Form Doh-Mqa 1255 - Cataract Operation With Or Without Implantation Of Intraocular Lens - Florida Board Of Medicine Page 3
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6Any attempt at astigmatism reduction could result in over- or under-correction, in which case
glasses, contact lenses, or another procedure may be needed. None of the methods of reducing
astigmatism are perfect or completely predictable, but all are designed to help reduce the amount
of astigmatism present.
WHAT ARE THE RECOGNIZED RISKS OF CATARACT SURGERY?
All operations and surgical procedures have risks and can have unsuccessful results or associated
complications that can injure the patient, or even cause death in some instances. The recognized,
specific risks of cataract surgery include problems that can lead to loss of vision, blindness or
loss of your eye. Those risks include: bleeding; infection; high eye pressure; a swollen or
detached retina; a droopy eyelid; double vision; displacement of the lens or portion (fragments)
of the lens; injury to the cornea, iris, sclera, conjunctivae, pupil function, or other parts of the eye
and nearby structures, from the operation or the anesthesia. Sometimes pieces of the lens cannot
be completely removed and the vitreous can become displaced.
The specific, recognized, risks of a Limbal Relaxing Incision (LRI) or Astigmatic Keratectomy
(AK), if performed in conjunction with cataract surgery are similar to those for cataract surgery,
but also include perforation to the cornea, damage to the iris, increased astigmatism, and
scarring, which could cause loss of vision. Furthermore, the LRI or AK may not fully correct the
astigmatism and an under- or over-correction could occur, and glasses, contacts, or another
surgical procedure may be needed to correct the vision.
Depending upon your eye and the type of IOL that is used, the most serious, recognized side
effects include: increased night glare or halos, double vision, ghost images, impaired depth
perception, decreased contrast, blurry vision, and decreased night vision.
At the time of surgery, your ophthalmologist may decide not to implant an IOL even though you
may have given prior permission to do so, or your ophthalmologist may decide to implant an
IOL different from the one that you initially preferred, or agreed to on pages four and five. In
addition, the IOL may later need to be repositioned, replaced, or removed by way of a
subsequent surgical procedure.
No intraocular lens or power calculation is perfect and you will likely still need glasses.
Calculating IOL power is difficult in patients who are highly nearsighted or farsighted, as well as
in patients that have had previous eye surgeries such as cornea surgery, glaucoma surgery,
refractive surgery or retina surgery. This difficulty in calculating IOL power may result in your
post-operative prescription being different from what you and the doctor thought it would be.
This may require you to wear glasses, contact lenses, need refractive surgery, or have an IOL
exchange or piggyback lens placed. Furthermore, because only one eye is operated on at a time,
you may experience a feeling of imbalance between the two eyes which may require correction.
Patient initials _________
Page 3 of 6
Eye Surgeon’s initials __________
Date __________
DOH‐MQA 1255, 10/11, Rules 64B8‐9.017 and 64B15‐14.012
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