Femto Laser Assisted Cataract Surgery (FLACS)

Cataract results because of the clouding of the normal lens of the eyes due to multiple reasons. Cataract formation can be a part of normal ageing process. It can also occur after prolonged exposure to sun light ( U.V rays), following injury to the eye, after prolonged use of medicines like steroids, in diabetics or in metabolic disorders. However, it cannot be corrected by any other means apart from surgery. In the initial stages, glasses can be prescribed, however sooner or later surgery is required.

In cataract surgery, the natural lens in the eye which becomes opaque is removed and an artificial lens is implanted in its place. These days Phacoemulsification cataract surgery, micro incision cataract surgery ( MICS ),FLACS ( femto laser assisted cataract surgery) and Zepto assisted cataract surgery are routinely done.

cataract surgery In MICS small incision (1.8-2.2mm) is made in the cornea and the natural lens is broken into small particles by ultrasonic machine ( phaco machine) and is removed from the eye. This procedure is mainly surgeon dependant and requires good skills and expertise. Other manual methods of cataract eye surgery are ECCE (extracapsular cataract extraction) and SICS ( Small incision cataract surgery).

Femtolaser assisted cataract surgery ( FLACS) is a type of bladeless cataract surgery in which corneal incisions are made by the laser, the bag of the lens is also opened up with the help of the laser only and then the lens is fragmented into pieces by it which is then easily removed from the eye. It is comparatively more precise than manual cataract surgery.

Nowdays Robotic laser cataract surgery has also come up with fully automated surgical steps, shorter recovery period and excellent visual outcomes after surgery.

The intraocular lenses ( IOL) which are implanted can be for distance vision only (unifocal lens) in which glasses are needed for near work or multifocal lens in which glasses are usually not needed after cataract surgery. In patients having astigmatism, toric lens is implanted which gives very good eye sight after cataract surgery.

Cataract surgery complications are few. sometimes, the bag in which lens has to be implanted is delicate and is ruptured then lens is placed at a different site. There may be infection, swelling of eyelids, swelling in retina (cystoid macular edema), increase in the pressure of the eyes. however, these complications are very rare considering that cataract surgery has become very safe these days.

The cost of cataract surgery in India varies from 1000 $ to 2500$ depending upon the technique and machines used and type of intraocular lens implanted.

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FAQs

At what stage should cataract be removed?

Whenever an individual with cataract is not able to perform his daily activities comfortably then it is advisable to consider cataract surgery for him.

How long does it take to recover from cataract eye surgery?

The recovery time is short and full recovery usually occurs in 4 to 6 weeks. There may be transient discomfort after the surgery which usually disappears in few days.

Is cataract surgery painful?

There is minimum discomfort during cataract surgery. The surgeon ensures that the patient feels no/minimum pain during surgery. Patient is usually awake during the entire procedure.

What is the procedure of cataract surgery ?

In cataract surgery, the cloudy lens in your eye is removed and clear intraocular lens is implanted in its place. Cataract surgery is a day care procedure with short recovery time and usually no hospitalization is required.

What are the side effects of cataract surgery ?

There may be mild pain, swelling of the eyes, drooping of upper lid, glare and haloes. However, these are transient and usually resolve in few days. Sometimes there may decentration of the intraocular lens, after cataract ( thin film forms behind the lens), swelling in the retina ( macular edema), increase in the pressure of the eye ( ocular hypertension). However all these can be managed and these days the incidence of these complications is usually low as the cataract surgery has become very safe .

What is Femto laser assisted cataract surgery ?

In femto laser assisted cataract surgery, a specialized laser is used to perform special steps like corneal incision, capsulotomy, breaking of the lens, which were initially done manually thus adding more precision to the surgery.

Is laser surgery better than manual cataract surgery?

Laser surgery is a blade free cataract surgery with more precision than manual cataract surgery.

How long does Laser assisted cataract surgery take ?

The procedure is usually completed in 30 minutes. The total stay in the clinic is usually around 2 to 3 hours.

What is Zepto assisted cataract surgery?

Zepto is a latest FDA approved technology for cataract surgery which utilizes high precision in making capsulotomy which is essential in removal of cataracts and implantation of artificial lens.

Is Zepto safe ?

Zepto assisted cataract surgery is a very safe and precise technique.

What is the cost of cataract surgery in India?

The cost of cataract surgery in India ranges from 1000 $ to 2500$. It mainly depends on the type of surgery performed, the hospital where it is done, the type of lens implanted and also on patient dependent factors.