthalmologist as soon as possible to exclude other pathologies (among the most common: age-related macular degeneration or AMD, glaucoma, retinal thrombosis, …).

If the cataract remains the first cause of blindness in developing countries due to the lack of surgeons, cataract surgery constitute one of the most common operation performed in western countries with the highest surgical success rate in human.

For this reason, surgery is more often early in the development of the pathology. However, as any surgery, risks of complications exist (though very rare) that your ophthalmologist can explain if you wish. For such reason, it is preferable to intervene only when your quality of life is diminished by the development of your cataract.

Surgery consists of replacing the natural lens suffering from cataract by an intraocular lens with a power that can be determined by mutual agreement with your surgeon, based on your visual expectations and ocular anatomy. The operation is performed in One Day clinic under local anesthesia. The anesthesiologist will inject you an intravenous product to relax you during the surgery whereas the surgeon will instill some drops in your eye. Since the cataract is frequently developing symmetrically, the operation of the second eye should be realized approximately one month after the first one.

Different consultations will be performed for your postoperative follow-up before prescribing, if necessary, new glasses few weeks after the surgery.

After the surgery, vision quickly improves. However, it is possible that you suffer from a cataract associated to other pathologies which can limit your visual recovery; being due to an AMD (sometimes difficult to observe before the cataract surgery because of limited fundus visibility) or following corneal weaknesses for example. These pathologies are diagnosed before the cataract surgery in the vast majority of cases and you should then discuss with your surgeon of the surgical interest compared to the estimated benefits following the underlying pathology.s

Always remember that trust is gold and so do not hesitate to ask any questions related to your surgery before the operation.

A patient who does not understand is a surgeon who fails to make himself understood!

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