CATARACT Clinic

AN APPROACH THAT’S JUST MADE FOR YOU

Every eye is unique in itself, its shape, curvature, eye lashes, colors etc. Just like finger prints, they define you. But its uniqueness doesn’t end with its form. Each Eye acts as a window to the mind. It captures images. These images are then transported to the vision center in our brain where they are interpreted and processed. As a result, the sight center recognizes the object. A clear lens focuses the image on the retina. The condition wherein this lens becomes cloudy is called Cataract.

Often enough, we don’t understand what our eyes needs. Eyes are effected by their physical profile, body health and most importantly, the lifestyle that the person is having. And while a cataract Is to be removed, all these three aspects need to be taken care of. A diabetic teacher might need a different approach to treat cataract than a normal-healthy teacher, because they lead completely different lifestyle. Cataract will affect each eye and individual differently. It is a no longer just a biological disease, rather a lifestyle impairment.

Hence, to give your eyes an appropriate treatment it deserves, we at REH have developed a systematic and scientific protocol named ‘Made For You’ that manages your cataract in a way that gives a quality functional vision empowering your lifestyle. This protocol is developed from the accumulated scientific knowledge over the years, through understanding the feedback and outcomes of many technology and processes. For this, we access the profile of your Eye in great depths, analyze your overall health and try to get deep insights into your lifestyle. With this approach we are able to give you a scientific solution for the type of IOL and surgery, which is designed to enhance your lifestyle!

FOR A UNIQUE EYE, A UNIQUE SURGERY, MADE JUST FOR YOU!

To give your eyes a unique treatment it deserves, we at REH have developed a systematic and scientific protocol named ‘Made For You’ that treats your cataract in a way that enhances your lifestyle. This protocol is developed from the accumulated scientific knowledge over the years, through understanding the feedback and outcomes of many technology and processes, across the world. For this, we understand your Eye profile in great depths, analyze your overall health and after getting deep insights from your lifestyle, we give you a scientific solution for IOL and surgery which is designed to enhance your lifestyle!

EYE PROFILE

Eyes are intricate and delicate. They have a layered structure and each layer gels in naturally to give you the crisp image. Hence, to maintain the beauty of this eye and enhance the safety of the procedure, we have made a point to involve a complete layer by layer analysis of your eye, from the front ocular surface to the retina and optic nerve. We scientifically diagnose each aspect in a strategic path, which has now become a globally accepted method and on the basis of this detailed workup, we gauge the safety and precision required for your eye surgery.

HEALTH

When one Eye is operated rest of the body organ work in a coordinated manner. It is important to make sure that this coordinated balance is maintained, to determine the procedure safe for you. At REH, we include a health check-up as a part of our patient pre-operative protocol. This include examination of vital parameters blood sugar & specify investigations necessary for your health in-conjunction with your treating physician. We make a point to not disturb your daily regime or alters your schedule of this important drugs, instead modify our approach to suit your health conditions. For e.g. If someone has a special heart ailment after we consulting the treating doctor, we customize the pre-operative treatment & surgery based on the patient.

LIFESTYLE

The meaning of life rests in the lifestyle. A runner might have a different lifestyle-needs from a IT professional or a banker. And in our ‘Made for You’ approach, me make sure we not only maintain, but also enhance all your daily activities. Our experts go through rigorous one-to-one lifestyle analysis sessions, where we understand your requirements, personality, know your professional needs & hobbies and lifestyle needs, to recommend a lifestyle solution that best fits you. When your lifestyle is your definition, a cataract surgery should not change it. From the IOL and the surgical technique recommended, we give you a unique solution that not only helps you get back to your lifestyle, but also enhances it! Aided by world classes experts, techniques and technology, we provide safety, precision and quality in our surgeries.

SURGERIES THAT BEST FITS YOUR EYES

The surgery is performed on an outpatient basis. Prior to the surgery a comprehensive eye examination is conducted to check the overallhealth of the eye and determine the eligibility for the surgery. This diagnosis also allows the surgeon to decide the proper power of the IOL to be implanted. The surgical coordinator will help in deciding the type of surgery best suited to enhance the vision.

