No injection, No stitch, No pad.
Can resume routine activities same day – fast visual rehabilitation.

Zeiss IOL Master Accurate lens power calculations.	Don’t wait till this stage. It may lead to Glaucoma and Blindness.	AMO Sovereign USA – Stitchless cataract surgery

State of the art operation theatre with Laminar air flow, Hepa filters and medical grade Vinyl flooring for achieving highest conditions of sterility and asepsis.

Operation Theatre	Slit Lamp and imaging system	Testing Potential Acuity with Retinal Acuity meter

A cataract is a condition that develops in the lens of the eye. Cataracts are a clouding of the lens in the eye that affects vision. Most cataracts are related to aging. Cataracts are very common in older people and are detected through a Comprehensive Eye Exam.

What Are Cataracts?

Your eye works like a camera, with a clear lens that focuses images on the retina at the back of your eye. When the lens becomes cloudy and discoloured, causing increasingly blurred vision, it is called a cataract.
Cataract formation is a normal part of aging. While cataracts may develop in both eyes at the same time, they do not spread from one to the other. They are not caused and do not grow worse through overuse of the eyes, but, as a rule, develop gradually over many years. The good news is that cataracts can be successfully treated and excellent vision can be restored at Dada Laser Eye Institute.

What Causes A Cataract?

The natural aging process is the most common reason for the development of cataracts. Cataracts also can develop following an eye injury such as a blow, puncture, cut or burn, or can be formed in association with certain diseases, such as diabetes.

There may be no obvious symptoms in the early stages of a cataract, but as it worsens, you may experience hazy or blurred vision, double vision or an increased sensitivity to glare. You’ll also notice that switching to stronger eyeglasses will not improve your vision.

Cataracts typically cannot be seen by external examination. A high-powered microscope is used to determine the type, location and size of the cataract, and an ophthalmoscope to view the interior of the eye.

What Are the Symptoms of Cataracts?

Early signs of cataracts include blurred or cloudy vision; frequent changes in eyeglass or contact lens prescriptions; night glare and hazy vision; and colours that seem to fade. An ophthalmologist must determine if these symptoms are really caused by a cataract or by some other eye problem that may need treatment.
For an adult, a cataract should be removed only when it interferes with lifestyle and makes it difficult to continue normally enjoyable activities. Generally, there is no such thing as a cataract being “ripe” or “not ripe” for removal. What matters is whether or not the problem interferes with vision. In rare instances, a “hyper-mature” cataract may cause elevated eye pressure (Acute Glaucoma) or inflammation of the eye. In this case, it must be removed immediately as an emergency. Otherwise, removal of a cataract is at the patient’s discretion.

What Are the Different Types of Cataracts?

Restoring Vision

Diet, exercise or eye drops will not clear up cataracts or prevent their formation. Once a cataract has developed, the only way to restore clear vision is to surgically remove it and replace the cataract with a permanent intraocular lens implant (IOL).

Cataract surgery done at Dada Laser Eye Institute (DLEI) usually lasts less than 10 minutes and is almost painless. Many people choose to stay awake during surgery and have anaesthetic drops only to numb the eye. This avoids the need to give an injection around the eye which can be a little painful.

At DLEI, a technique called Sonolase (Sono – Ultrasound, Lase- like LASER Cold energy) which is more advanced than Phacoemulcification (Phaco) is used to perform cataract surgery. This procedure involves making a tiny incision, about less than 2.5 millimetres in length. A pencil-like instrument, passed through the opening, is used to emulsify (breakdown into tiny pieces) and aspirate the clouded lens material. Then the foldable intraocular lens for clear vision (IOL) is inserted into place. We at DLEI use only foldable IOL which helps to keep incision tiny, self-sealing and stitchless. Since no stitches are needed the post-operative period becomes comfortable and visual recovery is faster.

Cataract surgery is the most frequently performed eye surgery – and the most successful. More than 95 percent of those who have cataract surgery regain vision levels between 6/9 and 6/6. Recovery of vision also depends on normal functioning of the retina i.e. 100 % good retina will give 100 % vision, 80 % good retina will give 80 % vision. You can expect a high success rate and minimal discomfort from the surgical techniques used at DLEI. And, once a cataract has been removed, it will not come back.

