Types of cataract surgery:

Intracapsular cataract extraction (ICCE)
Big incision, almost 15 mm.
Natural clouded lens removed manually along with its envelope Multiple stitches required to seal the incision.
Options to implant artificial lens is limited. Recovery period is long and require thick glasses after surgery Obsolete procedure, not performed in routine.

Extracapsular cataract surgery (ECCE)
Big incision, almost 10 mm.
Natural opaque lens removed manually along with implantation of plastic artificial lens Multiple stitches required to seal the incision which needs removal after 1 month.
Recovery time is up to 2 months after which final glasses are given.

Small incision Cataract surgery (SICS)
Small incision, about 5 mm.
Opaque lens removed manually and artificial folable lens implanted No stitches required.
Recovery period is very small.

 

Micro Incision Cataract Surgery (MICS)
Small incision, about 2 mm. Opaque lens removed by emulsification using ultrasound energy and artificial foldable lens implanted No stitches required. OPD procedure with immediate recovery

 

Types of lenses implanted

The different types of lenses available are:
  • Monofocal IOL: The distance vision is corrected but reading glasses for near work are required. They come in two designs, regular or aspheric surface. The aspheric design IOL provides better contrast and improved quality of even night vision.
  • Multifocal IOL: These are premium IOLs which give good distant, intermediate and near vision. They are designed with multiple concentric rings or other unique in-built features that allow objects at varying distances to be brought into focus. These lenses reduce the patient's dependence on glasses for routine activities.
  • Toric Lenses: These have cylindrical power incorporated in the lens and can correct the cylindrical power
  • Accommodative Lenses: Crystalens, the only FDA approved accommodative lens is now available in India. This latest technology allows the lens to move back and forth, allowing it to bring into focus objects at varying distances (near, intermediate and far). This lens remains free from the side effects of glares, haloes and ghost images which may sometimes be reported with multifocal IOLS.

Can I get cataract after surgery?

Since the natural lens is removed permanently hence you can never get cataract again but in 5-10% of cases the posterior capsule can be opacified which is easily treated using laser.

What is the recommended surgery and why?

 A Phacoemulsification is preferred option followed by foldable artificial lens. It is a stitch less, painless procedure with no bandage required. Local anesthetic drops are used (for soft cataract) instead of an injection in the eye, thus leading to walk-in, walk-out procedure. Minimum curvature changes occur in the cornea following surgery. Post surgery, the wound is self sealable and very secure. Early visual rehabilitation for the patient occurs where final glasses may be prescribed within 2-3 weeks.

Cataract services at our centre
We have always tried to keep pace with the advancement in technology related to eye treatment. sification continues to evolve with new technology coming to forefront. Our centre is equipped with the latest machines in market for cataract surgery, meeting international standards. We perform all the cataract surgeries and what’s exclusive about us are the latest generation of phaco machines: Oertli Os3, which was first brought to Asia by us and Signature Elipse Transversal phaco machine, first installation in Rajasthan by our centre.

Stellaris PC - Advanced. Versatile. Different.

The Stellaris PC is a high-performance feature rich combined platform that leverages Bausch + Lomb’s history in Phaco and retinal innovation to change the surgical landscape by delivering the ultimate in Procedural Choice.

Innovative Technology for 1.8 mm Micro Incision Cataract Surgery.

Cataract removal throough the smallest possible incision can produce universal advantages, including increased wound stability, and a reduction in both endothelial cell loss and surgical induced astigmatism.

Bousch & Lomb has redefined state of art phacoemulsification wit its 1.8 mm MICS solution, delivering the fluidics control and cutting efficiency to make the procedure through a 1.8 mm incision a reality.

Vaccume-Based StableChamber Fluidics

The Vacuum Fluidics Module goes beyond “Venturi” and provides enhanced control of rise times, holding force, followability and aspiration for efficient lens removal.

  • Solid chamber stability is achieved throughout the procedure for increased predictability.
  • Vacuum levels of upto 600 mmHg can be delivered with steady low flow for efficient MICS.
  • StableChamber tubing controls flow in high vacuum settings preferred for MICS.
Advanced. Versatile. Different.

Advanced

Technology that makes a difference-
  • Efficient Vitrectomy.
  • Stable Fludics.
  • Optimized Visualization.
  • New ESA technology.
  • Dual Linear Technology.

Versatile

Procedural Choice with TSV and MICS
  • Select vitrectomy, phaco, or combined procedures.
  • Phaco that is safe and efficient.

Easy transition to MICS 1.8 technology.
Attune Energy Management System self-adjusts to maintain smooth procedures.
Exceptional safety with stable chamber fluidics.

Different

Simplicity and Surgeon control.
Designed to fit your Needs.

 

The WHITESTAR Signature System

The WHITESTAR Signature System is more than just the latest phaco technology — it's an all-new surgical platform. It represents a breakthrough in safe, easy lens removal technology that combines the safety of revolutionary Fusion Fluidics with the optimized cavitation of WHITESTAR Technology which makes it a versatile option to remove both hard and soft lenses.

Fusion Fluidics provides increased chamber stability and safety to ensure better patient outcomes.

  • Fusion Fluidics surge-prevention technology allows the use of high vacuum and flow settings to reduce phaco time and increase efficiency
  • Improves chamber stability by anticipating occlusions and preemptively adjusting vacuum before occlusion breaks
  • Provides precise, low-flow parameters for complicated cases
  • Safety at high vacuum is maintained.

The WHITESTAR Signature System now combines Ellips Transversal Ultrasound with the cutting efficiency of WHITESTAR Technology for a revolution in lens removal safety.

Ellips adds a horizontal component to the traditional longitudinal movement of the phaco needle, creating an elliptical cutting pattern. By incorporating two directions of movement (lateral and longitudinal), the efficiency to cut the nuclear material is enhanced. Moreover, it also has the potential to reduce the repulsion of material away from the phaco tip, improving followability of fragments and reducing the jackhammer effect. Thus transversal ultrasound is less traumatic for the eye, delivering less energy with less irrigation fluid and less damage to the endothelium compared to conventional longitudinal phaco.