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Phaco cataract surgery

Keyhole surgery for cataract. A very small cut, a tiny tip that breaks up the cloudy lens, and a clear lens put in its place.

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Close-up of cataract surgery. Through a tiny incision, a fine probe breaks the cloudy lens into pieces and removes them. Then a folded clear lens is passed in and unfolds into place.Tiny incisionCloudy lensClear new lens

At a glance

  • Duration

    About 10 to 20 minutes

    Usually.

  • Anaesthesia

    Eye drops that numb the eye

    You stay awake.

  • Going home

    Usually the same day

  • Back to routine

    Light tasks in a few days

    Dr. Kumar will advise.

What phaco surgery is

Phaco is short for phacoemulsification (say: fak-oh-ee-MUL-sih-fih-KAY-shun). It is the most common way to remove a cataract today.

What the surgeon does

Dr. Kumar makes a very small cut at the edge of the clear front of the eye. A tiny tip, using sound waves, breaks the cloudy lens into small pieces and gently sucks them out. The thin bag that held the lens stays in place. A folded clear lens (an IOL, intraocular lens) is slid in and opens up inside the bag. The cut is so small that it often closes by itself.

Who it is for

People whose cataract is getting in the way of daily life: reading, work, travel, or safe walking and driving. Very hard or very advanced cataracts, or eyes with other problems, may need a different method. Dr. Kumar will tell you what applies to you.

Honest risks

  • Common: redness, a gritty feeling and mild blur for a few days.
  • Common later: the thin bag behind the lens may turn hazy months or years on. A quick laser treatment clears it.
  • Rare but serious: infection inside the eye (endophthalmitis), bleeding, swelling at the retina, a detached retina, or the lens moving.
  • Call us at once if: pain grows, sight worsens, the eye turns more red, or you see a curtain, new floaters or flashes.

Before, on the day, after

The usual order of things. Dr. Kumar will tell you what applies to you.

  1. Before

    Consultation and tests

    Your eye is checked and measured to choose the lens power. Tell Dr. Kumar about your medicines and any allergies.

  2. Before

    Preparing at home

    Use any drops you have been given. Follow the advice about eating and your usual medicines. Arrange for someone to come with you.

  3. On the day

    The operation

    The eye is cleaned and numbed with drops. You are awake. The old lens is removed and the new one placed. It usually takes 10 to 20 minutes.

  4. On the day

    Rest and go home

    You rest for a while, then go home with an eye cover. Do not drive.

  5. After

    Review

    Dr. Kumar checks your eye himself, usually in the first few days, and again after a few weeks.

Recovery

How healing usually goes.

  • First day

    Settling

    The eye may feel gritty and be watery or blurred. Keep the cover on as told and use your drops.

  • First week

    Drops and care

    Do not rub the eye. Keep water and soap out of it. Avoid dusty places and heavy lifting. Wear the shield when sleeping if advised.

  • Four to six weeks

    Settling and glasses

    The eye usually settles. Your glasses check is done once it has healed.

Questions about phaco cataract surgery

Will I see straight after surgery?

Many people see better within a day or two, but it can take days or weeks for sight to settle. Blur on day one is normal.

Is it painful?

The eye is numb, so you should feel pressure or touch but little or no pain. Tell Dr. Kumar if you feel anything sharp.

When can I wash my face and hair?

Dr. Kumar will give you a clear plan. Usually you avoid water getting into the eye for the first week or so. Wash around the eye gently.

When can I read, watch TV or use my phone?

Usually you can do these soon, once you are comfortable. Do not strain. Rest your eyes if they tire.

What if I have cataract in both eyes?

Usually one eye is done first and the other after a gap. Dr. Kumar will tell you the plan for you.

Your eyes deserve one doctor who knows them.

Book a visit with Dr. Kumar, or call and we will help you choose a time.