About Cataract Surgery

Cataract is the clouding of the eyes natural lens, which is behind the iris and the pupil. Most cataracts develop slowly and do not disturb the eyesight earlier, but in time cataract will eventually interfere with the vision. Cataract surgery is a generally safe and effective procedure. There are different types of cataracts like

  • Subcapsular Cataract – this type of cataract occurs at the back of the eyes lens. People with diabetes or ones taking high doses of steroid medications have a higher risk of developing this type of cataract
  • Nuclear Cataract – forms deep in the central zone (nucleus) of the lens. This type of cataract is usually associated with aging
  • Cortical Cataract – occurs in the lens cortex where the lens surrounds the central nucleus.
  • Congenital Cataract – people are born with a cataract or develop them during childhood.

Some cataracts are related to inherited genetic disorders, which cause other health issues and increase the risk of cataracts. Cataracts can be caused by other eye conditions and medical conditions such as diabetes, past eye surgery or trauma. The lens where cataract forms is positioned behind the iris. The lens focuses light that passes into the eye, which produces clear, sharp images on the retina. A cataract scatters the light as it passes through the lens preventing sharply defined image to reach the retina so the result is the vision becoming blurry. As the cataract continues to develop the clouding will become denser. Cataract usually develops in both eyes but can develop in one eye only too.

Reasons of developing a Cataract

  • Aging
  • Diabetes
  • Smoking and alcohol
  • Overexposure to sunlight and other ultraviolet
  • Previous eye injure
  • Family history of cataract
  • Certain medications as corticosteroids and chlorpromazine

Symptoms of a Cataract

  • Blurry or filmy vision
  • Double vision
  • Weak night vision
  • Frequent prescription changes in eyeglasses or contact lenses
  • Glare. Lights or lamps may appear to be severe.

Cataract Procedure

Cataract surgery is a procedure done with local anesthesia so the patient is awake during the surgery and takes from 30 to 45 minutes to perform. The most common technique used is Phacoemulsification. Before the start of the surgery drops will be put in the eye to dilate the pupil. Local anesthetic will be given through an injection into the tissue around the eye. The surgeon will make a tiny cut in the cornea. A small probe that emits ultrasound waves is inserted through the cornea into the eye to break the affected lens into pieces, which are then liquefied and sucked out. The remaining soft pieces of the lens on the outer parts are sucked out by another probe. Once the affected lens is removed, the surgeon will insert a small plastic lens in place. Replacement lens is usually curled up in an injector and injected through the cut made in the cornea and when it is in place it unfolds itself and adopts the natural position of the old lens.

Types of Lenses

There are different types of lenses, which may be applied by the surgeon considering the patients needs and wants. While the focus areas of the lenses increase, the prices of the lenses increase exponentially, increasing the price of the operation accordingly.

Monofocal Lenses – the most used lenses that work well for correcting vision at one distance and glasses will still be necessary to use. The monofocal lenses don’t correct astigmatism as well.

Multifocal Lenses – it did not take long to realize that monofocal lenses did not meet all the needs so multifocal lenses were invented starting with bifocal lenses. Multifocal lenses are mostly suitable for people over the age of 40 and who are affected by presbyopia.

There are different types of multifocal lenses. These type of lenses help improving the distant and near visions.  As the improvements in all areas of the world continue, the need for a better multifocal lens emerged. Especially while looking at mid-distances, like looking at a computer, bifocal lenses did not meet the needs. Therefore, trifocal lenses were invented where it was aimed to permanently free patients from using glasses. These lenses help improving the vision at all distances – near, intermediate and far. The multifocal lenses are the closest ones to give a perfect vision in both eyes.

Toric Contact Lenses – specially designed lenses that correct astigmatism and differ from normal contact lenses because of its shape and its different power to correct astigmatism.

Suitable Patients for Cataract Surgery

  • Male and female patients over the age of 40
  • Patients who are at a good health condition
  • Patients who are healthy both mentally and physically

Before Cataract surgery

  • Patients need to undergo tests – a week before the surgery a painless ultrasound test will be done to measure the shape and size of the eye.
  • Patients will need to stop taking medication and herbal supplements as they can increase the risk of bleeding during the surgery.
  • Patients may be prescribed antibiotic eye drops to be used from 2 days before the surgery.
  • Eating and drinking is restricted from 12 hours before the surgery.
  • Patients need to arrange a friend to come to the surgery with and to go home and if necessary help at home because activity will be limited and the eye will be covered with a eye patch or bandage.

After Cataract surgery

  • After the surgery patients may have a blurred vision at first but as the eye heals the vision will begin to improve.
  • The eye may feel itching and the patient may feel discomfort for a couple of days after the surgery.
  • Patients must avoid rubbing or pushing the eye.
  • Patients may be advised to wear an eye patch or protective shield for a few days after the surgery and when sleeping.
  • Eye drops and medication prescribed must be taken correctly and on time.
  • The eye will complete healing within 8 weeks after the surgery.

