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Cataract

What is cataract

A cataract is a common eye condition that causes clouding of the natural lens inside the eye, leading to blurred vision and, if left untreated, can result in vision loss.

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Signs &
Symptoms

Blurry Vision
Increased Sensitivity
to Glare
Diminished Color Perception
Difficulty with
Night Vision
Frequent Changes in Eyeglass Prescription

Causes

Age-Related Cataracts

Congenital Cataracts

Secondary Cataracts

Investigations

Complete eye examination
IOL Power Calculations

Intraocular lens (IOL) power calculation is a crucial step in cataract surgery, ensuring that the implanted lens provides optimal vision correction for each individual patient.

Advantages of Zeiss IOL Master 500

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Accuracy

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Precision

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Efficiency

Sac Syringing

Sac syringing test, also known as lacrimal irrigation or naso-lacrimal duct irrigation, is a diagnostic procedure used to evaluate the patency and function of the tear drainage system. During the test, a small amount of saline solution is gently flushed through the tear ducts to assess whether tears drain properly from the eye into the nasal cavity. This is important because any underlying blockages or abnormalities in the tear drainage system can increase the risk of postoperative complications, such as excessive tearing or infection.

Complete Blood Count (CBC)

Blood Sugar (Fasting and Postprandial)

Urine Routine and Microscopy

HIV Testing

HBsAg Testing

HCV

Electrocardiogram (ECG) and Fitness from physician
Optical Biometry on Advanced Zeiss IOL Master

Intraocular Lenses (IOLs)

Intraocular lenses (IOLs) are artificial lenses implanted in the eye to replace the natural lens that is removed during cataract surgery. These lenses are necessary to restore clear vision and focus light onto the retina, allowing for improved visual acuity. Without an IOL, the patient would likely require thick eyeglasses or contact lenses to achieve functional vision

Rigid PMMA (Polymethyl Methacrylate)

Hydrophilic Foldable IOLs

Hydrophobic Foldable IOLs

Types of IOL Designs

TYPES OF IOLS TYPES OF VISION REMARKS LENS (IOL) BRAND TORIC VERSION
Monofocal Distance Only Glasses for computer distance and reading Acrysof IQ, Tecnis1, Aurovue, Natural HD, Hanita, Ultraflex
Monofocal + Depth of Focus Distance + Intermediate Glasses for reading only Tecnis Eyhance (J&J) U.S.A, Vivity (Alcon) U.S.A
Trifocal (Multifocal) Distance + Intermediate + Near Chance of Halos & Glare Panoptix (Alcon) U.S.A
Toric (Available in Monofocal, Monofocal + Dept of Focus and Trifocal) Corrects Cylinde Used when cylinder is 0.75 or more Acrysof Toric (Alcon) U.S.A, Vivity Toric (Alcon) U.S.A

What is a Toric Intraocular Lens (IOL)?

A toric intraocular lens (IOL) is a specialized type of artificial lens implanted during cataract surgery or refractive lens exchange to correct astigmatism. Astigmatism is a common refractive error caused by irregular curvature of the cornea or lens, resulting in blurred or distorted vision at all distances.

Advantages of Toric Intraocular Lenses

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Improved Vision Quality

cataract specialist doctor

Reduced Dependence on Glasses

eye doctor Nashik

Enhanced Visual Outcomes

Types of Cataract Surgery

Small Incision Cataract Surgery (SICS)

Small Incision Cataract Surgery (SICS) is a technique used to remove cataracts and implant intraocular lenses (IOLs) through a smaller incision compared to traditional extracapsular cataract extraction (ECCE).

At Shriram Eye Hospital, we specialise in SICS with Dr. Anil Shah's Snare technique, a refined approach that involves making a tiny 3.5 mm incision. This technique is performed topically and suture less, allowing for rapid recovery and the implantation of advanced lenses. Dr. Arpit Shah, our expert ophthalmologist, will assess your suitability for SICS and determine the best approach to ensure optimal outcomes and safety.

Advantages of SICS with Dr. Anil Shah's Snare
Technique over conventional SICS

Minimally Invasive

The small incision size minimises trauma to the eye and surrounding tissues, resulting in faster healing and enhanced patient comfort.

Advanced Lens Options

SICS with Dr. Anil Shah's Snare technique allows for the implantation of advanced lenses, including multifocal and toric lenses, to address various visual needs.

Close to Phaco Incision

The 3.5 mm incision used in Dr. Anil Shah's Snare technique is similar in size to the incision used in phacoemulsification (Phaco) surgery, offering comparable results with reduced surgical invasiveness.

Surgical Treatment - Micro-Incision Cataract Surgery (MICS)

At Shriram Super Speciality Eye Hospital, we utilise the most advanced surgical techniques and equipment to perform cataract surgery. Our surgical approach, known as Micro-Incision Cataract Surgery (MICS), involves the following steps

  • 1 Topical Anesthesia
    The surgery is performed under topical anesthesia, which means that numbing drops are used to ensure your comfort throughout the procedure.
  • 2 1.8 mm - 2.8 mm Sutureless Incision
    Using the state-of-the-art Bausch & Lomb Stellaris Phaco machine, cataract surgery is performed through a tiny 1.8 mm to 2.8 mm incision, minimizing trauma to the eye and promoting faster healing.
  • 3 Phacoemulsification
    During the surgery, the cloudy lens is broken up using ultrasound energy and removed through the small incision, allowing for precise and gentle removal of the cataract.
  • 4 Intraocular Lens (IOL) Implantation
    Once the cataract is removed, an artificial intraocular lens (IOL) is implanted to replace the natural lens, restoring clear vision.

Choosing the Right Technique

Dr. Arpit Shah, our experienced ophthalmologist at Shriram Super Speciality Eye Hospital, will evaluate your individual needs and recommend the most suitable cataract surgery technique to achieve the best possible outcome. Whether it's SICS with Dr. Anil Shah's Snare technique or Phaco with the Bausch and Lomb Stellaris Phaco machine, rest assured that you will receive personalised care and advanced surgical expertise for your cataract treatment journey.

Recovery & Follow-Up

Postoperative Care

  • Avoid Touching the Eye
  • Avoid Head and Face Wash
  • No Rubbing
  • Monitor for Changes

Navigating Your Recovery: Dos and Don'ts
After Cataract Surgery

Dos

  • 1 Follow Your Post-Operative Instruction
  • 2 Use Prescribed Eye Drops
  • 3 Protect Your Eyes
  • 4 Attend Follow-Up Appointments
  • 5 Maintain Good Hygiene
  • 6 Protect Your Eyes from UV Exposure

Don'ts

  • 1 Avoid Strenuous Activities
  • 2 Do Not Rub Your Eyes
  • 3 Avoid Swimming and Hot Tubs
  • 4 Do Not Drive Immediately
  • 5 Skip Makeup and Cosmetics