What is Cataract?

Cataract is the clouding of the clear natural lenses inside the eyes. It blocks or scatters light entered, resulting in impaired vision. Statistics show that more than 60% of eyes have cataracts by age 60, and by 75, about 95% of eyes have cataract.

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How do you know if you have a cataract?

Symptoms of cataract include:

  • Blurred vision
  • Glare or haloes around bright lights
  • Reduction or loss of colour perception
  • Difficulty with vision at night or in dim light
  • Spectacle prescription changes but glasses no longer improve the vision to a normal standard

Cataract develops slowly and is often not noticed initially. However, the vision will be affected and may be fuzzy over time. Colours might appear less vivid and washed out. At least 20% of cataracts get worse after a year and 65% worsen over 5 years.

 

What is the treatment for cataract?

Cataract cannot be treated with medication, thus the only treatment option for cataract is surgery. Cataract surgery is one of the most common elective surgical procedures and takes about 15 minutes only. It is typically performed on an outpatient basis and does not require an overnight stay in hospital. In about 90% of cases, people who perform cataract surgery have better vision afterward. In recent years, advances in technology are unleashing a new age where artificial intelligence (AI) is applied in cataract treatment with the introduction of 100% Bladeless Femtosecond Laser Cataract Surgery and Computer-Guided Intraocular Lens Implants.

Traditional Manual Phacoemulsification Cataract Surgery

Traditionally, for more than 50 years, all incisions are made manually by surgeons with knives and sharp instruments inside the eye. It is followed by ultrasonic energy to aspirate and remove the cataract.Though the incision size is now a lot smaller (around 2.8 mm) than it used to be 50 years ago, certain aspects of manual phacoemulsification are performed with limited precision and still has room for human errors to occur which might cause vision loss.

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Shematic diagram of the standard manual cataract surgery. The surgeon uses a knife to make a corneal incision. A sharp micro-forcep enters the eye to tear the capsule surrounding the cataract (Capsulorrhexis). The cataract is then sculpted manually using higher ultrasound energy level. A clear intraocular lens is implanted inside the capsular bag to correct vision of patient after surgery.

CATALYS® LASER CATARACT SURGERY VS. TRADITIONAL MANUAL CATARACT SURGERY
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Advanced Cataract Surgery – 100% Bladeless Femtosecond Laser Cataract Surgery& Computer-Guided Intraocular Lens Implants

Femtosecond laser involves the emission of optical pulses within an extremely short duration in the domain of femtoseconds, as short as one-quadrillionth of a second (10-15 sec). It allows the precise incisions of tissue with practically no heat development. We are the first clinic in Singapore that offer a start-to-finish fully automated and computer-guided cataract journey by using the combination of ZEISS Callisto Eye® and CATALYS® Femtosecond Laser. It safeguards some of the most traditionally challenging steps of cataract surgery and improves on the effectiveness, precision, safety and outcome of manual phacoemulsification cataract surgery. This method enables your doctor to create a 3D blueprint of your eye and plan a treatment that’s personalized just for you.

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Uniqueness of Advanced Cataract Surgery

  • Integral Guidance Technology @ CATALYS®

Achieve excellent outcomeswith automatic surface mapping and guided delivery maps surface using anatomical landmarks. Precisely positions incision orientation and depth, including safety zones, based on the treatment plan once all relevant structure have been mapped.

AUTOMATIC SURFACE MAPPING

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  • Real Time 3D Optical Coherence Tomography (OCT) @ CATALYS®

Delivers real time visualization of the eye without disruption through the entire treatment plan. Performs > 10,000 individuals A-scans to capture high-resolution data forthe full volume of anterior segment.Completed scans provide axial and sagittal cross sections, enabling precise landmark and incision positioning. Automatic tilt detection further optimizes lens fragmentation.

AXIAL AND SAGITTAL CROSS SECTIONS

LENS TILT CAPTURED

INCISION POSITION AND CONFIRMATION

 


 

  • Novel Liquid Optics Interface @ CATALYS®

Clear optical path for precise imaging and laser treatment by filling in corneal surface irregularities with liquid. Gentle dock for patient with minimal haemorrhaging and intraocular pressure (IOP) rise. No corneal distortion or induced folds.

LIQUID OPTICS INTERFACE

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  • Computer-Guided Lens Implantation @ ZEISS CALLISTO Eye®

Transfers all preoperative data from the IOL Master 700, thus reducing procedure time and eliminating transcription errors. Eliminates the need to manually mark the eye and ensures proper alignment of overlays with the built-in eye registration function, regardless of eye movement and rotation. Provides accurate centration and alignment of both the capsulorrhexis and the IOL.

BUILT-IN EYE REGISTRATION OF CALLISTO EYE®

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PRECISE AND EFFICIENT TORIC IOL ALIGNMENT

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Benefits of Advanced Cataract Surgery

Customized

Planned specifically for your unique eye

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Precise

Aligned precisely and delivered accurately

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Comfortable

Easy preparation and procedure

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Fast

Each step delivered in a matter of seconds

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Gentle

Minimal inflammation

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Safe

Reduced risk of intraoperative complications

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When should I undergo cataract surgery?

The time to consider cataract surgery is when the effects of cataract start to interfere your daily activity. When your quality of life starts to be affected, you should undergo cataract surgery to restore your vision. At the same time, it is also a golden opportunity for you to correct any pre-existing myopia (short-sightedness), hyperopia (long-sightedness), presbyopia (“lao hua”) and astigmatism. In the hands of a skilful refractive surgeon, these refractive errors can be completely treated or reduced to enable spectacle freedom post-operatively.

What affects the outcome of your cataract surgery?

  • The skills and expertise of the surgeon
  • The accuracy of measurements and calculations of the lens implant power (biometry)
  • The types of lens implant used
  • The cataract surgery equipment and technology used
  • The co-operation of the patient during the procedure
  • The natural healing process of the eye itself
  • The presence of other eye diseases may affect the prognosis of cataract surgery

Financial Concerns for Cataract Surgery

It is undebatable that bladeless femtosecond laser cataract surgery is superior than manual phacoemulsification and the only concernis the cost. This issue arises with any new technology and is always resolved. In Dr Natasha Lim Eye Centre, there will not be a huge difference in price between the traditional manual phacoemulsification and bladeless femtosecond laser cataract surgery.

According to the guidelines from Ministry of Health (MOH) Singapore, the maximum withdrawal limits for cataract surgery (under table code 4A) is SGD 2,450 per eye. Meanwhile, the MediShield Life claim limits are subjected to the schemes and subsidies guideline from MOH which differs on individual basis. Besides, we will help patients to do electronic-fillings after the surgery to claim their personal insurance (if any) and the percentage of coverage depends mainly on what insurance policies that patients hold.

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