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Dr. Mayank Khandwala
There have been several advancement in the medical field in the last several years, and among them is the cataract surgery that is performed with eye-drop anaesthesia. Renowned Dr. Mayank Khandwala, who has a fellowship in phacoemusification and IOL implantation and consults at Khandwala’s Eye Hospital Vile Parle (W), answers some basic queries on the same
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What is cataract surgery with eye drop anaesthesia?
Since the 1980’s while performing cataract surgery, injecting an anaesthetic medicine near the eye has been mandatory, earlier. General anaesthesia was used. However, in the last several years the surgery is performed using only eye drops to make the eye numb.
Why is the types of anaesthesia significant for the patients?
It tells the patients how advanced his/her cataract surgery is. Surgeons all over the world have been innovating and improving the techniques of cataract surgery until it has reached this level where you do not need an injection to immobilize your eye. The main advancement has been that doctors can dissolve
your cataract by emulsifying it (phacoemulsification) instead of removing it. They then implant a soft foldable lens to replace your cataract us lens.
What are the advantages of not injecting the anaesthetic medicine?
- The pain of an injection near the eye is avoided.
- Potential complications associated with the injection such as bleeding around the eye are avoided.
- Rare, But serious complication such as perforation of the eye are also avoided.
- Side effects of anaesthetic medicine is avoided.
Why is a pad not applied at the end of surgery per formed with eye-drop anaesthisia?
Since the eye muscles are not immobilized, the recovery from anaesthisia is immediate. So there is no need to apply a pad on your way home. All you need is a pair of sun glasses!
What are the types of intra ocular Lenses used in the cataract surgery?
There are various types of intraocular lenses available such as monofocal lenses, bifocal lenses, toric lenses, trifocal lenses, multifocal toric lenses and the latest technology lenses which is the EDOF lenes also called as the extended depth of focus lenses.
How do a patient decide which lenses to be used for his operation?
Any cataract patient will undergo an eye sonography commonly known as A-scan procedure. Depending on the result of the procedure and the occupation of the patient and their need we recommend the type of lenses to be used which will be best suitable for him.
How is your experience with the latest technology lenses which you have mentioned as EDOF lenses?
Theses lenses are very good and suitable to all kind of patients who wants a clear vision for distance work, near work as well as intermediate work while using the laptop or computer.
Patient has a belief that after cataract surgery his/her spectacle number goes away or he doesn’t require wearing spectacles at all?
Yes, that’s quite true with the advent of the technology any person undergoing a cataract surgery can get rid of her/his spectacles number Patients proper evaluation is done and the best suitable lens is offered to them for his cataract surgery.
KHANDWALA’S EYE HOSPITAL & HEM POLYCLINIC
D-31, Shree Mangal CHS, 1st Floor, Next to Toyota Showroom, S. V. Road, Vile Parle (W),
Mumbai - 400 056. Tel : 022 - 2624 6672 / 2671 3609 | Cell : 09820 035464 / 9619900417
email : drmkhandwala@gmail.com |website : www.khandwalaseyehospital.in
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