Laser Cataract surgery is one of the most common and successful operations performed today with about 50,000 cases per year in Singapore. For a certain subset of patients, however, bladeless laser cataract surgery has some advantages. So, how do you know which type of cataract surgery is right for you? Here are five facts about both types of cataract surgery that you probably didn’t know.

Consult your ophthalmologist to decide which alternative is best for you. You are welcome to seek the advice of your eye surgeon, as cataract surgery in Singapore is widely performed.

1. How Cataract Surgery as it is known (Phacoemulsification) is performed and its benefits

Traditional cataract surgery in Singapore is known as Manual phacoemulsification. Most people do not know this but with a needle, the eye surgeon or cataract surgeon makes a tiny incision in your cornea.

This opening was then used to insert a small instrument. It is situated behind your pupil, where the lens of your eye is enclosed in a capsule. A circular opening in the capsule is made and a pen-shaped probe is inserted into it by the eye surgeon. The cloudy lens is broken up with sound waves (ultrasound), and the broken fragments are sucked out until an artificial intraocular lens (IOL) is mounted. Stitches are typically not needed since the wound heals on its own.

Phacoemulsification Benefits

  • Effective
  • Safe
  • Cost-Effective

2. How Cataract Surgery Without Blades (Bladeless Femtosecond technology) is performed and its benefits

The FDA-approved Femtosecond laser Cataract device uses the same femtosecond technology that is used in iDesign bladeless iLASIK. Integrated optical coherence tomography (OCT) is used in the method to obtain accurate, high-resolution images of the patient’s eyes. 

It allows the eye surgeon to prepare and tailor each procedure based on the specific characteristics of the patient’s eye using image guidance. Many steps in cataract surgery that were traditionally performed by human hands have been replaced by the femtosecond laser, resulting in less surgical error and greater predictability of outcomes. The results are more accurate than any previous or current cataract surgery procedure. 

The femtosecond laser is used by eye surgeons to make corneal incisions, produce a flawless capsulotomy, and soften and divide the cloudy cataract lens, all 100% blade-free.As less energy is used, recovery is quicker and surgical outcomes more precise. Singapore Bladeless cataract surgery is performed by few Ophthalmologists  in Singapore due to high equipment cost and steep learning curve.

Bladeless Surgery Benefits

  • Lens phacoemulsification quicker and requires less energy
  • Corneal cuts that are more accurate
  • Architecturally more centred and round openings.

Note: Bladeless cataract surgery is ideal for the majority of people, with the exception of those who have corneal disease, poorly dilating eyes, or who cannot handle the suction used to stabilize the eye.

Bladeless Surgery Disadvantage

  • High Cost of the laser and procedure.
  • Risk of intraoperative miosis and the steep learning curve.
  • Disposables for surgery

3. Cataract Treatment in the 21st Century and steps for treatment

Medication or eyeglasses are not able to cure or fix a cataract. Surgical removal of the cloudy cataract lens is needed. Cataract surgery is the most common surgical procedure in the world, and it is generally considered to be both safe and successful. Most people think that after the surgery you just go home but actually no, you will have to get checked to see if the eye is healing as well as to check for any complications.

Step 1: Preparation for Surgery

To calculate the intraocular lens correctly, measurements of your eyes are taken.

Step 2: Surgery on an outpatient basis

A local anaesthetic, such as eye drops and injections, is used in a same-day treatment.

Step 3: Visits to Follow-Up

The first day after surgery, and then for about a month, if necessary

Step 4: Typical Observation

Your eye doctor (lasik surgeon) can examine you on a regular basis.

4. Some of the risks associated with cataract surgery and how it can be treated successfully

After cataract surgery, complications are rare, and the majority of them can be treated successfully however there are still some risks you may not be aware of. These complications occur in less than 1%.

Risks

  • Detachment of the retina
  • Bleeding
  • Infections may develop
  • Swelling of the eyes
  • Artificial lens dislocation
  • Eyelids start to droop
  • Inflammation
  • Glaucoma
  • Visual loss

5. Causes of blurred vision and cataracts

What Exactly Is A Cataract?

A cataract is a clouding of the lens of the eye, which is usually translucent. Cataracts are hidden within the eye and can only be seen with a special microscope.

As a result, they have little impact on the appearance of the eye and cause no discomfort. Changes can be so subtle that you are unaware of the impact of a cataract at first.

  1. Causes of blurred vision

A cloudy lens inside the eye causes blurred vision in the same way as fingerprints on a camera lens cause blurry pictures regardless of our attempts to focus. A cataract occurs when the human lens becomes cloudy or hazy to the point of obstructing vision. The blur caused by a cataract will not be helped by adjusting glasses (focus).

  1. Causes of Cataracts

Birth defects, trauma, diabetes, and long-term use of some drugs, such as steroids, may all cause cataracts. Cataracts can grow in patients who are extremely nearsighted at a young age. The majority of cataracts, on the other hand, are caused by the human lens’s normal aging process. Cataracts, like grey hair, do not affect everybody at the same age or at the same pace.

If you have any eye disorder or a severe medical problem, the chance of complications is higher. Because of underlying eye damage from other conditions including glaucoma or macular degeneration, cataract surgery often fails to improve vision. Before deciding on cataract surgery or getting cataract surgery in Singapore, it’s a good idea to assess and treat other eye conditions if at all possible. Ensure that your eye doctor provides near post-surgery follow-up to ensure that your eyes regain full vision quickly and that your recovery goes smoothly. 

Not all cataracts require surgery. They will, however, continue to evolve and impair your vision if left untreated. Get medical attention to determine the seriousness of the cataracts.