+91 8080420599 roshnieyehosp@gmail.com

CATARACT CLINIC

Comprehensive Eye Care & Surgeries

Roshni Eye Hospital,Best eye hospital in Juhu,and Best eye hospital in Andheri West,Mumbai, runs the Cataract eye clinic that is well equipped with latest and regularly revising technology and proven vision correction treatments for early detection, treatment and surgery of cataract.

Roshni Eye Hospital is headed  by Dr. Leena Doshi, one of the most experienced Cataract & Lasik surgeon in India. The team of ophthalmologists at the hospital are leaders in advanced microsurgical techniques and lens implant technology.

The hospital is focused on patient wellbeing, satisfaction and happiness and aims to achieve the premium possible results by the safest, established and most predictable means. With more than 23years of experience, Dr. Doshi always endeavors to deliver proven surgical results at the most affordable/competitive rates/ price, making cataract surgery available to as many patients as possible.

Great results come with great care taken during evaluation and decision making after considering the overall welfare of the patient and understanding their need for a particular outcome.

Although treatment of cataract is one of the primary focus of Roshni Eye Hospital, Preventive ophthalmology (eye care) is also an important aspect of the services provided so as to maintain healthy vision for a lifetime. Our patients are our biggest assets and satisfying them with best in class and quality is our priority.

Cataract Surgery with NO INJECTION, NO STITCH and NO PATCH

Roshni Eye Hospital is well  equipped to conduct advanced small /micro incision cataract surgery. We have the advanced Millenium phacoemulsification system by Bausch & Lomb and cold phaco system on the venturi platform which helps reduce the phaco energy and phaco time required thereby reducing the damage to the eye.A three door joint less modern theatre that maintains the clean air and air circulation in its optimum sterile condition aids the successful surgical outcomes.

Cataract is the clouding of the natural lens of the eye that reduces the amount of light entering the eye and causes either a qualitative or quantitative drop in vision.

The only solution for this being its removal and replacement with an intra ocular lens (IOL).The procedure consists of emulsification and aspiration of the pre existing cloudy lens with the help of ultrasound (known as phacoemulsification) through a small incision in the cornea or the sclera.

We offer our patients the latest in IOL technology ,the lenses range from monofocal aspheric aberration corrected lenses to the  multifocal IOLs, the astigmatism correcting Toric IOLs and the latest EDoF (extended Depth of focus) IOLs and the TRIFOCAL IOLs. We offer the latest generation astigmatism correcting Toric IOLS across all platforms,  as an option in correcting refractive errors. For precision and to minimize calculation errors in the implanted IOLs we use the optical biometers with advanced calculators.

Understanding Cataract

Why and How ?

Clouding of eye’s natural transparent lens is called Cataract. It is the most common cause of vision loss and blindness in people over 60 years of age. It causes a gradual dimness or blurring  of vision . But as it progresses, it leads to significant decrease of vision. It can develop in either or both eyes and is generally of following two types:

  • Age Related Cataract – appear later in life because of ageing and can be:
    1. Nuclear cataract that affect the center of the lens
    2. Cortical cataract that develop in the lens cortex
    3. Posterior sub capsular cataract that affect the back of the lens
  • Congenital Cataract is present either when the baby is born, or develops shortly after birth.
  • Complicated or Secondary Cataract: This is a type of cataract that develops in eyes that already have a co-existing eye problem which may be a disease( a high myopia,uveitis,),degeneration ( glaucoma,retinal detachment or retinitis pigmentosa)or surgery (glaucoma and retinal detachment)

Symptoms of Cataract

Cataract develops gradually.So the symptoms also develop gradually.You may be absolutely unaware of a cataract developing in your eye especially if its developing in only one eye.This is why, most of the cataract cases go unnoticed till the time significant vision loss occurs.Sometimes though minor changes in the lens may cause a lot of disturbance in the quality of vision.You may just not be happy with the quality of vision with or without glasses.As the opacity increases, following symptoms of cataract may appear.

