About Cataract Surgery

Cataract Surgery is an outpatient procedure that takes 15-minutes to complete. Our surgeons perform state-of the art cataract surgery with a modern technique allowing recovery as soon as the next day after the procedure. The cataract is broken into tiny pieces that are aspirated out of the eye and a foldable artificial implant is implanted in place. Some people may even be able to minimize their need for glasses after cataract surgery. Make sure you discuss your visual requirements with your surgeon.

The Boston Eye Group was among the first to embrace revolutionary implants for cataract surgery. These premium lens implants allow less dependency on glasses at distance and near. They are either accommodative implants (Crystalens) or Multifocal (Tecnis or ReSTOR). Dr. Melki recently took his US experience to the UK to become the first surgeon there to implant the Crystalens Five-0. Dr Melki is also the first Boston Surgeon to have implanted the Tecnis Multifocal implant.

Cataract Surgery

Phacoemulsification (Phaco)

Phacoemulsification is a surgical method used to remove a cataract, which is a clouding of the eye’s naturally clear lens. A cloudy lens interferes with light passing through to the retina, the light-sensing layer of cells at the back of the eye. Having a cataract can be compared to looking at the world through a foggy window.

In phacoemulsification, an ultrasonic oscillating probe is inserted into the eye. The probe breaks up the center of the lens. The fragments are suctioned from the eye at the same time. A small incision that often does not require sutures to close can be used since the cataract is removed in tiny pieces. Most of the lens capsule is left behind and a foldable intraocular lens implant, or IOL, is placed permanently inside to help focus light onto the retina. Vision returns quickly and one can resume normal activities within a short period of time.

Posterior Capsulotomy

A posterior capsulotomy is a surgical laser procedure that may be necessary after cataract surgery. During cataract surgery part of the front (anterior) capsule that holds the lens is removed. The clear back (posterior) capsule remains intact. As long as that capsule stays clear one has good vision. But in 10 to 30% of people, the posterior capsule loses its clarity. When this happens, an opening can be made in the capsule with a laser (posterior capsulotomy) to restore normal vision.

Before the laser procedure, the ophthalmologist does a thorough ophthalmic examination to make sure there is no other reason for vision loss. A posterior capsulotomy is painless and takes five minutes. Eye pressure is taken a half hour after the operation to make sure it is not elevated and antibiotic drops are usually prescribed for three days following the procedure. Vision should improve within hours. Potential but rare complications following laser posterior capsulotomy are increased intraocular pressure and retinal detachment.

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