Cataract Treatment in Vileparle and Santacruz
Cataract Diagnosis & Treatment
Pediatric Cataract
A cataract is a condition where the eye’s lens becomes cloudy, causing vision impairment. Cataracts can develop in one or both eyes, but they don’t transfer from one eye to the other. While it’s commonly thought that only adults experience cataracts, children can also be afflicted by this condition. If left untreated, childhood cataracts can result in amblyopia or permanent blindness. Research carried out by Narayana Nethralaya in two regions near Bangalore revealed a childhood cataract prevalence rate of 6 cases per 10,000 children.
Pediatric Cataract Symptom Checker
What causes eye cataracts?
The primary factor contributing to the development of cataracts is advancing age. Additionally, there are various other factors that can lead to the formation of cataracts, including:
- Previous or untreated eye injury
- Hypertension
- Previous eye surgery
- UV radiation
- Long exposure to sunlight
- Over usage of certain medications
- Hormone replacement therapy
Types of Cataract in children
Childhood Cataract
Certain infants are born with congenital cataracts or develop them during childhood, often affecting both eyes. These cataracts can sometimes be minuscule and have no impact on vision. However, if they do cause vision issues, their removal might be necessary.
Secondary Cataract
Children with various health conditions like rubella, diabetes, etc., may also experience the onset of cataracts. Additionally, cataracts might arise in conjunction with ocular issues such as microphthalmos (small eye), among others.
Traumatic Cataract
Cataracts may form following an eye injury, occasionally manifesting years afterward.
Posterior Subcapsular Cataract
What is Posterior Subcapsular Cataract? Posterior subcapsular cataract is a specific type of cataract characterized by the presence of opacification in the…
Congenital Cataract
Congenital cataract is a condition in which a clouding or opacity of the eye’s lens is present from birth, potentially causing vision impairment or blindness.
Traumatic Cataract
What is Traumatic Cataract?Traumatic cataract is the opacification or clouding of the eye’s lens, which can develop following either blunt or penetrating injuries …
Causes of Cataract in children
Treatment of Cataract in Children
The objective of the treatment or surgical procedure is to eliminate the opaque lens and restore clarity in the central part of the eye, known as the visual axis. This enables light rays to smoothly enter the eye and form a sharp image on the retina. Intraocular lenses are increasingly utilized in pediatric cases. The decision to implant an intraocular or artificial lens is contingent on the child’s age, eye condition, and the presence of any ocular issues.
Nonetheless, they are not suitable for implantation in very young children due to the small and developing size of the eyeball. Even if the lens isn’t inserted during cataract surgery, it remains a viable option as the child matures. The surgical procedure is conducted under general anesthesia. To enhance the child’s vision, optical correction involving contact lenses and/or eyeglasses becomes essential.
Performing cataract surgery on a child is more intricate compared to adults and should be carried out exclusively by a surgeon skilled in pediatric cataract procedures. When surgery is needed for just one eye, addressing amblyopia therapy becomes crucial for achieving the optimal visual result.
Performing cataract surgery on a child is more intricate compared to adults and should be carried out exclusively by a surgeon skilled in pediatric cataract procedures. When surgery is needed for just one eye, addressing amblyopia therapy becomes crucial for achieving the optimal visual result.
Retinal Laser
Laser photocoagulation is a widely recognized treatment for diabetic retinopathy. This procedure involves delivering a quick and intense burst of light energy to address leaky retinal blood vessels or induce the shrinking of abnormal blood vessels (neovascularization). Extensive clinical trials have shown that this method significantly lowers the risk of both moderate and severe vision loss in individuals with diabetic retinopathy.
Laser photocoagulation is conducted in the office environment, with the patient comfortably seated in front of the laser unit. The eye is numbed with drops, and sometimes a contact lens is used to help focus the laser beam accurately. While undergoing the procedure, patients might perceive bright flashes of light and occasionally a mild pinching sensation, although many individuals won’t feel any sensation from the laser at all. Although a few people may experience some discomfort during the laser procedure, it is typically well-tolerated overall.
Vitrectomy
Individuals with diabetic retinopathy may need to undergo vitrectomy surgery in an operating room. This surgical intervention becomes necessary when there is bleeding or retinal traction, leading to significant vision loss in advanced diabetic retinopathy. During the procedure, tiny instruments are carefully inserted into the eye under microscopic guidance to remove the vitreous hemorrhage and any scar tissue present. Endo-Laser photocoagulation might also be performed during the surgery, and in some instances, a gas bubble or silicone oil may be injected to stabilize the retina. The success of vitrectomy surgery depends on the condition of the underlying diabetic retina.
Risk Factors
These elements can raise the probability of developing a cataract in the eye.