 

  • Blurred/misty/dim/fuzzy vision/foggy vision
  • Double vision from the affected eye
  • Increasing trouble with vision especially during night /low light conditions.
  • Glare from focus light/car headlights/sun or lamps
  • Recurrent need of stronger eyeglass or contact lens number
  • High sensitivity to bright light
  • Seeing “halos” everywhere
  • Fading of colors/washing off of colors/ or yellowing of colors
  • Improved near vision for a short time (second sight)
  • In some rare cases, blindness
  • Headaches/redness/watering/pain in the eye occurring in advanced cases of cataract because of complications like the cataract bursting or blocking the aqueous passage leading to increased eye pressure (Lens induced Glaucoma)

Diagnosis,Prevention and Management:

Diagnosis of Cataract is done after a thorough assessment of symptoms and comprehensive examination of the eye on  annual/biannual visit to the eye doctor. The Ophthalmologist examines the patient’s eye for any kind of changes in the lens. The initial examination is followed by some specific tests that can more precisely evaluate the eye condition:

  • Visual acuity test is done to measure the reading vision and distance vision of the patient. It is generally poor in cataract patients.
  • Refraction to determine if glasses can improve vision and quality of life of the patient.
  • Slit Lamp Examination is done to verify the type of cataract, and the health of rest of the eye.
  • Glare sensitivity test is done to check the glare symptoms, with and without bright lights. A Cataract patient will notice strong glare in bright light.
  • Macular function test to evaluate the eye’s acute vision center to define expected improvement after surgery.
  • Contrast sensitivity test to check patient’s ability to differentiate between different shades of grey.
  • Tonometry to measure fluid pressure inside the eye.
  • Pupil dilation is done using eye drops to thoroughly examine the lens and retina and also to rule out other eye conditions.
  • Certain advanced tests like an OCT or a topography may be advised and done especially so if you opt for premium lenses and if the eye doctor finds the need to do so after a comprehensive test to rule out certain co existing eye conditions that might hamper the visual outcome after a cataract surgery.

Cataract is not a preventable eye condition. However, the chances of developing a cataract may be delayed by the following:

  • Wearing UV protection sunglasses during day time/when out in snow/on altitudes.
  • Eating diet high in antioxidants, carotenoids, vitamins (especially C and E) and minerals (like citrus fruits and green leafy vegetables)
  • Following a healthy lifestyle
  • Doing regular eye exercises
  • Avoid smoking
  • Avoiding excessive amounts of alcohol (nutritional deficiencies)
  • Monitoring eye health in case of long term use of certain medications like corticosteroids and statins.
  • Controlling blood-sugar and blood pressure levels either through medication or by following healthy diet and lifestyle

Non Surgical treatment of Cataract:

When diagnosed in its early stages, you may have cataract symptoms like blurry /cloudy vision ,poor night vision, increased requirement of light for reading, light sensitivity, frequent change of eyeglass prescription,etc.

Although surgery is the only cure for cataract, it can be delayed till the time it does not cause gross vision loss or disturbs daily routine activity. In such cases there is a need of regular follow up and eye examination to track the progress of cataract. This is required to avoid any kind of sudden or unnoticed vision loss due to cataract.

Based on the level of discomfort or the degree it affects your quality of life, your eye doctor would suggest:

  • Change of eyeglasses or contact lenses
  • Better brighter lights for reading/working
  • Use of sunglasses/wide brimmed hats
  • Pupil dilating medications

 Surgical treatment of Cataract: 

The only way of managing a cataract and regaining the lost vision is by surgery.The surgical procedure has evolved over the years from a basic surgical incision (involving almost half the circumference of the cornea,with no IOL(Intra Ocular Lens) implantation,to the most advanced Minimal incision surgeries with advanced precision high end premium IOLs.

The various procedures that are done are:

  • SICS: Small Incision Cataract Surgery: this is a manual procedure with an incision size of 5-7 mm

 

  • Phacoemulsification: Here Ultrasound energy is used to breakdown the cataract into small pieces and emulsify (breaking into micro pieces) it and then wash and suck it out of the eye.

  • FLACS: Femto Laser Assisted Cataract Surgery: In this procedure,all the incisions and cuts that are required are made with the help of a femto laser,and then the cataract is removed with the help of the ultrasound/phacoemulsification technique.

