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Choosing the lens for cataract surgery


We will offer you refinement with laser in case the calculations of lens goes off the accurate mark. Cataract surgery is one of the most commonly performed surgeries across the world. Notwithstanding the complexity of the surgery for the operating surgeon, it has been perfected by years of research and evolution. Cataract is an age related condition which effects more than 90% of human beings beyond the age of 60 years with surgical correction the only treatment.

The evolution of cataract surgery has come a long way. today, the standard of care is phacoemulsification with intraocular lens implantation. The patient recovers to complete vision in matter of just days.

After telling a patient about his cataract, he is offered surgical option. Then comes the dilemma if selection of the intraocular lens. The intraocular lens thus chosen determines the total cost of the surgery which can range from 5000 INR to more than 1,00,000 INR. So which IOL to choose? Let’s try and help you answer that question.

First things first. The paying capacity of the patient is paramount. It is possible to provide an IOL to suit any budget with the vast amount of options in the market.

Second comes the activity level and pattern of the patient. This determines the need of distance or near vision. For instance, multifocal IOL is preferred by people who are very active and requires spectacle free vision for both near and distance.

Monovision lenses vs multifocal lenses

Monovision IOLs are those which correct the distant vision of the patient while he/she is forced to use reading glasses for near work. This burden of reading glasses is taken away by multifocal lenses. Compared to yesteryears, multifocal lenses today have far less side effects like glare and haloes. With Indian companies manufacturing multifocal lenses, which are at par in performance when compared to those manufactured by international firms, the cost has come down many folds. It is possible to have a multifocal IOL implantation done in India for as low as 35,000 INR. The experience at our centre has been very satisfying with Indian multifocal IOLs.

Indian vs Imported

We have a fantasy for branded items, be it cloths or IOLs. however, its the time of world market. Many Indian companies now manufacture IOLs which compete with their global counterparts very closely in terms of performance. They have successfully ventured into the forte of multifocal, toric and phakic IOLs with adequate clinical research data to support their performance.

Targeting emmetropia (spectacle freedom)

What happens if the IOL power went off by a diopter or two??!! Worry not. With the advent of low cast refractive surgery, it is very much possible to make the patient spectacle free in a matter of minutes. For those patients who need freedom of spectacles along with cataract surgery, we aim for the correct IOL power. If this calculations vary and the patient is found to require glasses for clear vision, we offer correction of the power by laser. Isn’t it wonderful.

So do not worry. The cost or the technique is not complicated for you anymore. Ask your ophthalmologist about multifocal IOLs and spectacle free vision for your cataract.

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