PHACOEMULSIFICATION

An incision is created manually to open the outer covering of the lens. Thereafter, a small instrument called the phaco probe is introduced within the eye. Ultrasound vibrations are used to break the cataract into small pieces (emulsification), which are then removed using a suction device through the same probe. Thereafter, a foldable intraocular lens is implanted in the eye.

FLACS (FEMTOSECOND LASER – ASSISTED CATARACT SURGERY)

In this latest technique, without opening the eye a laser light beam creates an opening into the envelope housing the cataract and divides the lens into small
pieces. Thereafter, the phaco probe is used to aspirate the divided pieces. This method minimises the recovery time, reduces the risk of complications compared to the manual phaco. This is a very advance form of cataract surgery available in science today.

BENEFITS OF FLACS

Enhanced Precision

Live image guided surgery to increase the precision.

Enhanced Predictability

Better positioning of lens for more predictable visual outcomes.

Enhanced Safety

Some manual steps are done with laser without opening the eye.

Reduced
Intra-operative time

Less amount of phaco
energy is used resulting
in rapid recovery.

FLACS VS TRADITIONAL CATARACT SURGERY

FLACS
(Femtosecond Laser – Assisted Cataract Surgery)
Traditional Cataract Surgery (Phacoemulsification)
Method used for creating incision Computer controlled femtosecond laser Surgical Blade
Surgery time Laser assisted pre-breaking of the cataract reduces surgery time Comparatively more time required
Reliability of procedure Very reliable Less reliable
Complexity of the surgery Less complex because of elimination of manual steps Relatively complex
Safety Increased safety because of no manual steps Relatively less safer
Accuracy Micron level precision Millimetre level precision
Results Increased Predictability Not predictable
Lens Stability Better positioning of lens Fairly stable
Recovery time Lesser phaco energy used leads to faster recovery Normal recovery

TYPES OF INTRAOCULAR LENSES (IOLS)

A range of IOLs, including monofocal IOLs, multifocal IOLs, toric IOLs, and trifocal IOLs are available. These are all designed to give quality vision, enhance your lifestyle and reduce dependence on glasses following the cataract surgery.

Cataract surgery does not result in any modifications in your lifestyle or working patterns. It is a daycare procedure and patients can resume their normal activities fairly soon after surgery.

There are no major lifestyle restrictions and hospitalisation required for cataract surgery.

IOL Types Near Intermediate Distance Astigmatism
Monofocal Aspheric
Toric Monofocal
Restor +2.5 Multifocal or Modified Monofocal
Traditional Multifocal
Multifocal Toric

OUR SKILLS, TALENTS & ACHIEVEMENTS

The team of eye doctors, anesthesiologists, and paramedics is competent to treat the most complicated types of cataracts. Our specialists are trained nationally and internationally and have been conducting teaching courses as well as performing live surgical demonstrations in ophthalmic meetings.The cataract clinic at REH has therefore established itself as a premier tertiary referral centre for cataract in India.

Dr. Abhay R. Vasavada
M.S., F.R.C.S.
(Ophth. England)

Dr. Abhay R. Vasavada is a world renowned ophthalmologist and the founder of Raghudeep Eye Hospital, Ahmedabad. He has also contributed over 140 publications in peer reviewed national & international journals & a pioneer in treating the most complicated cases of cataract.

Dr. Viraj Vasavada
M.S.
Ophthalmology

Dr. Viraj Vasavada specializes in cataract and refractive surgery management. She has also been actively involved in clinical research & has several presentations and international publications to her credit. She serves as an instructor & panelist at the American & European Cataract & Refractive Society Annual meeting.

Dr. Shail Vasavada
D.O., D.N.B., F.I.C.O.
Ophthalmology

After completing his graduation, he did a 2 year D.N.B. Course at LVPEI, Hyderabad. To hone his skills further in the field of corneal diseases and refractive surgery, he pursued a fellowship at the Moran Eye Centre, USA. He specializes in cataract surgery, refractive surgery (LASIK, PRK, ICL) and corneal diseases.

