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(Zepto Cataract Surgery)
Zepto Cataract Surgery is an automated latest technology treatment procedure for Cataract.
It is a preferred option by surgeons worldwide due to its robotic precision, highest safety standard and reduced recovery time. It is commonly done by the “Zepto Capsulotomy Device”, which is attached to a world class console. This device is handheld and is disposable after the procedure. It is made of Nitinol Alloy and can be inserted through an incision, as small as 2mm, that makes it highly safe and precise. It uses high vacuum and precise energy pulses to perform the most accurate capsulotomy to give the best visual outcomes for patients.
What is Cataract?
The natural lens is crystal clear and it allows light to pass through the lens to reach the retina at the back of the eye. Cataract is a condition of the clouding of the natural lens of the eye.
It is mainly caused due to old age, above the age of 50-60 years but is also observed in certain adolescent and middle aged people. It results in sensitive vision to bright lights, hazy vision and partial blindness.
Cataract can be diagnosed even in its early stages by a good diagnosis from an eye surgeon. But as the condition progresses, the vision deteriorates and the only treatment recommended would be a surgery. The conventional surgery involves removal of the natural hazy lens by inserting a 2.8- 3.2mm probe and using Ultrasonic energy to break the cataract into small pieces. This process is called Phacoemulsification.
The newer technology is MICS ( Microincision cataract surgery ) which involves the use of a 2 mm probe, hence incision /wound size reduces to 2 mm. An intraocular lens is then inserted through the same incision, where the power of the lens is pre calculated with an A scan Biometer.
There are various types of procedures to help you get your normal vision back. We would be glad to help you know more about these procedures.
NORMAL
CATARACT
Common Symptoms of Cataract (Do I have a Cataract?)
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Painless gradual decrease of vision
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Sensitivity to bright light
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Glare or Poor night vision
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Fading of regular colours
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Halos around Lights
Common Myths/Misunderstandings about Cataract.
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Cataract can be treated by medication
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Cataract should be mature for its removal
Treatment of Cataract Certain facts
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There is no medication or glasses for the treatment of Cataract.
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The only safe solution for the treatment of Cataract is Surgery.
Procedures for treatment of Cataract:
The treatment for Cataract has seen many revolutionary developments in the past couple of decades and we have arrived at safe and effective methods to treat cataract with maximum benefits to the patients and minimal complications. In the conventional technique, a large incision would be made of about 10-15mm to remove the cataract and insert the artificial lens, which would further require stitches.
The Phacoemulsification technique reduced the size of the incision to about 3-3.5mm along with the insertion of a foldable lens.
Latest Micro Incision Cataract Surgery (MICS)
The Micro Incision Cataract Surgery requires the incision to be as small as 2mm where the cataract can be vacuumed out and the intraocular lens can be inserted through the same incision. This results in a safe and sophisticated method for removal of cataract, with a painless surgery and minimalistic post surgery recovery time.
Conventional Cataract Surgery
Phacoemulsification technique
Why do I need a Micro Incision Cataract Surgery (MICS)?
i. The primary treatment for cataract is Surgery and any delay in the treatment of cataract would only deteriorate the condition of the lens. Our consultant eye surgeons would recommend the best step forward, based on a thorough analysis of your case. In most cases, a MICS is the safest and most effective treatment for the visual rehabilitation of the patient.
ii. The treatment of any grade or severity of Cataract is easily manageable by a Microincision Cataract Surgery.
iii. This type of surgery has the lowest rate of complications, faster recovery and a better vision possibility post surgery.
Benefits of Microincision Cataract Surgery (MICS)
No injections required.
No eye patch required post surgery
Quick recovery time because of
smaller incision.
The compatibility of all globally
recommended IOLs is higher which
results in better vision post surgery.
Less dependency on glasses post surgery.
An added advantage for diabetic patients,
so that the wound can heal faster due to
smaller incision.
The post surgery follow ups reduce which allows
patients to go back to their routine quickly.
Types of Intraocular Lenses.
Rigid Lens (Non-Foldable Lens)
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The incision size increases from 3 mm to about 6-8mm
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The healing and recovery process is longer
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Sometimes requires a stitch
Soft Lens (Foldable Lens)
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The most effective type of lenses used in Phaco/ MICS
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Incision size remains 2 - 3 mm as the lens can fold and pass through.
