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Subcapsular Cataract Surgery: Book Free Consultation

Subcapsular cataract surgery is a highly effective treatment for posterior subcapsular cataracts (PSC), a specific type of cataract that forms at the back of the lens capsule. This condition can drastically impact your vision, causing symptoms such as blurred vision, glare, and difficulty seeing in bright light conditions. With several surgical approaches available, a tailored treatment plan can be created to suit your circumstances. Consult with an expert ophthalmologist at Pristyn Care today and let us guide you toward clearer vision. Book your appointment now.

Subcapsular cataract surgery is a highly effective treatment for posterior subcapsular cataracts (PSC), ... Read More

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What is Subcapsular Cataract Surgery?

Subcapsular cataract surgery is a procedure performed to treat PSC. These cataracts develop at the back of the lens capsule and can significantly impair vision by causing symptoms like blurred vision, glare, and difficulty seeing in bright light conditions. The procedure is carried out by an ophthalmologist, on an outpatient basis, meaning you won’t need to stay in the hospital post-surgery.

During this procedure, the cloudy lens that is obscuring your vision is carefully removed and replaced with an artificial intraocular lens (IOL). The entire process usually takes less than an hour and has a high success rate, offering patients a safe and effective solution to restore their vision.

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Diagnosis Before Subcapsular Cataract Surgery

If you are experiencing symptoms such as blurred vision, light sensitivity, or difficulty seeing in low light, you might need to undergo a comprehensive eye examination to diagnose PSC. Here are a few steps that your doctor might follow:

causes of cataract
causes of cataract

  • Symptom Assessment: Your doctor will ask you about your symptoms and medical history.
  • Comprehensive Eye Exam: The next step involves several tests such as:
    • Pupil Dilation: Your pupils are widened using eye drops so that your doctor can better visualise the lens of your eyes.
    • Slit Lamp Examination: Using a specialised microscope, your doctor will examine different structures of your eye, including the lens, to check for any opacities.
    • Retinal Exam: This test helps assess the back of your eye and the health of the retina.
    • Visual Acuity Test: This test measures how well you can see at different distances.
    • Tonometry: This test checks the pressure inside your eye to rule out glaucoma.
  • Grading of the Cataract: If a cataract is diagnosed, its grade is determined based on the vertical size of the cataract. The grades range from 0 (less than 1 mm) to PSC-3 (greater than 3 mm).

What is the Procedure For Subcapsular Cataract Surgery?

Subcapsular cataract surgery is a nuanced procedure, requiring meticulous attention. Here is what you can expect from it:

  • Anaesthesia: The surgery is usually performed under local anaesthesia, which involves numbing your eye with drops or an injection. On some occasions, general anaesthesia may also be used.
  • Incision: A surgical cut is made in your cornea to allow access to the lens.
  • Capsulotomy: After making an incision, a circular opening is created in the front portion of your lens capsule. This gives access to your cataract-affected lens.

Who is the Right Candidate for Subcapsular Cataract Surgery?

Whether you are the right candidate for subcapsular cataract surgery is decided by your ophthalmologist after considering your symptoms, visual impairment, and how it is impacting your daily activities. Some of the common criteria include:

  • Visual Symptoms: If the clouding of the lens significantly affects your vision and this cannot be corrected with glasses or contact lenses, cataract surgery may be recommended.
  • Impact on Daily Life: If cataracts interfere with your daily activities such as reading, driving or working and affect your quality of life and independence, you may be considered for cataract surgery.

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What are the Benefits of Subcapsular Cataract Surgery?

The primary advantage of undergoing subcapsular cataract surgery is the restoration of vision clarity. Here are some benefits you can expect from this procedure:

  • Improved Vision: This surgery significantly enhances visual acuity, empowering patients to resume daily activities such as reading, recognising faces, and driving.
  • Symptom Reduction: The operation alleviates symptoms associated with PSC like glare, halos around lights, and trouble seeing in bright conditions.
  • Quick Recovery: Patients usually notice improved vision shortly post-procedure. Full recovery typically happens within 2 to 6 weeks.
  • Minimally Invasive Options: Modern methods like phacoemulsification are less invasive, leading to fewer complications and more stable visual rehabilitation.
  • Enhanced Quality of Life: By restoring vision, the patient’s quality of life is improved, letting them participate more fully in social and recreational activities.

How to Prepare for Subcapsular Cataract Surgery?

Before you undergo subcapsular cataract surgery, you need to do some preparation. Here’s what it involves:

  • Preoperative Assessment: Patients undergo a comprehensive eye examination to gauge the severity of the cataract and assess overall eye health.
  • Medication Review: A detailed review of your medicines is essential. Patients might need to stop certain medicines a few days before surgery based on their doctor’s advice.
  • Day-of-Surgery Instructions: Arrange for transport post-procedure as you may be unable to drive due to the effects of sedation or anaesthesia.
  • Fasting: If sedation is planned, you may be directed to abstain from food and drink for several hours before the operation.

What are the Recovery Tips and Precautions to Follow After Subcapsular Cataract Surgery?