- Aging
- Diabetes
- Trauma
- Smoking
- Obesity
- High blood pressure
- Steroid medication
- Family History
How to Prevent Eye Cataract
If adequate precautions are taken, it is possible to prevent cataracts. Some preventive measures include:
- Regular eye check-ups
- Quitting smoking
- Maintaining a healthy diet
- Eating fruits and vegetables containing antioxidants
- Wearing UV blocking sunglasses while going out in sunlight
Know More about Diagnosing Cataracts
It is recommended to undergo a comprehensive eye examination conducted by an ophthalmologist to identify the presence of a cataract. This thorough evaluation involves several tests, including:
- Visual Acuity test–This examination will evaluate the clarity and acuity of your vision. Each eye will be tested separately to assess its ability to perceive letters of varying sizes placed at a specific distance.
- Slit-lamp exam–In this test, a specialized microscope is utilized to examine various components of the eye, such as the cornea, iris, and lens. This equipment refracts light as it enters the eye, enabling the ophthalmologist to detect any abnormalities more easily.
ZEISS OPTICAL BIOMETER-IOL MASTER 500
ZEISS OPTICAL BIOMETER-IOL MASTER 700
Alcon Verion Image Guided System
Alcon Centurion Phacoemulsification System with ACTIVE SENTRY handpiece
Alcon Centurion Phacoemulsification System
- To determine accurate measurements of an IOL power before cataract surgery
- Highly accurate and repeatable
- State of the art technology for accurate IOL Power Calculations
- Futuristic technology with Extreme levels of Precision
- Rapid Scan Times
- Highly repeatable
- Near Zero Chances of Error
- Futuristic Cataract Planning Station for Bespoke Cataract Surgery
- Captures Ultra High Resolution Photographs of The Human Eye to ensure perfect implantation of Premium IOL’s during Cataract Surgery
- Helps in creating a surgical plan for the cataract surgery
- It helps minimize potential sources of error during IOL power calculation for cataract surgery.
- State of The Art Phacoemulsification machine Microinvasive Phacoemulsification (Wound sizes of as less as 2 mm)
- Fastest machine to break down and emulsify Cataracts
- Highest safety profile (Least chances of complications)
- Extremely precise without collateral damage to other structures
- Used to cut the membranes in the eye that have become thickened after cataract surgery (YAG Capsulotomy)
- Can also be used to make an opening in the Iris in small eye configurations (YAG peripheral iridotomy)
Cataract Technology
ZEISS OPTICAL BIOMETER-IOL MASTER 500
- To determine accurate measurements of an IOL power before cataract surgery
- Highly accurate and repeatable
ZEISS OPTICAL BIOMETER-IOL MASTER 700
- State of the art technology for accurate IOL Power Calculations
- Futuristic technology with Extreme levels of Precision
- Rapid Scan Times
- Highly repeatable
- Near Zero Chances of Error
Alcon Verion Image Guided System
- Futuristic Cataract Planning Station for Bespoke Cataract Surgery
- Captures Ultra High Resolution Photographs of The Human Eye to ensure perfect implantation of Premium IOL’s during Cataract Surgery
- Helps in creating a surgical plan for the cataract surgery
- It helps minimize potential sources of error during IOL power calculation for cataract surgery.
Alcon Centurion Phacoemulsification System with ACTIVE SENTRY handpiece
- State of The Art Phacoemulsification machine Microinvasive Phacoemulsification (Wound sizes of as less as 2 mm)
- Fastest machine to break down and emulsify Cataracts
- Highest safety profile (Least chances of complications)
Appa Nd YAG laser
- Extremely precise without collateral damage to other structures
- Used to cut the membranes in the eye that have become thickened after cataract surgery (YAG Capsulotomy)
- Can also be used to make an opening in the Iris in small eye configurations (YAG peripheral iridotomy)
Cataract Surgery
At Saideep Eye Clinic, patients with cataracts can access state-of-the-art technology for their surgical needs. We offer Zeptosecond Laser-Assisted Cataract Surgery on the Zepto platform, a cutting-edge approach where much of the cataract removal is automated using a computer-controlled laser instead of manual instruments. This advanced method significantly reduces the potential for human errors and complications during the procedure, ensuring higher levels of safety, precision, and predictability. As a result, patients experience quicker healing, improved vision outcomes, and enhanced overall safety. Additionally, we provide a wide array of intraocular lenses for cataract surgery, ranging from Monofocal to Multifocal and Premium Toric IOLs, to meet your specific vision requirements and budgetary preferences.
Phacoemulsification
Phacoemulsification is an advanced type of cataract surgery that requires no sutures. In this procedure, a specialized machine utilizes ultrasound energy through a special probe to break down and remove the cataract from the eye. By emulsifying the entire cataract in place, a smaller incision of 2.4-2.8 mm is sufficient for the surgery. This smaller incision size leads to reduced astigmatism and improved vision quality for the patient. After the cataract’s nucleus is emulsified, a foldable intraocular lens is implanted. The surgery is performed under topical anesthesia and is considered a same-day procedure, allowing patients to return home afterward. This painless and modern technique ensures rapid healing and a swift recovery from cataract surgery.
Zepto laser cataract surgery
Zepto is the latest FDA approved precision pulse technology for cataract surgery. Zepto uses a high-precision method to create a lens capsulotomy, which is one of the most important step during surgery that can determine the success of your procedure.
