Bapaye Eye Hospital

CATARACT TREATMENT IN NASHIK

Cataract is the leading cause of blindness in the world. Globally, more than 50% of patients are blinded by cataracts. If this disorder is treated in time, the eye can regain vision entirely.

What is cataract?

The cornea and lens of the eye focus the light from outside objects on the retina like the focusing lens of a camera. When the lens becomes opaque, it is called cataract. In this disease the vision gets blurred as though one is looking at things through running water.

 Who Suffers from cataracts?

This disorder mainly occurs with advancing age. Age related cataract is most common. Some genetic diseases or birth defects can cause cataracts in newborn babies. Cataracts also develop rapidly due to other eye diseases such as injury to the eye or intraocular inflammation (Uveitis).

What are the vision problems faced by cataract patient

  • Main symptom is progressive blurring of vision, double vision, ghosting of images etc
  • Patients may experience difficulty in driving at night and reading in low light.
  • Patients may experience frequent change in spectacle number.

When should cataract surgery be performed?

The common belief is that cataract surgery should be performed only after cataract is fully matured. But modern technology makes it easier to remove immature cataracts. Removal of immature cataracts is very safe with phacoemulsification. While Femtolaser assisted cataract surgery makes it more safe and accurate with faster vision recovery.

Surgical removal of the cataract and implantation of intraocular lens (IOL) is THE ONLY definitive treatment of vision loss due to cataract.

Types of surgery

Femtolaser Assisted Cataract Surgery (FLACS)

FLACS surgery brings laser precision to cataract surgery in Nashik.  It helps surgeons in replacing the least technical and predictably most demanding steps of any conventional cataract procedure with a relatively uncomplicated and easy procedure.

This procedure is performed with corneal incision, lens fragmentation steps, and capsulotomy, thus changing the requirements associated with traditional techniques by completely removing the need for any blade incisions and reducing phacoemulsification time and energy.

Therefore, surgeons approach this with high precision for performing eye surgeries. With femtosecond surgery, patients can get treated through blade-free surgery, which is highly safe. Using Femto lasers, bladeless femtosecond laser-assisted cataract surgery can be performed in a relatively short time, and most of these steps are performed using these lasers. Rather than conventional surgery, femtosecond laser cataract surgery requires less energy for emulsifying the cataract, and precise cuts are made through this laser. 

Benefits of Bladeless Cataract Surgery at Bapaye Eye Hospital:

  • Enhanced Precision: The laser’s precision guarantees accurate incisions and capsulotomy, potentially reducing the risk of complications.
  • Customized Treatment: Our experienced surgeons customize the procedure to your eye’s unique requirements, optimizing visual outcomes.
  • Minimal Discomfort: Bladeless cataract surgery can lead to a faster recovery and less post-operative discomfort.
  • Unsurpassed Safety: We prioritize safety, and bladeless cataract surgery is renowned for its excellent safety profile.

Phacoemulsification (Phaco)

In this technique, 2 to 3 mm incision at the edge of the cornea. A ballpoint pen-like probe of the Phaco machine is inserted into the eye. Ultrasound waves are used to break the cataract into smaller pieces and each piece is sucked out (emulsified).  The process of ‘Phaco’ is very easy with the latest technology ‘Ozil’ developed by the American company Alcon. Even very hard cataracts can be easily removed. Alcon’s latest generation Centurion Phacoemulsification system is available at Bapaye Hospital. Since the wound is very small, stitches are rarely required. Since the incision is very small it doesn’t cause additional astigmatism of cornea. At end of one week spectacle number is prescribed to the patient.

Intraocular Lens (IOL): This artificial lens is the miracle that gives patients clear vision immediately after surgery.

Types of Cataract Treatment lenses - Bapayeeyehospital

Types of IOLs:

Now a days only foldable IOLs are used, rigid non foldable IOLs are obsolete.

Monofocal IOL

These are the most commonly used types of IOLs. Monofocal IOL is adjusted to give clear vision for distance while glasses are required for near vision.

Extended Depth of Focus (EDOF) lens

With these IOLs patients do not need glasses for distance and intermediate distance. Near vision requires glasses. But this number is usually lesser than monofocal IOLs.

Multifocal/Trifocal IOL

The distinctive design of these lenses gives clear vision for various distances. Multifocal lenses offer smoother transition of vision at various distances and the obviates need of glasses.

Toric Lens

Toric IOLs are used to correct astigmatism/cylindrical spectacle number which is caused by irregular curvature of cornea. These IOLs are placed in a specific axis after implantation inside the eye so as to negate the effect of corneal astigmatism giving spectacle freedom. These IOLs can be monofocal or multifocal.

Available Advanced diagnostic facilities for cataract

Cataract Surgery Equipment - Bapayeeyehospital

Optical biometry system which gives a fast and accurate measurement of IOL power. Various advanced IOL calculation formulas and a wide database of IOLs make it possible to calculate accurate IOL power even in complicated cases like post- Lasik patients, patients with posterior staphyloma, etc.

Cataract Surgery Treatmemt - Bapayeeyehospital

Ultrasound biometry with the non-contact method is an accurate method of IOL power calculations. It is of immense help in difficult cases like mature cataract, complicated cataract, etc.

  • Ultra-compact A/B/P ultrasound system

  • ​New 15MHz Probe generation

  • ​DICOM and EMR compatible

Cataract surgery treatment - Bapayeeyehospital

Corneal Topography system used for measurements of corneal curvature and aberrations. It is employed in patients suspected of having corneal abnormalities.

Quantel B Scan for Ultrasound examination of the eyes

Available surgical facilities for cataract

LenSX Bladeless Cataract Surgery is a state-of-the-art procedure that uses laser technology to perform cataract surgery with precision and safety, leading to better outcomes and quicker recovery for patients.

Cataract surgery treatment - Bapayeeyehospital

PHACOEMULSIFICATION is the most modern micro-incision technique of cataract surgery, where an ultrasound probe breaks the cataract into tiny pieces and sucks them out. The incision (about 2.5- 3mm) is self-sealing and needs no stitches. The surgical time is reduced and there are faster healing and visual rehabilitation. There are minimal or no post-operative discomfort and a quick return to a normal routine. Once the cataract is removed, it is replaced with a permanent, artificial Intraocular Lens (IOL).

The Centurion Vision System features a peristaltic pump that doubles the available flow rate and eliminates the small pulsations typically associated with peristaltic pumps, according to company literature. Its Active Fluidics technology is designed to optimize chamber stability by providing more consistent IOP over a wide range of aspiration flow rates by detecting flow rate, irrigation pressure, and vacuum and compensating for pressure loss.

Callisto Eye Digital Imaging Guided Cataract surgery platform

The microscope for every ophthalmic discipline
The OPMI LUMERA® 700 from ZEISS is an operating microscope ideally suited for every ophthalmic surgery discipline. Experience markerless IOL alignment and integrated intraoperative OCT imaging – all in one device – from the ophthalmic microscope market leader.

ZEISS OPMI LUMERA 700 – our commitment to helping you save vision.

Zeiss Yag Laser

This is used to remove after cataract or posterior capsular opacification. This can occur several months to years after cataract surgery, more in diabetics. It can be efficiently treated using Yag laser. One of the best and safest Yag laser machines by Zeiss is available at our hospital.

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