Cataract Surgery Hospital North in Delhi | Eye Transplant Hospital
logo_img

Jain Eye Hospital & Laser Center

drishtiCone eye Care

35_img

Approved by Govt of NCT, Delhi

certified_img

Super speciality Eye Hospital

CGHS, DGEHS, MCD, DU, Govt PSUs

Cashless Mediclaim Facilities

Cataract (Motiya)

Cataract (Safed Motiya)

  • Ageing is a natural process which we can attempt to hide but not stop.
  • Cataract - not a disease but usually a part of ageing process.
  • Cataract, the most common cause of visual loss in the elderly
  • Cataract related blindness is usually completely curable.

We offer all types of cataract surgeries to our patients. Surgeries can also be personalized to suit the needs of specific patients.

How do I know that i have cataract?

The various symptoms that the patient might experience are :

  • Hazy/cloudy vision
  • Blurred vision- more at night
  • Abnormal glare to light coming from front
  • Double or multiple images and ghost images
  • Frequent change of glasses

Is the time right for me to plan the surgery now??

  • Cataract surgery these days is a refractive surgery - This means that in addition to getting the old lens removed in the eye, the lens which is implanted to replace it gives clear vision usually without the need for glasses.
  • The surgery not only improves the vision but the quality of life as a whole.
  • Hence, it is unjust to delay the surgery for inappropriate reasons
  • Nobody should delay surgery because of fear of the operation or because they have heard stories from friends which disturb them.

When should a patient not delay a surgery ?

  • I am afraid of going outside at night.
  • Night-driving is a problem these days.
  • I am seeing multiple images, distorted images.
  • have become dependent on others.

 

What is PHACOEMULSIFICATION ?

Old Concepts:

  • Wait till the cataract to mature (motiya pak gaya hai)
  • Patients required to be on prolonged bed rest after surgery

Modern Technology - New concepts

  • Cataract surgery - revolution in the last few decades
  • Wait till the cataract to mature (motiya pak gaya hai)
  • Patients required to be on prolonged bed rest after surgery
  • Surgery is performed using a small probe that produces highly controlled ultrasound energy inside the eye. This emulsifies the cataract into small pieces
  • Cataract can be removed from a small 2.8 mm incision
  • This technique is called phacoemulsification- usually called as ‘LASER surgery for cataract’ by common man.
  • Sttich-less and painless surgery
  • No need for injection too (if patient is co-operative).
  • Special foldable lenses are injected through this small incision.
  • The patient can resume his indoor activities the next day. It also gives the advantage of a least possible astigmatism (cylinder error) post-surgery.

 

How can the CATARACT SURGERY be PERSONALIZED ??

Every patient is different - needs of every patient are different too. Hence, the same type of treatment algorithms should not be applied to all.

Note to our patients: Cataract Surgery has undergone a radical change. Modern, sophisticated and personalized cataract surgery is the way to go in future.

COMPLICATED CATARACT SURGERY

  • Cataract formed either after an injury to the eye or after a long-standing uveitis (a condition of persistent swelling of the eye).
  • Cataract surgery in these patients demands precise skills and good experience. We take the responsibility to give the best possible vision to this group of patients, depending upon their visual potential.

 

What causes cataracts?

Most commonly, cataracts are due to ageing. Other causes can be:

  • Trauma to the eye
  • As a part of systemic diseases. Eg: Cataracts develop faster in Diabetes
  • Congenital cataract – present at birtth

 

Symptoms of cataracts

Most commonly, cataracts are due to ageing. Other causes can be:

  • Glare to incident light – especially seen while driving
  • Cloudy or hazy vision
  • Decreased night vision
  • Intolerance to glare
  • Deterioration of far and near vision
  • Frequent change of glasses
  • Stronger lens prescriptions for glasses no longer correct vision

Is my Cataract RIPE now ? (‘Kya mera motiya pak gaya hai ??)

Gone are the days when we used to wait as surgeons for the cataract to mature. Due to a change in the science and the surgical techniques, there is no need for the patient to suffer unnecessarily and to wait for the cataract to mature or ‘ripe’.

