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Cataract Services – Cold Phaco with Foldable Lens

 What is Phacoemulsification, or phaco ?

A tiny probe is inserted through a minute incision (1.4mm to 1.8mm) on the side of the cornea (the clear, dome-shaped surface that covers the front of the eye). This instrument vibrates at an extremely high rate of speed caused by high frequency sound waves.

The ultrasonic vibration breaks the cataract into fine pieces, which are suctioned out of the eye. After all the cataract material is removed, the back half of the lens or capsule is left behind and the IOL is placed inside. Since this method does not involve any stitches, this method is called"NO STITCH" Cataract Surgery

From less-traumatic surgery to earlier return of vision, new cold phaco cataract removal technology is delivering ever-increasing benefits to patients. Cold phaco systems offer new capabilities that allow surgeons to move up to the next step in cataract surgery-bi-manual micro-incision Phacoemulsification. Visual outcomes are improved with this technology. Cold Phaco gives the surgeon the ability to control ultrasonics and aspiration simultaneously and independently. With new technologies available cataract surgeons will be performing procedures with incisions as small as 1.0mm. With traditional phaco, wound burns are often a real possibility. The new cold phaco technology reduces risk to the patient and may enable better results.

Advances have been made in cold phaco, particularly in energy efficiency, follow-ability and temperature regulation. It improves the delivery of ultrasonic energy to the anterior segment, which in turn, decreases the amount and duration of power delivered to the eye. The worst action one can take during phaco is delivering too much ultrasound energy. You don't even have to touch the cornea to create problems.

 What are the advantages of phacoemulsification with foldable IOL over conventional cataract surgery ?

It allows for a injection less, stitchless, painless, no bandage surgery.

1. Drops of local anesthetic agent are used instead of an injection in the eye, thus leading to a walk-in walk out procedure.

2. Early visual rehabilitation for the patient.

3. Minimum curvatural changes occur in the eye following surgery.

4. Post-surgery, the wound is very secure.

5. Final glasses can be prescribed within two weeks

 How soon after Phaco Surgery, will I be able to see ?

In some cases the patient is able to see almost immediately following the surgery, although most patients experience clear vision after one or two days.

  Will I need glasses after Phaco Surgery ?

You may need to wear glasses only to fine-tune your vision. These spectacles have normal lenses unlike thick lenses used in the past. If unifocal IOL is used, near vision glasses      are almost always required.

 Will activities have to be restricted after Phaco Surgery ?

Normal activities including walking, reading, writing, watching television etc. May be resumed soon after the surgery. However, during the first week of the surgery, it is better to avoid strenuous activities & avoid exposing the eye to water or dust.

 Is there any diet restriction after Phaco Surgery ?

There are absolutely no diet restrictions after phaco and you can continue with your normal diet. However, diet regulation advised for other diseases like diabetes, High blood pressure, etc must continue.

 Can I have Phaco Surgery on one eye even if the other eye had been operated upon by the conventional surgery ?

Yes, you may have micro incision Phaco Surgery on your "Second eye" you will have better vision.

 How long will the procedure take ?

With the advanced technique of the cataract surgery, removal of the cataract takes just about 2 minutes and the entire procedure would take about 15 minutes.

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