Phaco-emulsification – cataract surgery


Table of Content


Cataract (cataract) is a  lens torbiding  leading to distortion of vision. The disease is painless, whose incidence increases with age. There are many causes of this disease, including.

  •     Advanced age so- called  senile cataract (the most common cause),
  •     In the course of certain diseases like :
  •     Diabetes
  •     Glaucoma
  •     Retinitis pigmentosa,
  •     Ggalactosemia,
  •     steroids (cortisol use)

And even after blunt or penetrating injuries of the eyeball.

 

The most common symptoms of cataract:

  • hazy vision until complete blindness,
  • deterioration of vision in low light conditions such as night,
  • the need to use stronger light for reading,
  • image splitting  in one eye (polyopia), such as seeing many moons at night,
  • dull colour vision,
  • the need for frequent changes of  glasses,
  • splitting of light,
  • misjudging the distance,
  • deterioration of visual acuity.

The healthy eye has almost a transparent device that  focuses light rays – called the lens. The transparency of the organ determines the correct, clear vision. The lens works much like in a camera. In humans, it is convex on both sides, which allows sharpening of  sight  on the object. The lens is composed of protein called crystallin, allowing  light permeability. This protein is formed in fetal life  and does not regenerate in time  However, over the years, the protein gradually begins to  become impervious to light. When most proteins undergo such modification, it  will prevent  proper vision – this is called cataract.

How can we prevent from cataract?

At present, it is neither  possible to prevent from cataract nor treat it with medication.

 

How to cure cataract?

Cataract can be  treated only by surgery.  Phaco-emulsification of lens is carried out Every year, millions of people undergo this treatment with excellent results. Currently, it is the safest method, which allows the patient to a rapid return to normal functioning.

 

What is  lens phacoemulsification surgery? 

  • Anesthesia: drops applied locally, the patient is fully aware and maintains  contact with the doctor during the whole procedure
  • The operation is performed by a qualified ophthalmologist only
  • Duration of surgery : about 20 minutes, and within an hour after surgery, the patient is dismissed home

 

Phaco-emulsification procedure step by step

  • A small incision at the edge of the cornea (2.2-2.8 mm) is made, which allows to avoid  stitches  so that the patient does not feel any discomfort associated with stitches.
  • Turbid   lens is softened by ultrasound, so  that it can be easily removed. In very rare cases, when the lens is too hard to be removed   in this way, an  indirect method is applied . Then, a larger opening is made to remove the turbid  lens, which entails the use of sutures.
  • Then, an artificial lens is implanted IOL (Intra Ocular Lens). Before surgery, the type is selected by an ophthalmologist  (see table on the next page describes each type of IOL). During the entire surgery  the surgeon  uses a special microscope, which guarantees the highest precision of movements.

 

IOL  lens

 

Recommendations after surgery

  • strictly follow all recommendations of your doctor.
  • Immediately after the surgery, do not rub your eyes, and avoid their excessive wetting
  • The day after surgery, the patient can do  basic activities  such as reading and watching TV. Do not drive a motor vehicle during the first day after surgery.
  • In  two to seven days, you can return to work.
  • Doctors usually recommend avoiding strenuous activity for at least two weeks after surgery.

After surgery, should you use glasses or contact lenses?

Modern medicine offers not only the surgical removal of the turbid  lens, but  appropriate selection of  artificial lenses.It   allows you to  correct effectively  the vision defect (such as astigmatism, myopia and hyperopia). The use of multifocal lenses allows for distance vision, near vision and intermediate distances. As a result ,  the patient is freed from the need of wearing  glasses or contact lenses.

Are there any possible complications?

No operation is completely without risk. No doctor is not able to guarantee  complete success in every case . However, serious complications occur extremely rarely at cataract surgery.

Despite   the biggest concern of our physicians  at  our center, the patient  might  experience the following complications that can cause deterioration of visual acuity:

  • Severe bleeding occurs in 1-2 per 1000 patients during or shortly after surgery.
  • Infections can occur despite compliance with the principles of antisepsis by medical personnel.
  • Retinal detachment occurs in 1 % of patients  with  unstable posterior cyst  ; Risk increases to 3-4 %, if the cyst  is cut  or removed during the operation. However, the retina can be re- applied during the next surgery .
  • Increase in intraocular pressure , the appearance of inflammatory foci in front of the pupil or  turbid cornea  often appear in the first days after the operation. All these ailments can usually be removed with medication. However, if the cornea had  already been damaged or turbid prior to surgery  , most likely this will never change . Then you might have a cornea transplantation  .
  • Swelling of the central part of the retina leads to a decrease in visual acuity . Most often disappears after a few weeks ,otherwise,  it undergoes   pharmacological treatment .
  • Changes the curvature of the cornea appear frequently , however, they can be completely corrected with  glasses. In some cases, some  pieces of the cornea are cut  or  laser treatment is applied in order to eliminate this problem.

 

After inplantation of artificial lens, there might be the following complications :

  • Poor power breaking  of the implanted lens is very rare. Most lenses differ by no more than two dioptres from ideal. However, despite careful calculations of the type of implanted lens, sometimes it is not quite possible . In such cases, another operation is performed  and  the lens is replaced .
  • Dislocation of the artificial lens occurs extremely rarely. In these cases, a second surgery  is necessary, the removal of artificial lenses sometimes is  permanent.

Cataract
Phacoemulsification of cataract with implantation of foldable ALCON lenses
€ 759,00
Phacoemulsification cataract surgery with implantation of foldable Acrysof IQ lenses
€ 879,00
Phacoemulsification of cataract with implantation of foldable multifocal RESTOR lenses
€ 1549,00
Phacoemulsification of cataract with implantation of foldable multifocal RESTOR TORIC lenses
€ 1819,00
Phacoemulsification of cataract with implantation of foldable multifocal lenses M+ lenses
€ 1129,00
Phacoemulsification of cataract with implantation of foldable multifocal M+ TORIC lenses
€ 1459,00
Phacoemulsification of cataract with implantation of foldable toric ACRYSOF lenses
€ 1169,00
Phacoemulsification of cataract with implantation of foldable toric RYNER lenses
€ 1019,00
Phacoemulsification of complicated cataract with implantation of foldable lens
€ 1350,00
Phacoemulsification of complicated cataract together with the implantation of WIOL bio-analogical multifocal lens
€ 1429,00

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