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What Is Phaco Surgery?

Phaco surgery, also known as phacoemulsification, is a surgery used to restore vision in people with cataracts or clouding of the eye's lens. This kind of cataract surgery utilizes ultrasonic waves to break the lens into small pieces, which are then suctioned out of the eye with the help of a vacuum. The procedure is completed by replacing the damaged lens with an artificial intraocular lens (IOL).

The IOL helps to restore clear vision and concentrate light onto the retina at the back of the eye. Phaco surgery is a relatively quick procedure performed under local anesthesia, and it is generally an outpatient procedure, which means patients can go home on the same day of surgery. The small incision used in phaco surgery usually does not need stitches and heals fast.

Pristyn Care Chambers

  • Pristyncare Clinic image : 1160, Surson Rd, North Askar Digi,  Kotwali, Chittagong Chittagong...
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    1160, Surson Rd, North Askar Digi, Kotwali, Chittagong Chittagong...
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  • Pristyncare Clinic image : 35/36  Mehedibag Road Chawkbazar, Chittagong Chittagong - Chittagong
    Pristyn Care - Chawkbazar, Chittagong
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    35/36 Mehedibag Road Chawkbazar, Chittagong Chittagong - Chittagong
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    Sat -Thu 09:00 AM to 2:00 PM and 6:00 PM to 9:00 PM

Phaco Surgery Overview

Phaco Surgery-Overview
Who Is An Ideal Candidate For Phaco Eye Surgery?
  • The presence of cataracts confirmed by an eye examination.
  • Visual impairment that affects daily activities, such as reading, driving, or recognizing faces.
  • Stable eye health, without any other significant eye diseases or infections.
  • Adequate pupil dilation
What Are The Benefits Of Phaco Eye Surgery?
  • Minimally invasive procedure
  • Faster recovery due to the smaller incision size and less invasive nature of the surgery.
  • Reduced astigmatism, a condition where the cornea is irregularly shaped, resulting in distorted vision.
  • Accurate IOL placement
  • Improved visual outcomes
  • Long-term results
  • No hospitalization required
  • Minimizes trauma to the cornea, the clear front part of the eye.
  • Reduced risk of postoperative infection
  • Enhanced safety and high success rate
  • Improved quality of life
What Are The Types Of Lenses Used In Phaco Surgery?
  • Monofocal IOL
  • Multifocal IOL
  • Toric IOL
  • Accommodative IOL
  • Extended depth of focus (EDOF) IOL
  • Monovision IOL
  • Trifocal IOL
  • Phakic IOL
  • Monovision IOL
Doctor-performing-Phaco Surgery-in-Chittagong

What Happens In Phaco Surgery?

Diagnosis Before Phaco Surgery

Some of the essential tests performed before phaco surgery include the following:

  1. Refraction Test: This test helps determine the extent of any refractive errors, such as nearsightedness, farsightedness, or astigmatism, which may influence the selection of the appropriate intraocular lens (IOL) for your phaco surgery.
  2. Corneal Mapping: Corneal mapping is a way to analyze and measure ocular structures like the corneal surface and lens. It is a fast and precise test that can generate a comprehensive 3D model of the front of the eye. It also specifies the density of the lens, which indicates the degree of cataract in the eye. Having this test performed periodically will reveal if your cataract changes over time.
  3. Visual Acuity Test: This test estimates the clarity of your vision. In this test, you will be asked to read an eye chart from a certain distance to determine how well you can see at various distances.
  4. Biometry: It is a test used to measure the shape and size of the eye. Biometry is typically used to calculate the power of intraocular lens implants needed for cataract and refractive surgery. Ultrasound biometry (A-Scan) and partial coherence interferometer-based devices are the most commonly used methods for determining IOL power.
  5. Full ocular examination: This test involves looking at the eyelid anatomy and inflammation and determining the type of cataract. Soft cataracts can be aspirated; hard cataracts require more ultrasound energy and surgical time to break up and remove.
  6. Slit Lamp Examination: A slit lamp is a microscope that allows the ophthalmologist to examine the structures of the front of the eye, such as the cornea, iris, lens, and anterior chamber. This examination helps catch any abnormalities or signs of cataracts.
  7. IOL master: IOL master is one of the most accurate ways to know the power of the intraocular lens implant for cataract surgery. The IOL master allows for quick, accurate measurements of multiple areas of the eye, such as eye length and surface curvature, which are essential for determining the type and power of the lens before the cataract surgery. IOL master is a highly accurate non-invasive method for measuring the anatomical characteristics of the eye.
  8. Dilated Eye Examination: In this examination, eye drops are used to dilate the pupils, allowing the ophthalmologist to examine the back of the eye, including the retina and optic nerve.
  9. Endothelial specular microscopy: This test helps in preop planning in compromised eyes. Eyes with previous surgery, previous corneal transplants, and trauma are a challenge for surgeons, as these problems may reduce endothelial cell counts substantially. Additional surgical procedures could compromise corneal clarity by decreasing cell density further. Specular microscopy is a way to let the patient and cataract surgeon be aware of potential problems. This can also help the surgeon decide the right type of cataract surgery for the patient.

