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on the following number Tel. : 0265-2781278
m. : 9727755278

Cataract

Cataract is caused by clouding of this natural lens of the eye. This clouding obstructs the passage of light, resulting in blurring of the vision. Hence routine activities such as reading, driving, etc, become difficult.Cataract is one of the major causes of blindness in the world. It is an eminently treatable condition and full restoration of sight is possible after surgery.

COMMON SYMPTOMS:

• Painless blurring of vision

• Frequent change of glasses

• Glare and haloes seen around light source

• Poor night vision

• Difficulty in appreciating colour shades 


Types of Cataract :

Senile Cataract :

 The most common cause is the normal age related changes in the natural lens. Just as hair turns white or wrinkles appear due to age, the natural lens loses its transparency.

Congenital Cataract :

 Sometimes a child is born with cataract in the eyes. A common cause for this is ante-natal TORCH infection.

Traumatic Cataract :

A blunt or penetrating injury to the eye may lead to cataract formation. Patients with a history of long-term steroid medication, kidney disease, thyroid disorders or diabetes are more prone to developing cataracts. 

Treatment for Cataract :

To give the Gift of Light to Eyes & Smiles to Child is our motto...


Treatment of Cataract is done by doing eye surgery where the natural cataractous (opaque) lens is removed and replaced with a clear artificial intraocular lens (IOL). This procedure is done with the help of various instruments by the operating cataract surgeon. There are different techniques of doing this surgery.

Cataract should be removed as soon as it begins to affect daily activities. With any of the mentioned symptoms setting in, it is the right time to go for cataract removal. DO NOT WAIT FOR THE CATARACT TO GET MATURE as unnecessary delay can lead to avoidable complications and a more difficult surgery. Cataract surgery can be undertaken successfully in any season. Summer or rainy season has absolutely no effect on the outcome of the cataract surgery.  There is no proven medicine, eye drop or exercise to cure cataract. 
The only treatment available for cataract is surgery. Modern surgery involves removing the cataractous (cloudy) lens. An artificial Intra Ocular lens (IOL) is then implanted in its place. This lens is permanent and provides natural vision.
Cataract Surgery is amongst the most commonly performed surgeries all over the world. Millions of patients have been operated till date. In the older methods, cataract surgery required a cut in the eye 10-12mm wide which required stitches. This resulted in a number of restrictions after the surgery.

TYPES OF CATARACT SURGERY

MANUAL SMALL INCISION CATARACT SURGERY (SICS) 

• Requires a smaller incision of 6mm.

• The cataract is removed manually and a foldable intraocular lens (IOL) is implanted 

• No stitches 

• Heals fast 

PHACOEMULSIFICATION

With phacoemulsification and implantation of foldable intraocular lens (IOL), the treatment of cataract has become very sophisticated yet simple. The procedure is safe, accurate and leads to rapid recovery. Thus, phacoemulsification with foldable lens implant is the most recommended treatment for cataract.

We perform most cases under topical anaesthesia (only anaesthetic drops). A very small (1.8mm.) incision is made through which a thin phaco probe is inserted into the eye. This probe, with the help of ultrasonic energy, breaks the cloudy lens into small fragments. These are further emulsified and then aspirated through the same probe. An artificial foldable intraocular lens is now inserted through the same small incision. No sutures need to be taken and the eye does not need to be patched. The whole produce approximately lasts about 10-12 minutes.

You can go home half an hour after surgery and can resume normal activities such as reading and watching television on the same day. Thus this is a no stitch, no pad, no injection surgery! Visual rehabilitation is also much earlier than with conventional cataract surgery. Phacoemulsification is the current popular trend for cataract surgery worldwide. With it, cataract surgery has become simple, comfortable and safe.

ADVANTAGES OF PHACOEMULSIFICATION 

OVER OTHER CATARACT REMOVAL SURGERIES

  • • In most cases this surgery can be performed without giving any painful injections around the eye. Anesthesia is achieved by using eye drops only.
  • • "NO INJECTIONS, NO STITCH, NO BANDAGE SURGERY"
  • • This surgery also minimizes the need for spectacles after surgery due to lesser induced cylindrical power
  • • The procedure is safe and is ideal for diabetic patients. It can be performed in any season.
  • • The visual recovery often starts within a few minutes and is complete in a day or two as compared to traditional surgery where the total visual recovery is acheived in 6-8 weeks
  • • This is called a "WALK IN WALK OUT" surgery. The patient can go back home without any bandages or an eye pad within half an hour of surgery and can resume most of the daily routine activities like watching TV, bathing driving, cooking etc. the same day without any significant restrictions. The patient can start work from the third post-operative day.
  • • Foldable lenses are another major breakthrough. They are placed through the same small incision in a folded state, using special lens injectors. This leads to near instantaneous visual recovery and prompt wound healing.
  • • With the advent of the new Aspheric, Toric, Multifocal, Toric Multifocal and Accomodative Intra Ocular Lenses, we can now correct cylindrical numbers and provide Distant, Intermediate and Near Vision without glasses.

