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Cataract Surgery in Mumbai - Cost & Procedure - AHC

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Cataract Surgery in Mumbai - Cost & Procedure - AHC

A cataract is a clouding of the lens of the eye. People who are more than 50 or older have some degree of clouding of the lens. 

The most common treatment is surgery, the clouded lens is removed and replaced with a permanent prosthetic lens. 

A diet high in antioxidants, such as beta – carotene, selenium, vitamin C and vitamin E may delay cataract development , studies show that a high sodium intake may increase the risk of cataract development, ultraviolet radiations (UV) exposure is related directly to 5% of worldwide cataracts. When the UV index is 3 and above protective glasses are recommended.

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cataract surgery in mumbai

SYMPTOMS OF CATARACTS:-

Cataracts usually form slowly. You may not know you have them until they start to block light. Then, you might notice:

  • vision that’s cloudy, blurry, foggy, or filmy
  • Nearsightedness (in older people)
  • Changes in the way you see color
  • Problems driving at night (glare from oncoming headlights, for example)
  • Problems with glare during the day
  • Double vision in the affected eye
  • Trouble with eyeglasses or contact lenses not working well

CAUSES OF CATARACTS:-

Age :- Age is the most common cause of cataracts. Lens proteins denature and degrade over time, and this process is accelerated by diseases such as diabetes mellitus and hypertension. Environmental factors, including toxins, radiation, and ultraviolet rays have cumulative effects which are worsened by the loss of protective and restorative mechanisms due to alterations in gene expression and chemical processes within the eye.

Trauma :-  Blunt trauma causes swelling, thickening, and whitening of the lens fibers. While the swelling normally resolves with time, the white color may remain. In severe blunt trauma, or in injuries that penetrate the eye. Cataracts may develop in 0.7 to 8.0% of cases following electrical injuries Blunt trauma can also result in star- (stellate) or petal-shaped cataracts

Radiation :- Radiation cataract causes partial opacity or cloudiness in the crystalline lens and results from damaged cells covering the posterior surface of the lens.

Genetics :- Cataracts may also be part of multisystem genetic disorders, such as chromosome abnormalities, Lowe syndrome,or neurofibromatosis type 2. In some cases this distinction is blurred.

Skin disease :- The skin and the lens have the same embryological origin and so can be affected by similar diseases. Those with atopic dermatitis and eczema occasionally develop shield ulcer cataracts. 

Smoking & alcohol :- Heavy alcohol consumption significantly increased the risk of age-related cataract, whereas moderate consumption may be protective for this ocular condition.

Inadequate vitamin C :- Vitamin C is essential for collagen production and may rarely cause ocular symptoms in severe deficiencies

What causes a cataract?

After age 40, the proteins in the lens of your eye naturally start to break down. Most cataracts happen because of these natural changes. 

Things that can make cataracts form faster, including: 

  • Smoking 
  • Drinking too much alcohol 
  • Spending too much time in the sun without sunglasses 

Some health problems and treatments can also make cataracts more likely, including: 

  • Diabetes 
  • A serious eye injury 
  • Eye surgery to treat glaucoma or another eye condition 
  • Taking steroids (medicines used to treat a variety of health problems, like arthritis or allergies — for a long time)
  • Getting radiation treatment for cancer or other diseases 

6 DIFFERENT TYPES OF CATARACTS

NUCLEAR CATARACTS :- A nuclear cataract is an opacity or clouding that develops in the lens nucleus. That is, a nuclear cataract is one that is located in the center of the lens. The nucleus tends to darken, changing from clear to yellow and sometimes brown. 

Nuclear cataracts start as nuclear sclerosis. This is a normal hardening and yellowing of the lens with age. As nuclear sclerosis progresses and the lens becomes more hardened and opaque, it is classified as a nuclear cataract.

CORTICAL CATARACTS :- A cortical cataract is an opacity in the outer layer, or cortex, of the natural lens . It is more common in people with diabetes and hypertension. Symptoms of cortical cataracts include glare, blurred vision and a decreased ability to perceive color, contrast and depth.

POSTERIOR SUBCAPSULAR CATARACTS :- Posterior Subcapsular cataracts are cataracts which develop behind the lens (posterior) of the eye. It is known as subcapsular as it forms under the lens capsule which is responsible for holding the eye in place and encloses the lens. Posterior Subcapsular cataracts often create halos and glare around lights.

CONGENITAL CATARACTS :- While most cataracts affect people as they age, there are cases when some babies are born with them. This can be due to genetic issues or illnesses the mother had when pregnant. They only need to be removed if they are blocking the baby’s vision, leading to amblyopia.

RADIATION CATARACTS :- Radiation cataract causes partial opacity or cloudiness in the crystalline lens and results from damaged cells covering the posterior surface of the lens.

TRAUMATIC CATARACTS :- Traumatic cataract is a clouding of the lens that may occur after either blunt or penetrating ocular trauma that disrupts the lens fibers.

Most traumatic cataracts are intuition, but their type and clinical course depend on trauma mechanism and the integrity of the capsular bag. The morphology of a classic traumatic cataract is referred to as a rosette or stellate type

TYPES OF SURGERIES:-

There are three major cataract surgery procedures:

  1. Phacoemulsification :- Phacoemulsification is a common CATARACT SURGERY that uses ultrasound to break the lens of the eye into small fragments, which are then suctioned out of the eye. The lens is replaced with an intraocular lens implant.

Phacoemulsification restores vision in patients with cataracts , which is a clouding of the eye’s lens .

  1. Femtosecond laser-assisted cataract surgery (FLACS) :- Femto Laser-Assisted Cataract Surgery, or FLACS, replaces many of the steps during cataract surgery that require a blade and softens the cataract, allowing for an easier and smoother removal. In addition, the laser corrects mild astigmatism by relaxing the cornea at a precise depth, length, and orientation in a more precise and effective manner compared to manual, hand-made incisions. FLACS can also improve the quality of vision by reducing some visual aberrations, it expands the visual range of astigmatism-correcting lens implants, and it may enhance the quality and range of near vision in extended range lens implants. 

  2. Extracapsular cataract extraction (ECCE):- Extracapsular Cataract Extraction is a method of cataract surgery that involves removing the eye’s natural lenses while leaving the back of the capsule that holds the lens in place. This procedure requires a much smaller incision than the older process called Intracapsular Cataract Extraction in which the lens and the entire capsule were removed.

In this procedure, the surgeon makes a tiny incision in the white of the eye near the outer edges of the cornea. The size of this depends on whether the lens of the nucleus is to be removed all in one piece or whether it will be dissolved into tiny pieces and then vacuumed out. The surgeon then enters the eye through this incision and carefully opens the front of the capsule that holds the lens in place. After the nucleus or hard center is removed, you may need sutures if your cataract was removed in one piece. If the phacoemulsification technique is employed, sutures are usually not required to close the incision

How long does it take to recuperate from cataract surgery?

These side effects usually improve within a few days, but it can take 4 to 6 weeks to recover fully. If you need new glasses, you will not be able to order them until your eye has completely healed, usually after 6 weeks.

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