When Is The Right Time For Surgery?

There is no benefit to waiting until your vision is seriously impaired before considering cataract surgery. The sooner the cataract is removed and replaced with a clear, modern lens implant, the sooner you can return to a full enjoyment of life’s riches.

Cataract surgery at DLEI is an extremely effective, safe and comfortable operation. When your cataract surgery is scheduled, you’ll undergo tests to determine the power of your lens implant. We’ll also discuss financial matters, including insurance, and answer any questions you may have.

Modern Cataract Surgery at DLEI

No field of surgery has experienced as many exciting new developments as the treatment of cataracts, the most important being use of Sonolase (cold – phacoemulsification) and foldable lenses.

Sonolase (cold-Phacoemulsification) is performed under a high-powered microscope and involves placing a tiny, ultrasonic probe in the eye through a very small incision. The probe breaks down and removes the cloudy portion of the lens (the cataract) leaving in place the lens capsule to provide a base for securing the intraocular lens implant.

Foldable lenses were pioneered in the 1980s, allowing surgeons to implant full-sized lenses through very small incisions in the cornea and avoiding the need to take stitches. Once inserted, the lens unfolds to its normal size. Stitchless cataract surgery reduces discomfort and results in a faster return to health and clear vision.

At DLEI, cataract microsurgery is performed by Dr. Jeevan S. Ladi on an outpatient basis under topical anaesthesia (use of only eye drops to numb the eye). Cataract surgery is virtually painless and provides dramatic improvement in vision. Recovery from cataract surgery is swift, and patients are able to return to normal activities within a day or two.

Your New Lens – Intra Ocular Lens (IOL)

Without a lens in the eye, you could see shapes but they would be blurred and out of focus. The "foldable" intraocular lens implant used at DLEI is the best and most natural way to restore clear vision after removal of your cataract. Usually, after use of monofocal (corrects either distance or near vision) IOL reading glasses are prescribed for minute reading letters. However, several new advancements in lens design may eliminate the need for any kind of glasses after surgery. We use monovision or multifocal lens to reduce spectacle dependence. In monovision one eye is corrected for distance vision and another eye for near vision. A new multifocal lens uses a unique design that provides vision in a range of distances from near to far and each eye can see distance and near at the same time. Your doctor will discuss these options with you if you are a good candidate for either method.

Selecting the Right Intraocular Lens (IOL) Implant for your lifestyle

After the eye’s natural lens is removed during cataract surgery, it is often replaced by an artificial lens, called an Intraocular lens (IOL). The IOL is a clear, SILICONE OR ACRYLIC lens that requires no care and becomes a permanent part of the eye. There are currently several types of implantable lenses available to patients undergoing cataract surgery at DLEI.

Monofocal Lens

The standard monofocal intraocular lens implant will correct a patient’s distant vision or near vision depending on the power of the implant. Most of the time the recommendation is to select an implant that will improve the patient’s distance vision completely so that after the surgery, the patient will only have to wear glasses continuously.

Monovision is one possible solution for the problem of aging eyes or Presbyopia that many people begin to experience in their 40s. With monovision, the dominant eye is focused for distance, and the non-dominant eye is focused for near to intermediate vision. Monovision can be achieved with contact lenses, refractive surgery or intraocular lens. To determine if this is the right solution for you, it might be a good idea to “test drive” with contact lens before making the decision as some “learning” is required to adjust to this type of vision correction.

If you and your doctor decide that an a monofocal lens is the best vision correction for you then your ophthalmologist can implant different powered IOLs in the eye during your cataract surgery, this procedure is called “monovision”.

Multifocal Lens

With a Premium Multifocal Lens Implant the patient’s distance and reading vision may be corrected to make the patient less dependent on reading glasses. After a refractive vision consultation at DLEI your surgeon will discuss the various options and types of implants so that you can make an informed decision regarding the best vision correction for your eyes and your lifestyle.

Your can select a traditional monofocal lens implant or a Premium Lens Implant:

Are There Risks?

