Cataract


The disease

The crystalline lens is a transparent lens located in the eye that allows to focus the image and so to see clearly regardless of the distance of the object (in the emmetropic eye).

Cataract is a loss of transparency of the lens.

With age, the lens’composition changes and cataract ensues. That leads to a drop in visual acuity. When cataract ensues the visual acuity can not be corrected by means of glasses.

Cataract is a very common pathology in the elderly, and represents the most performed surgery in France and worldwide. It can sometimes occur in young people and not so commonly as for age-related cataract, it can also be the consequence of different eye’s diseases (e.g., chronic inflammation, diabetes, radiotherapy, corticosteroid use to name but a few).

The diagnosis

The first clinical sign is a progressive vision loss. Other common signs are photophobia and/or a change in color perception. Rarely at present, the cataract is enough severe to be visible to the naked eye.

Mostly, cataract can only be diagnosed by an ophthalmologist with slit lamp examination. Depending on the degree and site of opacification of the lens, we distinguish nuclear, cortical, cortico-nuclear, posterior capsular or total cataracts.

 

Biomicroscope photography showing a corticonuclear cataract

Biomicroscope photography showing a total cataract

The treatment

When visual discomfort becomes clinically important, the unique treatment for cataract is surgery. This consists in removing the lens (cataract) by a small incision (less than 2.5 mm).

The envelope (called capsular bag) is not removed during surgery. The cataract is removed by means of ultresounds and at the end of the procedure an intra ocular lens is inserted into the capsular bag.

This surgical procedure can be done under local anesthesia in outpatient. After surgery a local therapy is instituted and thereafter, spectacles could be prescribed too.

 

You can make an appointment with one of the Ophthalmologists of the department who provide specific care dedicated to this pathology:

Dr Agnès Glacet-BernardAssociated Professor at the College of Medicine of the Hospitals of Paris

Department: Doctor
Specialty: Cataract surgery, General Ophthalmology, Retinal venous occlusive disease, Vitreoretinal surgery

Dr Gérard RoyerStaff Physician
Head of Henri Mondor Hospital extension

Department: Doctor
Specialty: Cataract surgery, Retinal Lasers

Dr Olivia ZambrowskiStaff Physician

Department: Doctor
Specialty: AMD, Cataract surgery, Electrophysiology, General Ophthalmology, Hereditary macular dystrophies

Dr Francesca AmorosoPart-time Staff Physician

Department: Clinical Research, Doctor
Specialty: Cataract surgery, Diabetic retinopathy, General Ophthalmology, Myopic maculopathy, Retinal Lasers, Retinal venous occlusive disease

Dr Oudy SemounPart-time Staff Physician

Department: Doctor
Specialty: AMD, Cataract surgery, General Ophthalmology, Ophthalmic Echography, Vitreoretinal surgery
Department: Doctor
Specialty: AMD, Angioid streaks, Cataract surgery, Diabetic retinopathy, General Ophthalmology, Glaucoma, Retinal Lasers, Retinal venous occlusive disease

Dr Jean-Louis BacquetUniversity Fellow

Department: Doctor
Specialty: AMD, Cataract surgery, Electrophysiology, Hereditary macular dystrophies, Vitreoretinal surgery
Department: Doctor
Specialty: AMD, Cataract surgery, Children, Diabetic retinopathy, General Ophthalmology, Glaucoma, Glaucoma surgery, Retinal Lasers, Retinal venous occlusive disease, Strabismus, Strabismus surgery
Department: Doctor
Specialty: AMD, Cataract surgery, Diabetic retinopathy, Glaucoma, Retinal Lasers, Retinal venous occlusive disease

Dr Ala El AmeenFellow

Specialty: AMD, Cataract surgery, Diabetic retinopathy, Glaucoma, Neuro-ophthalmology, Retinal venous occlusive disease, Uveitis
Department: Doctor
Specialty: AMD, Cataract surgery, Glaucoma, Lacrimal duct, Neuro-ophthalmology, Orbit and eyelid, Uveitis
Department: Doctor
Specialty: AMD, Cataract surgery, Diabetic retinopathy, Glaucoma, Neuro-ophthalmology, Retinal venous occlusive disease

Dr Sergio PiscitelloFellow

Department: Doctor
Specialty: AMD, Angioid streaks, Cataract surgery, Diabetic retinopathy, Glaucoma, Pachychoroid

Dr Daniel SeknaziFellow

Department: Doctor
Specialty: AMD, Cataract surgery, Children, Diabetic retinopathy, Myopic maculopathy, Retinal venous occlusive disease, Retinopathy of prematurity, Uveitis, Vitreoretinal surgery

Dr Setha Vo KimFellow

Department: Doctor
Specialty: AMD, Cataract surgery, Children, Diabetic retinopathy, Lacrimal duct, Orbit and eyelid, Retinal venous occlusive disease