Cataract procedures have the potential to greatly improve the quality of life. It would be unfair to delay the surgery due to false fears, uncomfortable experience of fellow friends or age-old superstitions like not getting surgery done I seasons other than winters. Cataract Surgery is performed safely 12 months in an year today.

When should I consider my cataract surgery??

Please consider cataract surgery when:

  • Night driving is a problem and you have to drive at night.
  • Defective/unclear vision is hindering your work in job/home.
  • You have problems reading or watching television
  • It becomes difficult for you to take daily medications for other diseases
  • Vision problems make you dependable on others.

What are the risks and complications?

Though very safe these days, the rare complications that can occur after a cataract surgery are:

  • Infection
  • Bleeding
  • Swelling
  • Very rarely - Retinal detachment, glaucoma, Secondary cataract, Loss of vision

Risk of the complications becomes higher if there is another eye disease or a serious medical condition affecting any part of your body. Occasionally, cataract surgery fails to improve vision because of underlying eye damage from other conditions, such as glaucoma or macular degeneration. Sometimes, it might be beneficial to evaluate and treat other eye problems before cataract surgery.

How do you prepare for surgery ??

CATARACT EVALUATION – We will first do a complete eye examination including

  • Slit Lamp Biomicroscopy - to examine the eye and the cataract
  • Tonometry - to measure the pressure inside the eye (like the BP of the body)
  • Autorefractometry - to measure the corneal power of the eye
  • Retinal Examination
  • IOL Power calculation - for the lens to be implanted inside the eye
  • Routine investigation: Blood Sugar, Blood Pressure & ECG
  • Antibiotic eye drops will be prescribed one day prior to the operation.
  • You need to continue all your other medication related to blood pressure , heart ailment, diabetes. PLEASE DO NOT STOP ECOSPRIN, DEPLATTE tablet used for blood thinning as we do not give any injection during the operation &anaesthesia is given by eye drops.

THE DAY OF CATARACT SURGERY-

  • You should have light breakfast with tea/coffee before reporting for surgery
  • Head bath should be taken on the day of surgery.
  • Betadine eye drops will be put at the hospital
  • You will be requested need to sign informed consent form prior to the surgery.

DURING THE CATARACT OPERATION-

  • Lids will be separated by wire speculum & eye anaesthetized with eye drops.
  • You will need to look at the microscope light during the operation which will take7-8 minutes.
  • Cataract removal is done through 1.8 mm full-stop incision through.

PHACOEMULSIFICATION-It is a walk-in walk-out surgery.

AFTER THE CATARACT OPERATION-

  • Slight poking sensation & watering is normal on the first day & it gradually disappears as the healing takes place.
  • You will need to put eye drops as prescribed.
  • Avoid head bath & splashing water in the eye for atleast 8-10 days.
  • Also avoid lifting heavy weight & strenuous exercises.

 

TYPES OF INTRAOCULAR LENSES FOR CATARACT PATIENTS

PMMA (hard) IOL:

  • PMMA is a hard lens
  • requires little larger cut to implant
  • Might require sutures
  • Basic Lens

FOLDABLE IOL: HYDROPHILIC vs HYDROPHOBIC lenses-

Rate of after-cataract is reduced significantly with hydrophobic lens material.

MONOFOCAL IOL

  • It will give good vision for distance (with minimal spectacle number)
  • Require reading glasses for near work.
  • Most commonly used lenses
  • HydroPHOBIC variety is better than HydriPHILIC variety

MULTIFOCAL LENSES:

  • Good vision for distance as well as near
  • Dependence on glasses is reduced signific
  • Maximum benefit is gained when both eyes undergo surgery with the same implant.
  • Rings are seen on the IOL
  • Eye needs to be perfect otherwise - retina needs to be normal

TORIC MONOFOCAL LENSES

  • required to correct any cylindrical number
  • Improves distant vision
  • Reading glasses will be required.
  • Rings are seen on the IOL
  • IOL has two marks for the axis placement

TORIC MULTIFOCAL LENSES-

It corrects cylindrical power along with near vision.

Any question that you may have will be clarified by your doctor at Jain Eye Hospital & LASER Centre during your first consultation prior to operation.

Vision eyeglass

If you Have Any Questions Call Us On (+91) 96 43 53 63 73