Those who undergo cataract surgery today need no longer face the fear, inconvenience and discomfort that accompanied the procedure years ago. Of course, all surgical procedures involve some risk. However, the skilled use of effective microsurgical technology, local anaesthetics and modern implants provide the safest and most convenient surgery possible. Rare complications usually are treatable. When you schedule your surgery, we will provide an informed consent form and will be happy to answer any questions you may have.

Call for Your Cataract Evaluation

Dr. Jeevan S. Ladi and his associates at DLEI welcome your questions about cataract surgery and your overall eye health.

Call 020 2634 1028 / 2634 5710 / 2633 3986 / 2633 3987 for an appointment.

Technique of Cataract Surgery at DLEI

Modern cataract surgery is performed through a small incision. High-frequency cold-ultrasound “Sonolase” from Sovereign, Advanced Medical Optics, USA, is used to break up the cloudy lens material, and a micro-vacuum removes it from the eye. A clear, artificial implant lens of appropriate power is placed inside the eye to provide focusing power. Dr Jeevan S. Ladi performs only no-stitch cataract surgery.

Before cataract surgery can begin, the pupil is dilated by instilling eyedrops, and the surgical area is prepared using a sterile cleanser. A topical anaesthetic is then administered to the surface of the eye. An incision less than 2.5 millimetres in length is then created at the junction of the cornea (the clear front of the eye) and the sclera (the white part of the eye).

After making the main incision, another dose of anesthetic may be administered inside the eye. The front part of the lens envelope, known as the lens capsule, is carefully opened, exposing the cataract. An ultrasonic needle pulverizes the cloudy cataract material while simultaneously vacuuming it from the eye.

Once all of the cataract material has been removed, a soft, folded, intraocular lens is then inserted through the original incision and placed into the lens capsular bag.

Once the lens is centered, the surgeon verifies that the eye is at a normal pressure and watertight. Stitches (sutures) are not required to keep the incision sealed. The construction of the tiny surgical opening allows it to self-seal so that suturing is not necessary.

At the conclusion of cataract surgery, an antibiotic medicine is applied to the eye. Recovery from cataract surgery is generally very rapid and painless, with most patients achieving noticeably better vision within a day of the procedure. Patients are asked to use antibiotic and anti-inflammatory eye drops for the first few weeks after cataract surgery. It is wise to avoid strenuous activity for the first week after surgery but all other routine activities can be resumed on the same day. Patients should also refrain from eye rubbing for minimum 3 weeks. Glasses are sometimes required after cataract surgery to achieve the best possible vision. They are typically prescribed three to four weeks postoperatively. If both eyes are scheduled to have surgery within a few days / weeks of each other, glasses are usually prescribed following full recovery of the second eye.

Clear Lens Exchange

Clear lens exchange (CLE), also called refractive lens exchange (RLE), is a technique involving the removal of the crystalline lens from the eye using ultrasound and replacing the natural lens with an intraocular implant lens that allows clear vision for distance and near vision.

Clear Lens exchange is becoming increasingly popular as an alternative to LASIK or other refractive procedures for patients with a high degree of nearsightedness or farsightedness. CLE does not change the shape of the cornea; instead the focusing power of the natural lens is restored by replacing the natural lens with an intraocular lens (IOL).
It is recommended after 48 years of age.

Presbyopia

Presbyopia is the age related eye condition that affects most people over the age of 50, causing near vision to diminish. If you have Presbyopia, you have lost the ability to focus up close which occurs as you age. Most people are between 40 and 50 years when they realize for the first time that they can’t read objects close to them. At the same time your ability to focus on objects that are far way remains normal.

If you're tired of wearing glasses, but have been told that you’re not a candidate for LASIK, there is another vision correction option that may work for you. It’s called an Intraocular lens (IOL) implant.

Who is a good candidate for Clear Lens Exchange?

Your doctor will determine which type of IOL is best for you. Clear Lens Exchange is done at our centre as an outpatient procedure that takes about 10 minutes. Our vision experts can discuss which implant lens offers you the best range of vision for your eyes and your lifestyle.

We offer personal evaluations at DLEI.

Contact us at 020 2634 1028 / 2634 5710 / 2633 3986 / 2633 3987 today.