Dr. Samaresh Srivastava
D.N.B
Ophthalmology

Dr. Samaresh Srivastava completed his D.N.B (Ophthalmology) from Sankara Nethralaya, Chennai. He also did a fellowship in refractive surgery and keratoconus management from Narayana Nethralaya, Bangalore. He was also invited as Faculty for Organization development program, Bangladesh Eye clinic, Bangladesh.

Dr. Vaishali Vasavada
M.S.
Ophthalmology

Dr. Vaishali Vasavada’s areas of interest include management of Cataracts in adults, children and research pertaining to cataracts. She has submitted several papers and educative videos at various ophthalmic meetings around the world.

Dr. Deepa Agrawal
M.S.
Ophthalmology

Dr. Deepa Agarwal has completed her M.S. (Ophthalmology) from M & J Western Regional Institute of Ophthalmology, Ahmedabad. She has been serving as the Glaucoma consultant for the past 1 year.

Dr. Vandana Nath
M.S.
Ophthalmology

Dr. Vandana Nath is an expert in the field of cataract and low vision rehabilitation. She has a rich experience and has authored many research papers.

Dr. Harsha Tripathi
M.S.
Ophthalmology

Dr. Harsha Tripathi completed her M.S. (OPHTHALMOLOGY) from Shri M.P.Shah Medical College, Jamnagar. She was presented an appreciation certificate from Govt. of Gujarat. for the best involvement and performance in the millennium surgery celebration.

Dr. Lajja Shastri
M.S.
Ophthalmology

Dr. Lajja Shastri has a special interest in newer IOL lens technology. She has presented several research papers at state, national & international conferences. She has also been invited as a guest faculty to give lectures on ‘Newer IOLs’ at national meetings.

AIOS APOS K. Vengala Rao
Best Paper Award


Dr. Shail Vasavada was awarded the AIOS APOS K. Vengala Rao Award for best paper presentation at the All India Ophthalmic meeting, 2013.

FAQS

cataract

What is a cataract?

Cataracts occur when there is a buildup of protein in the lens that makes it cloudy. This prevents light from passing clearly through the lens, causing some loss of vision. As the cataract advances the cloudiness in the eye also increases until it is treated.

Why does a cataract develop?

A cataract is a part of ageing process. It is the most common cause of vision loss in people over age of 50. The amount and pattern of cloudiness can vary within the lens.Moreover cataract can develop cause of eye injury, presence of diabetes and usage of some medications or any other eye diseases. It is not necessary for cataract to develop only in old age only but it does develop in infants.

What are the symptoms of a developing cataract?

Cataracts usually form slowly and cause few symptoms until they noticeably block light. Symptoms may vary from individual to individual, some people may have problem with vision that is cloudy, blurry, foggy. Some may experience progressive nearsightedness in older people often called “second sight” because they may no longer need reading glasses. There might be changes in the way you see color because the discolored lens acts as a filter. You may face problems driving at night such as glare from oncoming headlights, problems with glare during the day, double vision (like a superimposed image).

What is Made for you Cataract Surgery?

With ‘Made For You’ Cataract surgeries, REH offers a unique solution that’s crafted just for you. Here, after rigorous pre-operative diagnosis and one to one lifestyle analysis sessions, REH suggests the perfect surgical technique and an IOL lens that not only fits your lifestyle, but also enhances it!

Can cataract be prevented or treated with medication?

As cataract is a part of ageing process it cannot be prevented. Using your eyes and your involvement in your daily activities has nothing to do with cataract formation. There are no current medicines as per the ongoing researches that have been proven to be helpful in the treatment of cataracts. The only known treatment for cataract is surgery.

When can one undergo Cataract Surgery?

When the cataract advances to a level which causes blurred vision, interfere with activities of daily living, or prevent them from leading active and productive lives, in such cases, these individuals should not wait to undergo surgery to remove their cataracts

Can all patients having a cataract undergo Phaco surgery?