Compared to current methods, Zepto helps your surgeon automatically provide you with a quick, gentle, and precise outcome.
MICS (Micro Incision Cataract Surgery)
MICS, which stands for Micro Incision Cataract Surgery, involves a more advanced approach to cataract surgery. It utilizes the standard phacoemulsification technique, but with a smaller incision size ranging from 2.2 to 2.4 mm. This smaller incision offers several advantages over the standard procedure, including faster healing and reduced astigmatism.
Frequently Asked Questions
HOW DO I KNOW THAT MY CHILD HAS CATARACT?
Since cataract causes the lens to become cloudy, a white reflection appears at the center within the pupil area. This can be noticed by either the child’s parents or a pediatrician, and might even be captured in photographs. The absence of eye contact serves as a significant indicator that should raise concerns for parents. If the child doesn’t react to visual cues such as grasping objects or recognizing faces, and exhibits consistent unsteady or restless eye movements beyond the initial 2-3 months, parents should promptly seek guidance from a pediatric ophthalmologist.
HOW CAN CATARACT AFFECT MY CHILD'S VISION?
When a newborn has a cataract, the underdeveloped visual system doesn’t receive the necessary stimulation for typical vision maturation. Without intervention, this can lead to permanent visual impairment, commonly known as lazy eye.
WHAT ARE THE EFFECTS OF CATARACT?
When the cataract is minor, vision might be slightly blurred but overall visual growth can be close to normal. However, more often, the impairment is more serious and may result in permanent amblyopia, also known as lazy eye. Without sufficient stimulation, central vision can sustain lasting damage. Typically, some peripheral vision remains intact, and the eye usually retains the capacity to perceive light and darkness. Congenital cataracts can impact either one eye or both eyes. In cases of bilateral occurrence, the density of the cataract can differ between the eyes.
IS CATARACT SURGERY IN CHILDREN DIFFERENT FROM THAT IN ADULTS?
Cataract surgery entails the extraction of a cloudy lens and potentially inserting an artificial lens. However, there are situations where an artificial lens might not be inserted, such as in children below 1 year old, due to small eyes, weak lens bags, or traumatic cataracts.
In children, the possibility of post-cataract development, called after cataract, is higher. Consequently, for very young children, an additional process called capsulotomy and/or vitrectomy could be performed to reduce this risk. Therefore, cataract surgery in children differs from the procedure carried out in adults.
In children, the possibility of post-cataract development, called after cataract, is higher. Consequently, for very young children, an additional process called capsulotomy and/or vitrectomy could be performed to reduce this risk. Therefore, cataract surgery in children differs from the procedure carried out in adults.
WHAT IS THE IDEAL TIME FOR PERFORMING CATARACT SURGERY?
Early identification within the initial weeks of life is crucial since an unobstructed visual axis is vital for early visual progress. To enhance the likelihood of optimal visual improvement, surgery should be conducted as soon as possible. It can be performed as early as 48 hours after birth, assuming there are no concerns related to general anesthesia due to systemic issues.
IS SURGERY THE END OF ALL THE PROBLEMS?
No, despite surgery clearing the visual path, the child could experience outcomes such as lazy eye, eye misalignment, eye shaking (nystagmus), the emergence of refractive errors, and delayed surgical complications. However, modern surgical techniques have notably reduced the occurrence of these issues. Lazy eye (amblyopia) might develop in one or both eyes and necessitate tailored treatments such as patching, eye drop application, and visual stimulation exercises. Eye misalignment might demand surgical correction later in life. Potential late complications encompass membrane growth in the pupillary axis, elevated intraocular pressures leading to glaucoma and subsequent optic nerve harm, as well as retinal detachment. Hence, post-surgery, it’s imperative to consistently monitor vision, refractive errors, and potential complications, warranting frequent follow-ups to achieve effective visual rehabilitation. In essence, it signifies not the conclusion, but the commencement, requiring a prolonged collaboration between the pediatric ophthalmologist, the child, and the parents.
WHAT IS THE FINAL PROGNOSIS FOR CHILDHOOD CATARACTS?
The ultimate result relies heavily on the cataract type, the child’s age, and the surgical timing. Prompt intervention yields substantial visual enhancement and consequently a child with nearly normal vision. Thus, it’s crucial for parents to be highly motivated and swift in taking action. The essential aspect to bear in mind is that early identification and treatment serve as the pivotal factors for successful visual recovery in cases of childhood cataracts.
WHAT HAPPENS IF CATARACT SURGERY IS DELAYED IN CHILDREN?
Without prompt intervention, children might experience profound amblyopia or irreversible/partially reversible lazy eye, resulting in lifelong visual impairment. Therefore, it’s crucial to address childhood cataracts as swiftly as feasible. In the context of treating childhood cataracts, the motto is “INTERVENE EARLY, INTERVENE RIGHT, ENSURING OPTIMAL VISION FOR EVERY CHILD.”
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