More precise, reproducible and reliable capsulotomies
More accurate, more efficient, and less damaging self-sealing cataract incision in terms of architecture, size and geometry
Less variability of anterior chamber depth with more stable post-op refraction
Ahooja Eye & Dental institute Gurgaon also offers bladeless robotic cataract surgery.
Just like no two people are the same, your eyes are unique to you and you alone. That’s why each eye must be carefully measured, mapped and prepared for cataract surgery. That preparation is now more customized and precise with the bladeless robotic laser cataract surgery at Ahooja Eye.
This computer-controlled, laser-assisted surgery utilizes advanced precision methods to capture a high-resolution image of the eyes. These images combined with precise measurements and data help form a more exacting surgical plan. The level of customization allowed with a bladeless robotic cataract surgery is revolutionary and virtually unattainable with conventional surgical methods.
The Femtosecond Laser Machine
Laser is for use in patients undergoing cataract surgery. The laser is used as a tool to break up a cataract and to create incisions in the cornea as part of a cataract surgery. Laser may also be used for the creation of corneal flaps in LASIK surgery, or for the creation of pockets or tunnels in the cornea to accommodate the placement of corneal implants.
Laser uses a SoftFit® Patient Interface to hold the eye still by applying light suction. Some bleeding and foreign body sensation may occur. As with any cataract surgery, there are risks involved. These risks may include but are not limited to infection, pain, corneal abrasion and capsular tear.
Dr Hitendra Ahooja completed his basic medical training in 1996 from J.L.N. Medical College, Wardha, Maharashtra. He completed his post-graduation training in ophthalmology from Government medical college, Nagpur, on 2001 and Maharashtra and fellowship in cornea and anterior segment from L V Prasad eye institute, Hyderabad in 2004.
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The laser ushers in a new era of automation, enhancing the skills of the surgeon, making the most difficult steps of Phaco surgery simple and 100% accurate, thereby improving the safety and visual outcomes of cataract surgery. Imagine drawing a circle with a computer-guided printer, compared to a human hand, and one can understand the difference.
Since the laser is the cutting tool during the entire surgery, no blades or knives are used during the procedure, also earning it the nomenclature of bladeless cataract surgery. A computer-controlled laser is a more precise and a better cutting tool than a hand-held For people who have a phobia for blades and needles, working on such a delicate system as the human eye, this procedure is a welcome relief.
Conventional Phaco only addresses the problem of cataract, without having any impact on pre-existing astigmatism (cylindrical power) due to abnormal corneal curvature. Femto laser also corrects the pre-existing cylinder in a patient’s eye, using its astigmatic correction module (LRI) thereby resulting in a better outcome as compared to conventional Phaco. Henceforth, cataract surgery is not just a procedure for visual rehabilitation, but an experience of the enhanced result.
Phaco is considered a reasonably safe surgery; however, the femto laser system further enhances the safety by improving the performance of a surgeon and reducing the chances of human error. The computer controlled incisions made by the laser are more precise and accurate than manual incisions, regarding depth and architecture. Due to this, wound seals better and there are only fewer chances of infection.
A Basic Platform for Advanced Technology (AT) IOLs: Premium Intra-ocular lenses (IOLs) require a perfectly centered, round and fixed diameter capsular opening for best centering of the lens within the eye, with better focus and improved results possible only with Femto laser.
After completing clinical trials, receiving the CE mark, and US FDA approval, the Femtosecond Laser cataract surgery machine is now available in India also.
The procedure is not advocated in patients with poorly dilating pupils, and in those with advanced glaucoma. It is not the procedure of choice for patients with corneal opacities.
The Femtosecond laser is docked on the eye using a Patient Interface (PI) and a soft specially designed contact lens. Live continuous 3-D OCT pictures are streamed on to the computer screen. Main incision, side port incision, and Capsular opening are marked on the computer screen. Astigmatic control incisions if required are also marked.
On a press of a button, the laser completes all the steps in approximately 45 seconds. The eye is undocked. The patient shifted to the main OT. The incisions are entered with a spatula. The fragmented nuclear material is aspirated out, and an IOL inserted. No sutures are required as the incisions are self-sealing.
| FLACS (Femtosecond Laser – Assisted CataractSurgery) |
|
|---|---|
| Method used for creating incision | Computer controlled femtosecond laser |
| Surgery time | Laser assisted pre-breaking of the cataract reduces surgery time |
| Surgery time | Laser assisted pre-breaking of the cataract reduces surgery time |
| Reliability of procedure | Very reliable |
| Complexity of the surgery | Less complex because of elimination of manual steps |
| Safety | Increased safety because of no manual steps |
| Accuracy | Micron level precision |
| Results | Increased Predictability |
| Lens Stability | Better positioning of lens |
| Recovery time | Lesser phaco energy used leads to faster recovery |
| Traditional Cataract Surgery (Phacoemulsification) |
|
|---|---|
| Method used for creating incision | Surgical Blade |
| Surgery time | Comparatively more time required |
| Surgery time | Comparatively more time required |
| Reliability of procedure | Less reliable |
| Complexity of the surgery | Relatively complex |
| Safety | Relatively less safer |
| Accuracy | Millimeter level precision |
| Results | Not predictable |
| Lens Stability | Fairly stable |
| Recovery time | Normal recovery |
It is this latest technique, without opening the eye a laser light beam creates an opening into the envelope housing the cataract and divides the lens into small pieces. Thereafter, the phaco probe is used to aspirate the divided pieces. This method minimises the recovery time, reduces the risk of complications compared to the manual phaco. This is a very advance form of cataract surgery available in science today.
Cataract Treatment Cost in Gurgaon and NCR depends on the following factors
Cataract surgery is divided into 2 parts:
We offer multiple IOL like Foldable, Toric Lens, Multifocal Lens, Trifocal lens, Panoptix lens, etc. These IOL options might help eliminate the need to use glasses after cataract surgery.