Risks of Cataract surgery

Just like every surgery there are some risks with a cataract surgery as well such as

  • Inflammation
  • Infection
  • Bleeding
  • Swelling
  • Retinal detachment
  • Glaucoma
  • Secondary cataract
  • Loss of vision

 

If any of the ones below show up then immediate contact must be made with the surgeon

  • Vision loss
  • Pain in the eye
  • Increased eye redness
  • Light flashes or multiple new spots in front of the eye
  • Nausea, vomiting or excessive coughing

Definition

Iris – the colored part of the eye

Pupil – the black part in the middle of the eye

Cornea – transparent part of the eye covering the iris and pupil

Astigmatism –the front surface of the eye is less round and more irregular in shape so the image does not focus clearly on the retina in the back of the eye, which can result in poor vision and glare

Nausea – discomfort and unease that occurs in the upper stomach

Local Anesthesia – induces absence of sensation to a specific part of the body

Trip Schedule of Cataract Surgery

The patient will need to undergo an ultrasound test a week prior to the surgery. The patient can either have the test done at the clinic in Turkey or if desired they can have the test done before the arrival at their destination.

First day of Cataract Surgery

The patient will attend a consultation with the ophthalmologist and will be advised about the procedure and their condition. The patient will then be taken through a couple of tests that are required before the treatment. The patient will be prescribed antibiotic eye drops, which will have to be used from 2 days prior the surgery. If desired, patients can spend the day to rest and attend the clinic the next day.

Second day of Cataract Surgery

There is no need for attending the clinic but the patient must use the prescribed medications and rest.

Third day of Cataract Surgery

The Cataract surgery will be performed. The surgery will take between 30 to 45 minutes to perform. The surgery will be done using a WaveTec Optiwave refractive analysis, which is an advanced optical device, used during the replacement of the lens in the cataract surgery, and a Catalys precision laser system, which is also used to remove the cataract. The surgery will be done under local anesthesia so the patient is awake but won’t feel anything. Once the surgery ends the eye will be covered with an eye patch to be protected and the patient can return to their settlement for resting with someone accompanying.

Fourth day of Cataract Surgery

Patients will attend a post surgery check up and consultation. If they are approved to be in a good, healthy condition and the surgery results were all successful; the patients are advised with post treatment care requirements and are ready to go back to their normal routine.

Notes

• Trip schedule may vary. medicTurkey patient relations will provide you a detailed trip schedule before the travel.

• For details on accommodation, transportation and other services, please check the SERVICES page.

What is a Cataract?

A Cataract is the clouding of the eyes natural lens, which is behind the iris and the pupil. Most cataracts develop slowly and do not disturb the eyesight earlier but in time cataract will eventually interfere with the vision. There are different types of cataracts like

  • Subcapsular Cataract – occurs at the back of the lens. People with diabetes or ones taking high doses of steroid medications have a greater risk of developing this type of cataract
  • Nuclear Cataract – forms deep in the central zone (nucleus) of the lens. This type of cataract is usually associated with aging
  • Cortical Cataract – occurs in the lens cortex where the lens surrounds the central nucleus.
  • Congenital Cataract – people are born with a cataract or develop them during childhood.

How is the Cataract surgery done?

Cataract surgery is a procedure done with local anesthesia. The most common technique used is Phacoemulsification. Before the start of the surgery drops will be put in the eye to dilate the pupil. Local anesthetic will be given as an injection into the tissue around the eye. The surgeon will make a tiny cut in the cornea. A small probe that emits ultrasound waves is inserted through the cornea into the eye to break the affected lens into pieces, which are then liquefied and sucked out. The remaining soft pieces of the lens on the outer parts are sucked out by another probe. Once the affected lens is removed the surgeon will insert a small plastic lens in place. Replacement lens is usually curled up in a injector and injected through the cut made in the cornea and when it is in place it unfolds itself and adopts the natural position of the old lens.

How long does the Cataract surgery take?

The surgery usually takes between 30 to 45 minutes to perform.

How long do I need to stay at hospital?

The surgery is usually done on an outpatient basis so the patient is sent home a few hours after the surgery.

How long do I need to stay in Turkey?

The recommended stay in Turkey for Cataract surgery is 3-4 days including consultation before the surgery and after the surgery.

Who can have the Cataract surgery?

The surgery is suitable for almost everyone who is suffering from a cataract.

The Systems of a Cataract are

  • Clouded, blurred or dim vision
  • Increasing difficulty of vision at night
  • Sensitivity to light and glare
  • Halos
  • Fading or yellowing of colors
  • Double vision in a single eye

When can I return to work?

Patients are able to return to work after 2 days from the surgery.

Are there any risks of Cataract surgery?

Just like every surgery there are some risks with a cataract surgery as well such as

  • Inflammation
  • Infection
  • Bleeding
  • Swelling
  • Retinal detachment
  • Glaucoma
  • Secondary cataract
  • Loss of vision

If any of the ones below show up then immediate contact must be made with the surgeon

  • Vision loss
  • Pain in the eye
  • Increased eye redness
  • Light flashes or multiple new spots in front of the eye
  • Nausea, vomiting or excessive coughing

Devices used in a Cataract Surgery

ORA system, which stands for, Optiwave refractive analysis, which is an advanced optical device, used during the replacement of the lens in the cataract surgery. Catalys precision laser system is also used to remove the cataract. Monofocal Lenses, Multifocal Lenses and Toric Contact Lenses are also used depending on which is most suitable and patient’s desires.

Operation Price Stay in hospital Stay in Turkey
Cataract Please PRESS
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prices.
The surgery is done on an
outpatient basis
4-11 Days

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