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Healing process is only about 8-10 days
CATARACT SURGERY WITH INTRAOCULAR LENS
PROCEDURE LIST
MONOFOCAL IOL (READING GLASS DEPENDENCY) (Distance Vision)
ASTIGMATISM
NO ASTIGMATISM
MULTIFOCAL IOL (MINIMUM GLASSES DEPENDENCY ) (Distance and Near Vision)
TRIFOCAL IOL (MINIMUM GLASSES DEPENDENCY ) (Distance, Near, and Intermediate Vision)
ASTIGMATISM
NO ASTIGMATISM
MICS (MICRO INCISION CATARACT SURGERY ) WITH 2 MM INCISION
ASPHERIC HYDROPHOBIC MF IOL
ASPHERIC HYDROPHOBIC TRIFOCAL IOL
ASPHERIC HYDROPHOBIC MF IOL
TORIC ASPHERIC HYDROPHOBIC IOL
TORIC ASPHERIC HYDROPHOBIC MF IOL
ASPHERIC HYDROPHOBIC TRIFOCAL IOL
MICS WITH ASPHERIC HYDROPHOBIC IOL
TORIC HYDROPHOBIC IOL
FOLDABLE HYDROPHOBIC SINGLE PIECE IOL
HYDROPHOBIC FOLDABLE IOL
IMPORTED
STANDARD PHACOEMULSIFICATION WITH APPROX 3.2 TO 3.5 MM INCISION
INDIAN
FOLDABLE HYDROPHILIC IOL
TORIC HYDROPHILIC IOL
HYDROPHOBIC IOL
HYDROPHOBIC IOL
NON-FOLDABLE HYDROPHILIC IOL
HYDROPHILIC IOL
HYDROPHILIC IOL
TORIC HYDROPHILIC IOL
Additions to the Procedure
ALCON PROPAK (PREMIUM SURGERY KIT ) For Advanced or Long standing cataracts
VISCOAT
Monofocal
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Monofocal lenses are used to correct distance vision in patients. These lenses have dependency on reading glasses post surgery.
Multifocal
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Multifocal Lenses are used to correct both near and distance vision in patients. There is little dependency on reading glasses post surgery.
Trifocal
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Trifocal lenses are used to correct all Near, Distance and Intermediate vision in patients. There is minimal or no dependency on reading glasses post surgery.
Toric Aspheric Hydrophobic ( Monofocal/ Multifocal )
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The Toric Aspheric hydrophobic lenses are one of the latest developments in the field of Ophthalmology.
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The main feature of a Toric Aspheric lens is that along with improving vision, it also corrects astigmatism in patients.
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Minimal dependency on glasses / spectacles post surgery.
Aspheric Hydrophobic Lens.
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Aspheric Hydrophobic lens reduces the distortion and glare thus resulting in better overall vision.
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In addition to the above, it reduces glare so better night vision
Hydrophobic Lens
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A Hydrophobic lens maintains the fluid level of the eye to a minimum, so that they have very little chance (Less than 1%) of developing a thin film after the surgery.
Hydrophilic Lens (PCO - Tech term)
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Hydrophilic lenses have a small chance of having a thin film behind the lens over a couple of years after the surgery. This can be corrected by the use of a Yag Laser.
PLEASE NOTE:
1. THE CONSULTING EYE SURGEON WILL RECOMMEND THE LENS BEST SUITED FOR YOU.
2.THE FINAL DECISION TO CHOOSE THE MOST SUITABLE LENS RESTS BETWEEN YOU AND YOUR EYE SURGEON.
Preoperative Recommendations
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It is our recommendation that the patient speak in detail to the consulting eye surgeon/ our counsellors about all pre-operative care necessary before a cataract surgery.
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The patient will be undergoing preliminary tests, cardiopulmonary and other blood tests, to check the fitness for the surgery.
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We will have specialised eye tests to determine the most suited type of IOL for the patient's condition
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Diabetic patients must consult a physician about suitable medication to be taken before the surgery to avoid any possible complications.
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The patient must be well rested before the surgery to have a smooth procedure without causing any unnecessary stress on the day of the surgery.
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You must be accompanied by an adult on the day of the surgery who will be able to assist you with pre and post surgery.
What to expect after surgery?
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You will be discharged on the day of the surgery and no admission would be required.
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You would be asked to wear protective glasses to avoid contact with any direct light or any other impurities
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You will be given future appointments for follow ups.
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You can continue with your daily routine, from the next day of the surgery, avoid crowded and dusty areas.
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For female patients, you can resume cooking and other daily activities immediately post surgery with protective eyewear.
Possible Complications Post Surgery.
- We would like to mention that MICS is a highly safe and effective method to cure cataract and almost all cases have a positive outcome. But, it also has potential complications and we would like you to be aware of them.
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About 98% of all cataract surgeries are successful without any post surgery complications and the patient recorded improved vision.
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Most complications are of minor inconvenience like droopy eyelids, swelling of the cornea and can be treated easily.
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Complete vision rehabilitation may not be possible in some cases, due to other complications present like glaucoma, age related macular degeneration, diabetic retinopathy and other such cases.
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There are multiple infections that might occur, depending on individual cases and patient history and the timeline for these cannot be determined. They may occur months or sometimes years after the surgery.
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The loss of complete eye sight is rare in the case of cataract, but as a possibility it may occur due to bleeding inside the eye or retinal detachment.
In all these cases, it is advisable to have regular check-ups with your eye surgeon to avoid all postoperative complications and prevent any long term damage to the eye.