Procedure of Phaco Surgery

Here is an overview of the steps involved in phaco surgery:

  1. The eye is numbed with local anesthesia, usually through eye drops or an injection around the eye. This ensures that you are comfortable and pain-free during the procedure.
  2. The surgeon makes one or two small incisions at the edge of the cornea. This incision allows the surgeon to access the lens inside the eye.
  3. A circular opening is made in the front part of the lens capsule, a thin membrane surrounding the cataract. This opening acts as an access point to remove the cataract and insert the IOL.
  4. Saline is injected into the capsule to separate the lens from the surrounding capsule.
  5. An ultrasonic probe is inserted through the incision. The probe radiates ultrasonic vibrations that break up the cataract into small fragments. The fragments are then gently suctioned out of the eye.
  6. Once the cataract is removed, an artificial intraocular lens made of silicone or acrylic is inserted into the empty lens capsule. The IOL is carefully positioned to restore clear vision and provide appropriate focusing power.
  7. In most cases, the small incision is self-sealing and does not need stitches. The natural pressure within the eye keeps the incision closed, enabling faster healing.
  8. After the surgery, the eye may be protected with a protective cover, and you may be given eye drops or medications to prevent infection and facilitate healing.

It’s essential to note that variations in technique can exist among different surgeons. The surgeon will tailor the treatment plan to your specific needs and circumstances, ensuring the best possible outcome. Contact Pristyn Care ophthalmologists in Chittagong for a safe and successful phaco surgery.

How To Prepare For Phaco Surgery?

Here’s what you should know before you undergo phaco surgery.

  • On the day of your surgery, wash your face with soap and water, but avoid wearing or applying perfume, aftershave, lotion, or moisturizing creams.
  • Don’t wear jewelry on the day of your operation. In addition, steer clear of make-up and nail varnish.
  • Stop wearing contact lenses before the surgery, typically for 1 to 2 weeks. This ensures that the eyes are in their natural state and that the measurements taken during your preoperative exam are correct.
  • Consultations with your ophthalmologist will help clarify what you can and cannot eat or drink before the procedure. Be sure to listen carefully, and feel free to ask any questions you have.
  • Provide a full accounting of all prescribed and over-the-counter medications you take to your doctor. Your healthcare provider may advise you to stop taking these temporarily. In addition, they may ask you to use specialized eye drops to prepare the eye for your surgery. These are antibiotics and anti-inflammatory drugs to ensure the recovery goes as smoothly as possible.
  • While assessment of your medical records and medication will have already happened in initial consultations, it is always a good idea to have handy information about your medications and insurance card.
  • Following surgery, you will not be able to drive, so bring a friend or family member who can give you a ride.
  • Discuss with your surgeon the potential risks and complications associated with phaco surgery. Understanding these risks will help you make an informed decision.
  • Make arrangements for your post-operative care and recovery. This may involve ensuring you have the necessary

Why Pristyn Care?

Delivering Seamless Surgical Experience in Bangladesh

01.

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized chambers and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

02.

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

03.

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

04.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

Frequently Asked Questions

How can I contact Pristyn Care ophthalmologists in Chittagong for phaco surgery?

You can contact Pristyn Care ophthalmologists in Chittagong by using any of the following ways-

  • Give us a call and talk to our medical care coordinators to book your consultation.
  • Fill out the “Book Appointment” form and submit your details.
  • Download the Pristyn Care app and book a consultation according to your schedule.

What Is The Cost Of Phaco Surgery In Chittagong?