The various IOLs that can be implanted are classified as:

  1. I) Rigid (these need larger incisions) or foldable ( they require smaller incisions )
  2. II) Focusing ability

Monofocal: are single focus lenses and correct either distance or near vision

Multifocal: These are lenses that correct both distance ,intermediate and near vision.

Trifocal:The intermediate distance specially used for computer usage is sharper.

EDoF: The technology used in making these lenses helps the patient see an extended range of intermediate vision,thereby adding better depth of focus.

III) Astigmatism Correcting/Toric IOLs : these IOLs correct the preexisting Astigmatism.They are either Monofocal,Multifocal EDoFs or Trifocals.

 

FAQ’s

Q. Why cataract eye surgery at Roshni Eye Hospital?

A. We at Roshni offer our patients the

  • latest in IOL technology,enhancing both quantity of vision as well as Quality of vision.This improves the Quality of Life (QOL).
  • The best in lenses.The lenses range from monofocal aspheric aberration corrected lenses to the multifocal IOLs and the astigmatism correcting Toric IOLs. We offer the latest generation of multifocal IOLs with astigmatism correcting Toric Multifocals EDoF and the Trifocal Lenses as an option in correcting refractive errors.
  • To minimize calculation errors in the implanted IOLs we use the best calculators with an optical biometry.
  • All surgeries are done with NO INJECTION (Eye drop anesthesia) /No STITCH and NO PATCH technique.This enables quicker recoveries and an absolutely painless,problem free post operation recovery periods.The patient and those around him/her usually cannot figure out which eye has been operated.The eye looks absolutely normal even after surgery.
  • In a patient with multiple systemic conditions,this becomes the procedure of choice It is quick,with reduced complication rates and has faster recovery.
  • The skill sets of the doctor have gone up.The advanced machinery,technological adjustments in cataract removal,the almost physiologically and optically corrected advanced premium IOLs make the patient regain visions that are far superior to their pre operative visions.
Q:What is Cataract?

A: Cataract is the clouding of the natural lens of the eye and this stops the passage of light rays into the eye.

Q:Is Cataract a disease?

A: No cataract is a degenerative condition and is an ageing change.

Q: How will I know I am developing cataract?

A: Since the passage of rays of light is hampered , it can cause

  • Gradual painless drop in vision that is progressive and ultimately the only perception of light remains.
  • Frequent change of glasses
  • Glare/haloes of light making driving or crossing of roads difficult.
  • Needing more light to read.
Q: What are the causes of Cataract?

A: Ageing is the most common cause for cataract. Every single person is affected by it. But the symptoms caused may differ. Diabetes,Use of certain medications (esp.steroids),direct/indirect injury to the eye, other eye diseases like uveitis, glaucoma, high myopias etc are known to develop cataract more often.

Q:How will Cataract develop in my Eye?

A: Lens is crystalline and clear. Its fibers have protein. With denaturation of protein, the clarity of the fibre starts to drop and this is what is called cataract. The following factors may contribute to the development of cataract:

  • Advancing age
  • Excessive exposure to UV (sunlight, tanning rooms, or sunlamps) & ionizing radiation (like X-rays or cancer RT)
  • Diseases like Diabetes, Hypertension or Obesity
  • Active smoking
  • Previous eye injury or surgery (glaucoma or vitrectomy) or inflammation
  • High myopia
  • Long term and high dose use of corticosteroid & statins
  • Hormone replacement therapy
  • Other Eye diseases like glaucoma, retinitis pigmentosa, retinal detachment, or long-term uveitis
  • Genetic predisposition
  • Congenital
Q: When do I decide to get operated?

A. The decision to get operated depends on a lot of factors, especially on the person undergoing the surgery. Factors which might aid decision making are:

  • If the vision disturbance is affecting day to day activities like crossing roads, reading, driving
  • General medical condition of the person which includes diabetes, blood pressure, heart problems, kidney condition etc.
  • Age: cataracts could get harder with age and the recovery response of the eye gets
  • A combination of the above factors has to be considered to take a decision to undergo surgery. Please consult your doctor if there are any queries.
Q :What factors are considered to decide a cataract surgery?

A:Multiple factors play a role in decision making. The eye doctor will take the decision and suggest the same to you after considering multiple parameters.

