Cataract with Phaco and Multifocal Foldable Lens

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Procedure Description

Cataract surgery with phacoemulsification (phaco) and the implantation of a multifocal foldable lens is one of the most advanced and commonly performed procedures to treat cataracts. Cataracts occur when the natural lens of the eye becomes cloudy, leading to diminished vision, glare sensitivity, and in severe cases, blindness. The condition is typically related to aging but can also be caused by trauma, diabetes, or prolonged use of steroid medications.

The phaco procedure involves using high-frequency ultrasound to break up the cloudy natural lens into small fragments. These fragments are then suctioned out of the eye through a tiny incision. This method is highly precise and minimally invasive, allowing for quick recovery and reduced risks. After the cataract is removed, a foldable intraocular lens (IOL) is implanted in its place. The foldable nature of the IOL means that it can be inserted through a small incision, which reduces the need for stitches and accelerates healing.

Multifocal foldable lenses offer significant advancements over traditional monofocal lenses. Unlike monofocal lenses, which only correct vision at one distance, multifocal lenses provide clear vision at multiple distances—near, intermediate, and far. This feature allows patients to regain a broader range of vision, reducing the need for corrective eyewear, such as glasses or contact lenses, after surgery. The multifocal lens is particularly beneficial for people with presbyopia, the age-related loss of near vision, providing both cataract correction and improved visual range.

This type of cataract surgery is performed on an outpatient basis and is highly successful in restoring vision. It has become one of the most popular choices for patients looking to treat cataracts and reduce their dependency on glasses or contact lenses. With technological advancements, the procedure has become more accessible and efficient, delivering impressive visual outcomes with minimal discomfort.

Procedure Duration

The duration of cataract surgery with phacoemulsification and the insertion of a multifocal foldable lens is relatively short. The actual surgery typically lasts between 15 and 30 minutes, depending on the complexity of the cataract and the patient’s individual eye anatomy. However, the total time spent at the surgical facility is often longer due to preparation and recovery protocols.

Before the surgery begins, the patient undergoes a pre-operative assessment, where the surgeon measures the eye’s shape and size to select the appropriate lens. This process usually takes about 30 minutes to an hour. On the day of surgery, the patient will receive local anesthesia, usually in the form of eye drops, to numb the area and ensure they remain comfortable during the procedure. In some cases, a mild sedative is administered to help the patient relax.

Once the procedure is complete, the recovery process begins almost immediately. Patients are generally kept under observation for an hour or two to ensure there are no immediate complications, after which they are discharged to recover at home. Most people can resume normal activities within 24 to 48 hours, although full visual stabilization may take several weeks. During this period, patients are advised to avoid strenuous activities and follow their surgeon’s post-operative care instructions closely.

The recovery timeline varies depending on the patient’s overall health and adherence to post-surgical guidelines. Most patients experience noticeable improvements in their vision within a few days, with vision continuing to stabilize and improve over the following weeks. Regular follow-up visits with the surgeon are crucial to monitor the healing process and ensure optimal outcomes.

Benefits

  • Minimally invasive procedure: Phacoemulsification requires only a small incision, which leads to quicker recovery times and reduced risk of infection.
  • Restored clear vision: The surgery effectively removes cataracts, restoring the patient's vision and improving quality of life.
  • Multifocal lens benefits: The multifocal lens allows patients to see clearly at various distances, reducing or eliminating the need for glasses or contact lenses.
  • Quick recovery time: Most patients can resume normal activities within a day or two after surgery.
  • Outpatient procedure: Cataract surgery with phaco and multifocal lenses is performed as an outpatient procedure, allowing patients to return home the same day.

Potential Destinations

  • Thailand: Known for its high-quality healthcare system and advanced medical technology, Thailand is a top destination for cataract surgery. Medical tourists are attracted by the affordable costs and the availability of experienced surgeons in state-of-the-art facilities.
  • India: With world-class ophthalmology centers and highly trained eye specialists, India is renowned for offering cataract surgery at competitive prices. The country’s robust medical infrastructure and expertise in phacoemulsification make it a preferred choice for international patients.
  • Turkey: Turkey has gained a reputation for its cutting-edge healthcare services, particularly in eye care. Its hospitals are equipped with the latest technology for cataract surgery, and medical tourists benefit from the country’s strategic location between Europe and Asia.
  • Mexico: Close proximity to the United States, along with affordable healthcare services, makes Mexico a popular destination for cataract surgery. The country boasts numerous accredited eye care centers that specialize in phacoemulsification and the use of multifocal lenses.
  • Spain: As a leading destination in Europe for medical tourism, Spain offers advanced eye care treatments, including cataract surgery. The country’s ophthalmologists are well-versed in the latest surgical techniques, and patients benefit from high standards of care in a comfortable setting.

Risks & Considerations

  • Infection: Although rare, there is a risk of infection following cataract surgery, which can lead to complications. Patients must follow post-operative care instructions diligently.
  • Lens dislocation: In some cases, the implanted lens may become dislodged, requiring additional surgery to reposition it.
  • Glare and halos: Some patients may experience visual disturbances such as glare or halos around lights, particularly at night. This is a common side effect of multifocal lenses.
  • Dry eye: Cataract surgery can lead to temporary or, in some cases, chronic dry eye, which can be managed with lubricating eye drops.
  • Secondary cataract (PCO): Over time, some patients may develop a condition called posterior capsule opacification (PCO), which causes the lens capsule to become cloudy. This can be easily treated with a laser procedure.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for cataract surgery, it is crucial to consider several factors to ensure the best possible outcome. First, look for a surgeon who specializes in cataract surgery and has extensive experience with phacoemulsification and multifocal lens implantation. You can assess a surgeon’s expertise by reviewing their credentials, certifications, and patient reviews. It’s also beneficial to consult with the surgeon beforehand to discuss your specific case and any concerns you may have.

Equally important is choosing the right hospital or clinic. Ensure the facility is well-equipped with modern technology, particularly the latest phacoemulsification machines and diagnostic tools. Check if the hospital has a good reputation for ophthalmic surgeries and follow international safety and hygiene standards. Lastly, ask about the facility’s success rates for cataract surgeries and whether they offer comprehensive post-operative care, which is vital for a smooth recovery.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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