Phacoemulsification (Phaco = lens, emulsification)
Phacoemulsification (Phaco = lens, emulsification) or phaco as it is popularly called is a technique where the lens is broken into small pieces , emulsified and then aspirated.
The ultrasound energy is used to emulsify the cataract. A handpiece with quartz crystals is used to produce the ultrasonic energy which moves the tip of 0.9 to 1.4 mm size back and forth to hit and emulsify the cataract.
The whole procedure is performed through an incision size of 2.2 mm in the form of a self sealing tunnel which does not require any stitches for its closure. The “phaco probe” has both irrigation and aspiration through the 2.2 mm and a continuous flow of a balanced fluid goes into the eye and is aspirated out along with emulsified pieces of cataract.
EYE-DROP ANAESTHESIA FOR PHACO
THE NO-INJECTION PHACO
Anaesthetic eye drops are used prior to the procedure to numb the eye. Since phaco is a short painless procedure and there is very little handling of the eye, this no-injection eye drop anaesthesia is enough for a total comfort of the patient. One should also remember that eye drop anaesthesia is safer than injection which can cause complications like drug reaction and perforation of the eye.
THE NO-STITCH PHACO
Phacoemulsification is done with a thin probe which can enter the eye through a 2.2 mm incision. This incision is made in such a manner that a small tunnel is formed with a length of approximately 2.2 mm. The configuration of the tunnel is such that it is self sealing and does not need any stitch to keep it closed.
Best time for PHACO Cataract Surgery
Today the life style of every person is such that eyes are used extensively for reading/writing/driving during day and night/ watching television etc. and cataract surgery has become very patient friendly. The recovery is quick and discomfort is minimal. Also as the cataract “matures” , it becomes harder to emulsify with phacoemulsification.
It is therefore, advisable to get the phaco-cataract surgery done as soon as it starts interfering with their daily activities.
Precautions before & after PHACO Cataract Surgery
It is advisable to maintain proper hygiene and cleanliness. No cosmetics should be used on the eye or face. There are no dietary restrictions required before or after cataract operation. Dietary restrictions for other systemic diseases should be observed. Splashing water in the eye to wash it is not to be done. Face can be washed and head bath can be taken with the eyes closed.
PHACO cataract surgery in diabetics
Control of blood sugar is essential. A post prandial blood sugar level of up to 180 mg % should be maintained before and after cataract operation.
PHACO cataract surgery in high blood pressure
Blood pressure control should be maintained with appropriate medications before/ during and after surgery.
PHACO cataract surgery in other diseases
Other diseases like Bronchial Asthma, Rheumatoid Arthritis, Dependance on steroids should be discussed and appropriate measures should be taken.
- Multi-Focal IOL
- Accomodative IOL
- Blue Blocking IOL
- Monofocal IOL
- Trifocal IOL
- Extended Depth IOL
Best Phaco Surgeons in Delhi at Bharti Eye Hospital
Dr. S. Bharti
Director & Senior Consultant- Cataract & Refractive Surgery, Cornea Specialist
Dr. S. Bharti is founder and managing director of Bharti Eye Hospital, New Delhi. He passed his M.B.B.S. with honours from S. N. Medical College, Agra and did his postgraduate degree from the same institution in 1981. READ MORE
Dr. Bhupesh Singh
Senior Consultant Cornea, Cataract and Refractive Surgery Specialist
Dr. Bhupesh Singh is a senior consultant and practicing Ophthalmologist at Bharti Eye Hospital, New Delhi. He is a Cornea, cataract and refractive surgeon. He has done his post graduation from Regional Institute of Ophthalmology, Sitapur. READ MORE
What My Clients Say
Dr. Bharti is amazing! My sister, my dad and I all went to him for LASIK and PRK. He is the BEST, hands down. I recommend Dr. bharti to everyone who is considering LASIK.
The procedure was quick and easy, recovery time was extremely fast and I would recommend getting Cataract from Dr. Bhupesh Singh to everyone! I’m just sorry I didn’t get Cataract sooner.
I love coming here because staff here is extremely knowledgeable. From the front desk, to the techs, to the doctors, everyone does their jobs extremely well and makes an appt go smoothly. I’ve seen Dr. S. Bharti and Dr. Bhupesh Singh and both are great.
I had my Lasik surgery 4 days ago and I’m still amazed that I can see! I had bad eyes for about 18 years and 10 of those years I was almost legally blind. To be able to see crystal clear is such a beautiful feeling it makes me want to cry. Dr. S. Bharti has changed my life.