Cataract and Lens Implants

Several methods are used to remove a cataract but each has the same goal – to remove the clouded lens. All types of surgery have high success rates and after discussion with you. Your doctor will employ the method that best meets your needs.

 There are three currently acceptable ways of removing a cataract: 
 

• Extracapsular Cataract Examination (or ECCE)

• Phacoemulsification (or PKE)

• Small Incision Cataract Surgery

In all the above surgeries an Intraocular Lens (IOL) implant can be placed within the eye for optimum vision.

Most cataract surgeries are performed under local anaesthesia. The patient remains conscious during the surgery. This involves the injection of a local anaesthetic drug above and below the eye. The drug has a pain – killing effect (analgesia) it also keeps the eye still during surgery (akinesia) so that sudden eye movements that may complicate the surgery do not occur.  

General anaesthesia is sometimes preferred in children, mentally handicapped patients and others who are likely to prove uncooperative during surgery. 

Phacoemulsification is sometimes performed using topical anaesthesia in the form of anaesthetic eye drops. While this produces analgesia ainesia does not occur. A high level of patient cooperation is therefore required. 

The decision regarding the type of anaesthesia will be taken by the doctor after examining the patient.

• Avoid straining.
• Do not lift heavy objects.
• Avoid getting your head wet while bathing

How safe is Cataract Surgery  |  Intraocular Lens  |  Patient Care