  • Type of cataract.
  • Amount of Vision drop both quantitative and qualitative.
  • Co-existing eye conditions.
  • The visual needs of the patient.
  • The age
  • The general health including associated systemic medical conditions like Diabetes, Kidney disease, Blood pressure, Heart disease, Stroke etc and how good in control is the condition
  • The mobility and dependence of the patient.

It is advisable to discuss this in detail with your doctor when taking/deferring the decision to get operated.

Q: What are the different procedures for undergoing cataract surgery?

A. Phaco Surgery with IOLbeing  Implanted

  • SICS: Small Incision Cataract Surgery: this is a manual procedure with an incision size of 5-7 mm
  • Phacoemulsification: Here Ultrasound energy is used to breakdown the cataract into small pieces and emulsify (breaking into micro pieces) it and then wash and suck it out of the eye.
Q: Is it a painful procedure?

A: No cataract surgeries aren’t painful

Q: Do I get injection in the eye before surgery?

A: Cataract surgeries can be done with or without injection.The injection is for anesthetizing the eye and reduce the mobility of the eye. Most cataract surgeries at Roshni are done without injection around the eye.

Q: Why is an injection in the eye given before surgery?

A: Cataract surgeries can be done with or without injection.The injection is for anesthetizing/numbing the eye and reduce the mobility of the eye. The injection is given outside the eyeball.Most cataract surgeries at Roshni are done without injection around the eye.

Q:What factors are considered to decide whether to give an injection or not?

A: Injections may have to be given in certain conditions/situations and the decision to do so would be explained to the patient before surgery. A very hard /advanced cataract,a dislocated lens/previous injuries/affection of the eye by uveitis,a Manual Small incision cataract surgery usually requires an injection.A confident and experienced surgeon usually does not give an injection unless really required.

Q: What is eye drop Anaesthesia?

A: Only Anaesthetic eye drops are put in the eye before and during surgery. This only numbs the pain sensation of the eye and the patient is comfortable. This method reduces the complications of an injection around an eye and eye patching that is required after surgery for recovery from anesthesia.

It is a very safe procedure in the hands of experienced and skilled surgeons.

Surgeries at Roshni are done by this method alone except for certain rare complicated cases that requires an injection.

Q:How is Eye drop Anaesthesia(Topical) different?

A:Topical Anaesthesia only numbs the pain sensation of the eye and the patient is comfortable.This method reduces the complications of an injection around an eye and eye patching that is required after surgery for recovery from anaesthesia.

It is a very safe procedure in the hands of experienced skilled and expert surgeons.

Surgeries at Roshni are mostly done by this method

Q: What can be expected in eye drop Anaesthesia?

A: Only Anaesthetic eye drops are put in the eye before and during surgery.This only numbs the pain sensation of the eye and the patient is comfortable.You may still be aware of what is happening around you.You will feel pressure and touch but certainly no pain.This method reduces the complications of an injection around an eye and eye patching that is required after surgery for recovery from anaesthesia.
It is a very safe procedure.
Most surgeries at Roshni are done by this method.

Q: What are the types of Lenses used?

A: I) IOLs can be rigid (these need larger incisions) or foldable ( they require smaller incisions )

II)Monofocal: are single focus lenses  and correct either distance or near vision

Multifocal: These are lenses that correct both distance ,intermediate and near vision.

Trifocal:The intermediate distance specially used for computer usage is sharper.

EDoF: The technology used in making these lenses helps the patient see an extended range of intermediate vision,thereby adding better depth of focus.

III) Toric IOLs : these IOLs correct the preexisting Astigmatism.They are either Monofocal,Multifocal EDoFs or Trifocals.

Testimonials

Dr. Leena Doshi always takes time with me, she answers all my questions and never seems to be in a rush to move on the next patient. I had taken my mother in law for a cataract problem which was successfully treated. I always feel  completely satisfied each time after my appointment. There are no unanswered questions, doubts or confusion… Best Compliments.

Mrs. Sneh Chauhan

Patient

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Eye Clinic Location

1st Floor,Shilpa, Next to Blue Chip/Mangal Jyot Apartments,Opp Irla Masjid, Juhu Lane, (C.D.Barfiwala Marg), Andheri West,       Mumbai 400058

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