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Akshi Eye Centre

Dadar, Mumbai, Maharashtra

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Cataract and its Treatment

Sight is our most precious sense enabling us to enjoy the beauty of the world in which we live. For centuries, developing cataract doomed a person to blindness.
  Today modern microsurgical techniques allow people to enjoy good clear vision after their cataracts have been removed. Giving up favourite activities and suffering through years of poor vision due to cataract is no longer an inevitable part of the ageing process.

Cataract Surgery Eye Treatment
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Step by Step informationIt is one of the oldest, safest and most successful forms of surgery. It requires a very short hospital stay and is generally performed under local anaesthesia. The patient is awake during surgery but does not feel any discomfort or pain. Patients are ambulatory and discharged immediately after surgery.
For the surgery a small opening is made in the eyeball. The front part of the lens capsule which is a thin membrane enclosing the entire lens is cut, making a smooth round opening in the front part of the capsule. All cloudy lens material is removed by a routine cataract procedure or by phacoemulsification.
The back of the lens capsule is left in place so that the artificial lens implant will be able to rest securely within it. If the lens capsule is not able to hold the implant it can be placed in front of the iris i.e. the coloured part of the eye.

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Non Foldable Intraocular Lenses
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This procedure is also available. It requires an incision that is only slightly larger than that for a foldable intraocular lens. The benefits are that it retains the advantages of phacoemulsification while cutting down the cost of the intraocular lens.

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Phacoemulsification Eye Treatment
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Routine cataract surgery requires an incision 11-12 mm in size. Phacoemulsification is performed through a 1.4-2.75 mm incision using a thin titanium probe, which emits high-speed ultrasound waves, vibrating at 40,000 times per second. This breaks the cataract into tiny pieces, which are then aspirated or sucked out of the eye through the same probe.
Small and micro incisions such as those used in phacoemulsification are preferable because they seal themselves immediately after surgery and heal very quickly. It is only a reflection of our unshakable commitment to quality that we are perhaps the first institution in Delhi to acquire the Millennium Phacoemulsification System, the latest top-of-the-line phacoemulsification machine available in the world. We also now have the Alcon Legacy Series 20000 Phacoemulsification System, as well as the Sovereign Phacoemulsification System with WhiteStar technology for delivering "Cold Phaco" which has the advantage of significantly reducing the ultrasonic energy to break up the cataract. A small incision causes less tissue damage and increases surgical safety. No-stitch or one-stitch may be used in phacoemulsification surgery whereas in Non-Phaco I.O.L. surgery, 6-8 crossed stitches are used. These cause changing curvature of the eyeball and hence a delay in the final spectacle prescription. Another advantage of small incisions is that they are less likely than other incisions to cause a focusing problem known as astigmatism. The postoperative rehabilitation is faster and you can return to your normal work and activities very soon. This is currently the most effective method for removing cataracts.
  Keeping pace with the advanced technology we are now coupling Phacoemulsification with implantation of the best quality Foldable lntraocular Lenses that can be inserted through even smaller incisions, further increasing the benefits of phacoemulsification

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Symptoms Eye Treatment

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CataractBecause cataracts form in different ways, the symptoms of cataracts are variable. Most people notice that their vision gradually deteriorates - objects may begin to look yellow, hazy or blurred. Many people also find that they need more light to see clearly, or that they experience glare or haloes from lights at night. Other common problems include increasing nearsightedness, double vision or the appearance of dark spots or shadows in the vision. In advanced cases, the cataract may be visible as a white or yellowish-looking pupil (as seen below).

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Micro Surgery

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  An eye operation performed with the help of a microscope is called microsurgery. Intraocular Lens Implantation and Phacoemulsification cannot be performed with precision unless done with a sophisticated operating microscope

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Cataract Surgery

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  Cataract surgery can be performed as soon as the patient feels handicapped in performing routine activities at work and leisure. In modern times it is neither advisable to wait for the cataract to mature (as it can lead to complications like glaucoma), nor necessary, as we have access to "state-of-the-art" surgery. For performing phacoemulsification it is desirable to get surgery done before the cataract fully matures

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Your eye surgeon will be the best judge to decide whether you can undergo phaco-surgery.
Each patient undergoing cataract surgery at our centre is examined in detail to assess the endothelial count of the cornea using the automated specular microscope. The endothelium is the inner most layer of the cornea which is responsible for its transparency. Preoperative assessment of the endothelial count enables us to identify patients in whom this layer is weaker (low cell counts), therefore are not suitable for the phacoemulsification procedure, and in whom surgery by the conventional technique would be safer. Again based on findings of the endothelial count by specular microscopy it may be necessary to alter certain medication used at the time of surgery. If necessary we are using BSS/BSS Plus and Healon/ Healon GV, which are imported medicines, to minimize loss of the already depleted endothelial cell counts during surgery.
Other relative contraindications to having phacoemulsification surgery would be very poorly dilating pupils, certain corneal diseases and very hard cataracts as the amount of energy required to break up the cataract would probably damage the eye.

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Get in touch with us

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Akshi Eye CentreNo. 169 A, Mayur Niwas, 2nd Floor, Dr. Ambedkar Road Dadar T.T. Circle, Next To Taj Cake Shop, Mumbai-400014, Maharashtra, India

Rashmi Bhayani (CEO)

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