The ophthalmic surgeon decides whether the patient can undergo phaco or not.The medical team will do a detailed eye examination to check the type of cataract, eye pressures, retina etc. to rule out any other eye problem. A Scan or Intraocular lens power calculation test will be done to know what power lens should be implanted after cataract removal.On the finding of the test it is been decided whether the patient is eligible for it or not and if not then which treatment he is eligible and suitable for.

What is FLACS?
How is FLACS different from traditional cataract surgery?
What are the advantages of FLACS?
What are the various types of Intraocular Lenses (IOLs) which can be implanted in the eye?

The lens choice is customized to suit the patient and depends on their overall eye condition including their optical system and considering the visual needs of the patient. Modern lenses are able to increase range of focus to include both distance and near vision.

We offers Aspheric monofocal (IQ), multi-focal (RESTOR), cylindrical (TORIC) and multi-focal combined cylindrical (RESTOR-TORIC)

IQ – is a Monofocal foldable IOL with thinner aspheric design for improved image quality , blue light filtration for uncompromised colour perception and single – piece acrylic design for superior biocompatibility and stability.

ReSTOR Aspheric – is a Multifocal acrylic foldable IOL which is the most frequently implanted Presbyopia correcting IOL with more than a quarter million implantations worldwide , has patented Apodised technology to minimize visual disturbances and has an aspheric optic to improve image quality and functional vision.

Toric IOL – is an astigmatism correcting Monofocal acrylic foldable IOL which is rotationally stable in the eye. The power of IOL is calculated using the AcrySofToric Calculator which ensures precise astigmatic correction.

RestorToric IOL- This IOL incorporates a promising new technology where the same IOL corrects astigmatism and also corrects presbyopia.It combines the benefits of a multifocal and Toric IOL.

Our team of doctors and counselors would be pleased to educate you for the best suitable option.

How is the IOL power calculated prior to cataract surgery?

IOL power calculations are done by trained professionals and every effort is made so as to get very minimal post-operative power in the distance glasses. This is done using immersion ultrasound biometry for measuring the eye accurately prior the surgery. A new device called the IOLMaster is available at the centre which is capable of extremely accurate measurement of the eye and calculation of the IOL power.

What is the life of an Intraocular Lens?

Once the IOL is implanted in the eye, it remains in place for the remainder of one’s lifetime.

Are there any problems with an Intraocular Lens?

Complications are rare and similar ones can occur with conventional surgery without an IOL implantation. Today, the technological advances in IOL manufacture and surgery have made it very much safe. All patients irrespective of other general illnesses like diabetes, hypertension etc. can have IOL surgery.

Is clear vision guaranteed after surgery?

Cataract surgery is a highly successful procedure (95-98% success rate) technically. However, the final visual outcome also depends on the condition of the eye i.e. cornea, retina, optic nerve, any pre-existing disease, amblyopia (lazy eye) etc. Sometimes it may be difficult to diagnose these abnormalities before the surgery due to cataract and we can know about it only after the operation. No surgeon in the world can perform a surgery with guaranteed results. However, almost all the patients regain good vision following a cataract surgery.

What are the possible complications that can occur with Cataract & IOL surgery?

In spite of the best care and precautions, like any other surgical procedure in the human body, there is a possibility of minor to major complication.

Some minor complications like slight drooping of the eyelid, swelling around the eye, corneal haze, reflection or slight distortion from lens implant, delayed healing, corneal edema are temporary and recover with time and medication. The chances of a serious complication like infection, severe inflammation, retinal detachment, nucleus drop, hemorrhage are negligible.

In a majority of cases these complications can be treated successfully or may resolve on their own with a good final restoration of vision. Since all the complications cannot be listed, the above list is not exhaustive.

What is Posterior Capsular Opaciation (PCO) or “After Cataract”?

In case of few patients undergoing cataract surgery, the back part of the lens capsule may thicken over a period of time causing blurred vision. This is known as Posterior Capsular Opacification (PCO), secondary cataract or “After Cataract”. This is not a complication. The condition is treated with a “YAG Laser Capsulotomy” with full restoration of vision.