Cataract Services

REGULAR PHACO SURGERY

BAUSCH AND LAUMB’S STELLARIS PHACO MACHINE AT NETRABHAWAN FOR PERFORMING PHACO SURGERIES.

In this conventional phacoemulsification technique, 2.8mm incision in the cornea is made by the surgeon using a metallic blade followed by creating an opening in the lens ( in the outer layer of lens capsule ) manually using a bent needle or cystitome called capsulotomy.

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Regular Phaco with Imported IOL – Rs 18,000
Regular Phaco with Toric IOL – Rs 28,000

MICRO INCISION PHACO SURGERY

SMALLER INCISION SIZE OF 1.8-2.2MM TAKEN IN MICS

In this manual phacoemulsification technique, a micro incision of 2.2 mm size is made in the cornea thereby reducing post operative cylindrical error/astigmatism.

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Micro Incision Phaco Surgery with Imported IOL – Rs 23,000
Micro Incision Phaco Surgery with Toric IOL – Rs 33,000
Micro Incision Phaco Surgery with Multifocal IOL – Rs 50,000

FACE ( FEMTO SECOND LASER ASSISTED CATARACT EXTRACTION ) / ROBOTIC CATARACT SURGERY

ABOTT MEDICAL OPTICS CATALYS ( FEMTO SECOND LASER MACHINE) AT NETRABHAWAN

In this technique of laser assisted cataract extraction or popularly known as robotic cataract extraction, the critical steps of cataract surgery-

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FACE with Imported IOL – Rs 48,000
FACE with Toric IOL – Rs 58,000
FACE with Multifocal IOL – Rs 75,000

Commonly asked questions ?

It is a cloudiness of the normally clear lens in the eye. It prevents the lens from focusing light onto the retina and hence causes unclear vision. As the cataract advances, this cloudiness of vision increases over a period of time until the vision is completely impaired.

Because cataracts form in different ways, the symptoms of cataracts are variable. Most people notice that their vision gradually deteriorates – objects may begin to look yellow, hazy, blurred or distorted. Some people report double vision, or polyopia (objects appearing multiple). Many people also find that they need more light to see clearly, or that they experience glare or haloes from lights at night. A common problem encountered is increasing nearsightedness. In advanced cases, the cataract may be visible as a whitish-looking pupil.

Cataracts that occur due to the ageing process cannot be prevented as the ageing process itself cannot be prevented. Using the eyes for reading and similar activities has nothing to do with cataract formation. Avoiding the use of eyes will not prevent cataract.

Till date as per all authentic medical research no medication exists to prevent or cure a cataract. The only known treatment for cataract is surgery.

Cataract surgery can be performed as soon as the patient feels handicapped in performing routine activities at work and leisure. It is not advisable to wait for the cataract to mature as unnecessary delay can make surgery difficult and prone to complications. Modern cataract surgery can be performed successfully in any season including summers and the rainy season.

1) Monofocal IOLs – These lenses provide good distance vision and most patients are not dependent on their distance glasses for daily activities. However, patients implanted with monofocal IOLs typically require reading glasses after cataract surgery.

In the recent years, monofocal lenses have been designed with aspheric surfaces. These state-of-the-art FDA approved aspheric or aberration-free IOLs greatly improve image quality by enhancing contrast, eliminating glare and haloes, and improving night vision.

2) Toric IOLs – These special lenses correct high cylindrical powers reducing the patient’s dependence on distance glasses.

3) Multifocal IOLs and Accommodative IOLs – These lenses are designed to provide good unaided distance and near vision with less dependence on glasses.

Once the IOL is implanted in the eye, it remains in place for the remainder of one’s lifetime.

Until a few years ago cataract could not be removed with lasers. Surgery done by phacoemulsification was commonly termed “Laser Surgery” by lay people. Now, some of the steps of cataract surgery can be performed by Femtosecond Laser which has significantly improved the precision of some of the most critical steps that were traditionally performed manually. The femtosecond laser is a special laser which allows the surgeon to create high precision incisions. The femtosecond laser technology has already been in use in the recent years for creating precise flaps in bladeless LASIK with more predictable outcomes and increased safety.

More recently, the femtosecond laser is being utilized to assist or replace several aspects of the manual cataract surgery. These include the creation of the surgical incisions in the cornea, circular opening on the lens surface (capsulotomy), and breaking up (fragmentation) of the lens. The femtosecond laser can also be used to make incisions in the peripheral cornea to aid the correction of pre-existing astigmatism (cylindrical power).

In conventional phacoemulsification surgery, the surgeon makes the corneal incisions with a metallic blade, and manually creates an opening in the front of the lens capsule to gain access to the cataract, and then divides the cataract with a hand held ultrasonic probe.

In bladeless cataract surgery, the Femtosecond laser is used for these three critical steps of cataract surgery, i.e. to make the incisions, the opening in the lens capsule, and to divide the lens into fragments. Thereafter, the lens fragments are removed by the surgeon using the ultrasonic probe.

In both traditional cataract surgery and bladeless laser cataract surgery, microsurgical instruments are used in the operating room to remove the cloudy lens from the eye. The back membrane of the lens (called the posterior capsule) is left in place. An intraocular lens is placed inside the eye to replace the natural lens that was removed.

As the entire laser process is carried out under computer-guided OCT imaging, there is greater control and reliability of the incisions with regard to size, shape and location. It also allows perfectly-shaped, perfectly-sized and precisely centered capsule opening to be made into the cataract lens which does not depend upon the surgeon’s skill or experience. This enables accurate positioning and insertion of the artificial lens implant which optimises the visual outcome. This is of utmost importance in premium intraocular lenses such as aspheric design IOLs, Toric IOLs, Multifocal IOLs and Accommodative IOLs where the slightest error can compromise the quality of vision. Moreover, as the laser divides the lens into small fragments, the amount of ultrasound energy used to remove the cataract is greatly reduced, which in turn helps in early visual recovery.

No surgeon in the world can perform a surgery with guaranteed results. However, almost all the patients regain good vision following cataract surgery. In certain cases, eye disease or problems in the cornea, retina or optic nerve may limit the potential for clear vision even when the cataract surgery itself has been successful. However, it might not be possible to evaluate the condition of the retina, optic nerve, in advanced cataracts.

However, in a certain number of patients undergoing cataract surgery, the back part of the lens capsule may thicken over a period of time causing blurred vision. This is known as Posterior Capsular Opacification (PCO), secondary cataract or “After Cataract”. This is not a complication. The condition is treated with a “YAG Laser Capsulotomy” with full restoration of vision

There are numerous benefits of cataract surgery, many of which cannot be measured statistically. These include: –

Improved colour vision – colours are brighter and more vivid Greater clarity of vision – vision is crisper and sharper Improved quality of life – studies have repeatedly shown that people enjoy an improved quality of life after successful cataract surgery. Many people can resume driving, reading, writing, watching television, sewing, household work and using a computer immediately after.

Even when retinal diseases or other problems prevent a total restoration of vision, the remaining vision is usually improved by cataract surgery.

If you Have Any Questions Call Us On 0562 401 3731