The cost of phaco surgery in Chittagong may range from ৳ 25,000 Taka to ৳ 50,000 Taka. However, various factors can impact the cost of phaco surgery in Chittagong. Some factors that affect the cost of surgery include:

  • The clinic or hospital where you undergo your surgery
  • Location or city of the hospital or clinic
  • Surgeon’s experience and expertise
  • Preoperative evaluations and tests
  • Type of intraocular lens (IOL)
  • Anesthesia fees
  • Post-surgery issues
  • Insurance coverage

What is the recovery time after phaco surgery?

The recovery time after phaco surgery can vary from individual to individual, but most people experience better vision within a few days to a week after surgery. However, complete recovery may take several weeks.

Will I need glasses after phaco surgery?

The need for glasses after phaco surgery depends on numerous factors, including the type of intraocular lens planted and the individual visual requirements.

Is phaco surgery painful?

Phaco surgery is generally not painful as it is performed under local anesthesia, which numbs the eye. However, you may experience some discomfort during the procedure, but it can be well- tolerated. After the surgery, you may feel mild discomfort or itching, which can be controlled with prescribed eye drops and over-the-counter pain relievers.

What is the success rate of phaco eye surgery?

The success rate of phaco eye is about 99 percent. However, the success rate can differ based on individual factors and the specific aspects of the cataract being treated.

How long does the phaco surgery procedure take?

The actual phaco surgery procedure takes around 15 to 30 minutes. However, you should expect to spend extra time at the hospital for certain pre-operative preparations, anesthesia administration, and post-operative monitoring.

Is phaco surgery covered under health insurance?

Yes, many health insurance policies cover phaco surgery. However, there is a possibility that your insurance policy has sub-limits on the coverage. In such a case, when you file a claim, the insurance company will pay only 80% of the total cost, and you must pay the balance amount from your pocket. Therefore, make sure that you carefully read the terms and conditions while buying a health insurance policy.

How long do the effects of phaco surgery last?

The effects of phaco surgery are long-lasting. Once the cataract is removed and the intraocular lens is planted, it remains in place.

When can I wash my face after phaco surgery?

You can resume activities such as washing your face the day after your surgery, as long as you are careful not to touch the eye. Also, you shouldn’t splash water directly on your face and instead use a washcloth to clean carefully.

What is the best position to sleep after phaco surgery?

After your phaco surgery, you will be provided with an eye shield to protect your eye. Sleeping on your back instead of your side can reduce the chance of your eye shield slipping while you are wearing it overnight.

What Are The Possible Risks Or Complications Of Phaco Surgery?

Phaco surgery is a safe and effective procedure for cataract removal. However, as with any surgical procedure, potential risks and complications are involved. Some potential risks or complications of phaco surgery include the following:

  1. Infection: Although very rare, there is a slight risk of developing an infection after phaco surgery. However, this can usually be controlled with antibiotic eye drops or medications.
  2. Swelling: Some patients may experience temporary swelling of the cornea or surrounding tissues after phaco surgery. This can cause mild discomfort but resolves with time and appropriate treatment.
  3. Corneal edema: The cornea may sometimes become swollen or cloudy after surgery, causing temporary vision disturbances. This condition, known as corneal edema, usually resolves independently or with prescribed eye drops.
  4. Increased intraocular pressure: Phaco surgery can sometimes cause a temporary increase in intraocular pressure, leading to increased eye pressure. This can be managed with medications to prevent complications.
  5. Endophthalmitis: Endophthalmitis is a serious complication of phaco surgery involving microorganisms that gain entry into the eye.
  6. Lens Dislocation: Though rare, IOL dislocation is another complication following phaco surgery. Inadequate capsular support is the leading cause of lens dislocation and typically happens early in the postoperative period.
  7. Retinal detachment: Retinal detachment can occur as a complication of phaco surgery. This happens when the retina, the light-sensitive layer at the back of the eye, separates from its normal position. Prompt treatment is essential to prevent vision loss in such cases.
  8. Posterior capsule opacification (PCO): PCO refers to the clouding of the posterior capsule, a delicate membrane left behind after cataract removal. It can cause vision to become blurry or hazy.
  9. Astigmatism: Phaco surgery can also result in astigmatism. Astigmatism is a common and treatable imperfection in the curvature of the eye that leads to blurred distance and near vision.
  10. Lens Fragments: When your doctor removes your cloudy lens during phaco surgery, some parts may fall into your eye and get left behind. You may need surgery to remove the vitreous and prevent swelling.