TYPES OF INTRAOCULAR LENSES

Monofocal IOLs 

are implantable lenses made of acrylic or silicone materials and placed permanently in the eye after removal of the eye’s natural lens. Monofocal lenses have a single zone of clear focus, usually set for excellent distance vision, but require the use of reading glasses for near tasks, like reading

Multifocal IOLs

 incorporate both distance and near powered segments in one lens. The base power bends light coming from distant objects to a single focal point on the retina. The higher power segments bend light from near objects to the same focal point on the retina. Multifocal IOLs greatly reduce the likelihood of wearing glasses or contact lenses after surgery.

Toric IOLs 

are intraocular lenses that reduce the effect of pre-existing corneal astigmatism by reducing the residual refractive cylinder and improve the quality of uncorrected distance vision.

Scleral Fixated IOLs (SFIOL) 

Ideally, the lens is placed in the capsular cover (bag) of the lens using the support structure of the natural lens. However, there will always be instances where “in the bag” implantation isn’t possible, requiring that the IOL be sutured to the sclera with special permanent sutures. Trans-scleral suturing of Posterior Chamber IOL or Scleral Fixated Intraocular lens (SFIOL) is well established and is a good option in patients with insufficient capsular support or zonular support, either as a primary or secondary implantation. The other options in these cases are Anterior Chamber IOLs and Iris Fixated IOLs. Each has its merits and demerits.


GENERAL PRE-OPERATIVE INSTRUCTIONS

  • You will be informed about your pre-operative laboratory examinations and cardiopulmonary clearance schedule. The pre-operative investigation includes some blood tests and examination by the physician to determine your fitness for surgery. It also includes specialized eye tests to find out the IOL which is most suitable for your eye. It takes between 1-2 hours for the entire testing.
  • If you wish to have the examination performed elsewhere, kindly bring all the results with you on the day of your cardiopulmonary clearance with the physician.
  • If you are diabetic, please discuss with the physician about the medication you should take before surgery.
  • Please make arrangements for a responsible adult to be with you in the hospital on the day of the surgery.

Potential complications with cataract surgery

  • Though cataract surgery is one of the most successful procedures in all of medicine, complications may still occur.
  • Over 98% of cataract surgeries are successfully completed without surgical complications, and more than 95% of patients have improved vision.
  • Most complications are minor, such as swelling of the cornea or retina, increased pressure in the eye, and droopy eyelid.
  • In general, the risk of severe visual loss is very rare, but may occur as a result of infection or bleeding inside the eye, or even retinal detachment, which may occur months or years after a perfectly successful cataract surgery.
  • Sometimes the vision after cataract surgery does not improve to the full extent due to other diseases that are present like age related macular degeneration (ARMD), diabetic retinopathy, glaucoma and other conditions.

FEQUENTLY ASKED QUESTIONS ?

In trained hand it is safer because of reduced risk of injury & infection to eye.

No. this surgery is best performed in early stages of cataract and there is no need for the cataract to get matured. Hence the patient need not wait till a near stage of blindness. Also harder the cataract, the harder it is for the surgeon to remove it.

Since this surgery involves very few loss of working days and early resumption of routine activities, this surgery proves to be cheaper.

Yes, this can be performed without any difficulty or any effect on the previously operated eye.

Yes, it is a surgery of choice for them.

No, there are few exceptions specially if the cataract is very mature and hard.

Usually the Spectacles are required for near vision and occasionally for distance vision.

No surgeon can guarantee 20/20 vision because everybody's eyes function differently. However, our patients have been reporting excellent results and most enjoy the majority of their activities without glasses.

Insurance coverage varies greatly from policy to policy. Generally speaking, private insurance and Medicare will cover the cataract surgical procedure and may also allow a certain additional amount for a standard lens implant.

Address

4th Floor, Akshar Plaza, Near Goverdhan Nathji Haveli, Opp. Ghelani Petrol Pump, Nizampura, Vadodara.

Contacts

email:aadityahealthcare.vadodara@gmail.com
Phone: 0265-2781278
website: aadityahealthcare.com

Consulting Time 

Monday to Saturday
Morning : 10:00 am to 01:00 pm
Evening : 5:00 pm to 08:00 pm
Sunday - only emergency