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Which Of The Methods Is Generally Preferable With Fewer Complications For Cataract ?

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Posted on Fri, 26 Jul 2024
Question: Hi,

I am considering to do an eye cataract surgery and my understanding of the two options is as follows:

- manual incision with a blade and phacoemulsification with ultrasound technology.
- laser bladeless surgery with femtosecond laser surgery.

Which of these methods is generally preferable with fewer complications? Do both methods usually require sediation prior? In my case, I understand it was noted that I had a slightly elevated eye pressure.


Thank you,
Regards.
doctor
Answered by Dr. Harshita (22 hours later)
Brief Answer:
I would suggest phaco emulsification

Detailed Answer:
Hello thanks for your question.

Phacoemulsification aka phaco is the best and safest . A femtosecond laser only does one step of phaco surgery and is a lot more expensive. Yes mild sedation maybe used for both.

Hope my answer helps you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Harshita (13 hours later)
Dear Dr. Harshita,

Thank you for the advice and recommendation.

Could I further ask for how long after the surgery I should avoid air travel, if at all?


Thank you,
Regards.
doctor
Answered by Dr. Harshita (24 hours later)
Brief Answer:
That depends on the surgery

Detailed Answer:
Thank you for the follow up . Usually in routine no air or gas is used in phaco emulsification . If by any chance it is used then your surgeon may advise you to avoid air travel for few weeks . Hope it helps . Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Harshita (3 days later)
Dear Dr. Harshita,

Thank you for the information. I would like to follow up with a query about floaters as my mother experienced significant dark floaters after her cataract operation.

What could be the risk factors for floaters as she also did have a few floaters before the operation but they increased in number after the operation.



Thank you,
Regards.
doctor
Answered by Dr. Harshita (1 hour later)
Brief Answer:
Floaters dont have any relation with cataract surgery

Detailed Answer:
Hello thanks for follow up. Floaters are due to vitreous break up which is behind the lens. They have no bearing with the lens . In case of your mother the cataract clouds the vision so it clouds the floaters as well and after surgery as vision becomes clear they also become clear . But everybody's retina is examines before cataract surgery so dont worry. Anyways floaters are harmless and dont usually interfere with vision . Hope it helps
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Harshita (38 hours later)
Dear Dr. Harshita,

Thank you for the answer. I think you have pointed out the most likely cause of floaters for my mother.

However, I read that posterior vitreous detachment (PVD) could also be aggravated by cataract surgery. Or would this also likely be accompanied by other symptoms?


Thank you,
Regards.
doctor
Answered by Dr. Harshita (5 hours later)
Brief Answer:
No dear an uncomplicated cataract surgery wont disturb the vitreous

Detailed Answer:
Hello thanks for the question. An uncomplicated cataract surgery wont disturb the vitreous at all. Hope it helps . Regards .
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Harshita

Ophthalmologist

Practicing since :2011

Answered : 2444 Questions

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Which Of The Methods Is Generally Preferable With Fewer Complications For Cataract ?

Brief Answer: I would suggest phaco emulsification Detailed Answer: Hello thanks for your question. Phacoemulsification aka phaco is the best and safest . A femtosecond laser only does one step of phaco surgery and is a lot more expensive. Yes mild sedation maybe used for both. Hope my answer helps you.