It’s important to note that while these risks exist, most phaco surgeries are successful, and complications are relatively rare. Your ophthalmologist will evaluate your eye health and discuss any specific risks that may apply to your individual case. They will take suitable precautions and provide postoperative care instructions to minimize the likelihood of complications. Consult Pristyn Care’s best ophthalmologists in Chittagong to ensure a smooth and complication-free recovery process.

What Are The Post-Operative Care Tips To Follow After Phaco Surgery?

Here are some post-operative care tips to follow after phaco surgery:

  1. It’s important to avoid strenuous activities that increase your blood pressure after surgery. Therefore, avoid lifting heavy objects, visiting the gym, and bending over at the waist for long periods, as it can put pressure on the incisions in the eye. It is best to take a few days off from work to rest and recover after the surgery.
  2. Wear an eye shield or protective eyewear as advised by your ophthalmologist, particularly while sleeping, to prevent any injury to the operated eye.
  3. Maintain good eye hygiene by keeping your hands clean and avoiding touching or rubbing your eyes unnecessarily. Use a clean cloth to gently wipe away any discharge from your eyes.
  4. Avoid exposure to irritants such as dust, smoke, strong chemicals, and allergens that may cause discomfort or hamper recovery. Wear wrap-around sunglasses or a protective eyewear in dusty or windy environments.
  5. Exposure to water from the shower or pool can expose your eyes to irritants and infections. When you shower, be mindful not to splash water into your face. Also, ask your ophthalmologist how soon you can go swimming.
  6. You cannot drive immediately after surgery. Your eyes may be swollen and sensitive to light, and your vision may be blurry. Depending on your surgery outcomes, it may be safe to drive after three days. However, recovery rates may differ depending on your condition, so it is best to seek your surgeon’s opinion before driving or operating heavy machinery.
  7. While you can see after phaco surgery, it is best to avoid screen time on your computer, mobile device, or TV. The light from these devices strains the eye, and it’s best to avoid them for three to four days after surgery. After your eyes heal, you may also need to wear glasses for reading and screens.
  8. Maintain a healthy lifestyle by eating a balanced diet, staying hydrated, and avoiding smoking. A nutritious diet rich in vitamins and antioxidants can enhance your healing process.
  9. Refrain from using eye makeup or applying lotions or creams near your eyes until your ophthalmologist gives you the green light to do so. This lowers the risk of contamination and potential irritation.
  10. Contact your ophthalmologist instantly if you experience increased pain, redness, persistent blurred vision, excessive discharge, or any other concerning symptoms. Immediate reporting of any complications or changes in your condition is crucial.

Why Choose Pristyn Care For Phaco Surgery in Chittagong?

Here are some key factors that make Pristyn Care the preferred option for phaco surgery in Chittagong:

  1. Expert Surgeons: Pristyn Care has a team of highly trained and experienced ophthalmologists in Chittagong who specialize in phaco surgery. Their expertise and track record of successful procedures ensure that patients receive the best surgical care.
  2. State-of-the-Art Facilities: Pristyn Care has cutting-edge facilities and advanced surgical equipment to perform phaco surgeries precisely and efficiently. Modern technology improves surgical outcomes and leads to faster recovery.
  3. Personalized Approach: Pristyn Care provides personalized care to each patient. Our ophthalmologists take the time to understand individuals’ unique needs and concerns, tailoring the treatment plan accordingly.
  4. Comprehensive Preoperative Evaluations: Pristyn Care conducts comprehensive preoperative evaluations to evaluate the suitability of phaco surgery for each patient. This comprehensive assessment helps minimize potential risks and ensures the best possible results.
  5. Postoperative Care and Follow-up: Pristyn Care is committed to providing holistic care. We offer comprehensive postoperative care, such as regular follow-up visits and guidance on post-surgery precautions.
  6. Transparent Pricing: Pristyn Care believes in transparency, providing patients with a clear understanding of the costs involved in the procedure.
  7. Hassle-Free Experience: Pristyn Care aims to make the entire surgery experience as hassle-free as possible. We provide support with paperwork and insurance claims, easing the burden for patients and allowing them to focus on their health.
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