Recovering from subcapsular cataract surgery largely involves following doctor’s instructions and taking care of your eyes. These recovery tips can help:

  • Regular Follow-Ups: Schedule regular follow-up visits with your ophthalmologist to monitor healing and vision improvement.
  • Use Prescribed Eye Drops: Antibiotic and anti-inflammatory eye drops are usually prescribed to prevent infection and reduce inflammation.
  • Avoid Strenuous Activities: Refrain from heavy lifting or vigorous exercise for a few weeks post-surgery.
  • Wear Protective Eyewear: Sunglasses can protect the eyes from bright light and UV rays during the recovery phase.

Avoid Eye Rubbing: Resist touching or rubbing your eyes to prevent irritation or dislodging the intraocular lens.

Potential Risks or Complications Associated with Subcapsular Cataract Surgery

Like any surgical procedure, subcapsular cataract surgery too comes with potential risks or complications, including:

  • Posterior Capsular Opacification: This is when the capsule that holds the lens becomes cloudy again, necessitating a second procedure called YAG laser capsulotomy.
  • Infection: Postoperative infection, though rare, can lead to serious complications if not promptly treated.
  • Vision Issues: Some patients might experience persistent blurry vision or halos around lights post-surgery.
  • Retinal Detachment: Although rare, this severe complication might necessitate additional surgical intervention.
  • Intraoperative Complications: Issues during surgery such as bleeding or damage to adjacent structures can occur, but modern techniques have significantly reduced these risks.

What is the Cost of Subcapsular Cataract Surgery in India?

Discussing the cost of subcapsular cataract surgery in India, it’s important to start with the clarification that the costs can vary greatly. This wide range is due to several factors, including the type of surgery performed, the hospital where the surgery is performed, and its location. Though it’s not easy to pinpoint a specific figure, let’s shed some light on the factors that can affect the posterior subcapsular cataract surgery cost:

  • Type of Surgery: Different types of surgeries such as phacoemulsification, FLACS, or MICS may have different pricing structures. Naturally, more complex procedures might carry higher costs.
  • Hospital Selection: The choice of hospital is another significant factor. Some hospitals, especially those in big cities with advanced facilities, might charge more than hospitals in smaller towns.
  • Location: The city where the hospital is located can also influence the cost. For instance, hospitals in metro cities may have higher charges due to elevated operational costs.

Is Subcapsular Cataract Surgery Covered Under Insurance?

In India, many health insurance policies generally cover subcapsular cataract surgery. This means that you can alleviate a significant chunk of your surgical expenses through your insurance coverage. However, it’s important to recognize that this coverage is often subject to certain terms and conditions. Here are some of them:

  • Before you can claim insurance for cataract surgery, you might need to wait for a specified period usually ranging between 12 to 24 months.
  • There might be a cap or limit on how much you can claim for cataract surgery under some insurance policies. This sub-limit might not cover the entire cost of your procedure.
  • Lastly, not all health insurance plans cover cataract surgery. Hence, it’s important to review your policy details thoroughly before you proceed.

FAQs

How long does it take to perform a subcapsular cataract surgery?

Typically, subcapsular cataract surgery is performed as an outpatient procedure and is usually completed within one to two hours. The actual operation time might be as short as 15 minutes, but you should plan for recovery and pre-surgery preparations.

What is the typical subcapsular cataract surgery recovery time?

Most people begin to notice an improvement in their vision almost immediately after the operation, but full recovery can take several weeks. Your doctor will provide you with a detailed recovery plan.

Can I go home on the same day of subcapsular cataract surgery?

Yes, you can. Subcapsular cataract surgery is often performed on an outpatient basis, which means you’ll likely go home on the same day once your doctor confirms there are no immediate complications.

What is the posterior subcapsular cataract surgery cost in India?

The posterior subcapsular cataract surgery cost varies depending on factors such as the hospital, surgeon’s fee, and any additional treatments needed. It’s advisable to consult with your doctor or insurance company for the most accurate estimate.

What are some common subcapsular cataract surgery complications?

Though rare, potential complications could include inflammation, infection, bleeding, swelling, retinal detachment, or changes in eye pressure. However, these are extremely rare and your doctor will take precautions to minimize any risks.

Does a person require glasses after undergoing subcapsular cataract surgery?

It varies from person to person. Some may still need glasses for certain activities like reading or driving especially if they had astigmatism or presbyopia before the operation.

How quickly can I return to work after having subcapsular cataract surgery?

Return to work depends on the nature of your job. For jobs that don’t require heavy physical activity, you could expect to be back at work within a week. However, for more physically demanding jobs, you might need to wait a bit longer.

What is the subcapsular cataract surgery recovery rate?

Subcapsular cataract surgery has a high recovery and success rate. Approximately 90% of patients experience an improvement in their vision following the procedure.

Can I undergo subcapsular cataract surgery if I have other eye conditions?

Yes, but it’s critical that you inform your doctor about any other eye conditions you have, as some may affect surgical procedures or recovery.

Is there any specific diet to follow post-subcapsular cataract surgery?

No specific diet is required post-surgery. However, maintaining a healthy diet can promote overall eye health and contribute to a faster recovery.

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