The only treatment available to cure cataract is surgery. Apart from mature cataracts, even immature cataracts need to be removed if the patient's visual requirements demand it. There is no need to wait for the cataract to ripen as in earlier days, as the quality of surgery has improved remarkably during these days.


Phacoemulsification / small incision cataract surgery

Small incision cataract surgery is increasingly gaining popularity as compared to a large incision of 13mm with 6 or more sutures, used previously to remove cataract. The nucleus can be brought out through a small self-sealing tunnel either manually or using ultra sound probe.

Phacoemulsification is a method of removing cataract through small incision by means of ultrasonic energy, which emulsifies the cataract. It involves highly sophisticated technology, cost and lot of training on the part of the surgeon. The incision is 2.5 - 3 mm and no suture is required because of the tunnel incision, which is self-sealing.

The intraocular lenses implanted (IOL's) may be the Foldable or Non foldable type, of which the Foldable lens is definitely a better option, because it retains the incision size at 3 mm. Nowadays multifocal lenses are slowly coming to stay. With these lenses the dependence on glasses for both near and distant vision is minimized.


Advantage of Phacoemulsification / Small incision cataract surgery:

- Hospital stay is minimized to few hours only.

- The patient's wound healing is very fast as the size is very small.

- Clear vision is restored very fast.

- The need for glasses is minimized (although reading and more

   minute tasks may need correction).

- The best quality of vision is obtained.

- Patient can get back to routine work faster than ever before.


When we compare the disadvantages of traditional surgery, inability to attend work or business for several weeks days, poor vision etc, we can appreciate that the marginal increase in cost of surgery is more than compensated.

Your eyes deserve the best, without compromise !

Lasers are being used to make some steps of cataract surgery simpler and also in after cataract, which is the opacification of posterior capsule occurring in 25% of cases, months or years after cataract operation and can be easily treated using Nd-YAG laser as a painless, outpatient procedure. Phacoemulsification will remain the best modality of treating cataract until some such “non-touch” technique of curing cataract makes a break through.


JOTHI EYE CARE CENTRE
152 & 154, Calve Subraya Chetty Street, Pondicherry - 605 001.
Ph: 0413 - 2224534, 2337659
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CATARACT
Dr.Vanaja Vaithiananthan,
M.B.B.S.,D.O.,D.N.B.,F.G.O.,
Ophthalmic Surgeon