cataract
Phacoemulsification Cataract Surgery
Phacoemulsification (phaco) is the standard method in modern cataract treatment. The clouded natural lens of the eye is broken up with ultrasound energy through a small incision and replaced with an artificial intraocular lens.
Prof. Dr. Efekan Coşkunseven
Ophthalmology · Istanbul
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Quick Answer
In phacoemulsification cataract surgery, the clouded lens is broken up and removed with ultrasound energy through a sutureless incision of 2–2.8 mm, and an intraocular lens is placed in its stead. It is performed with drop anesthesia, on a same-day basis, in approximately 10–15 minutes.
What Is Phacoemulsification Cataract Surgery?
Phacoemulsification (phaco) is the standard method in modern cataract treatment. The clouded natural lens of the eye is broken up using ultrasound energy through a small incision and replaced with an artificial intraocular lens.
Key Features
- Incision size: 2–2.8 mm (no sutures required)
- Surgery duration: 10–15 minutes
- Anesthesia: Performed with drop anesthesia
- Discharge: Same day
Advantages
- Minimal tissue damage and fast recovery
- Lower risk of astigmatism
- Compatible with multifocal/trifocal lenses
- An established, widely applied method in clinical practice
Recovery Process
Vision begins to sharpen within the first week and becomes stable within 2–4 weeks. Regular use of the drops recommended by the doctor is required.
Life Without Glasses
This depends on the type of lens selected. Premium (multifocal) lenses can correct both distance and near vision together and reduce the need for glasses.
Frequently Asked Questions
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Is phaco surgery painful?
No; since drop anesthesia is used, there is no pain during the procedure.
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Does cataract recur?
It does not recur, since the cataractous lens is removed; however, posterior capsule opacification may develop over time and can be treated with a laser.
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Will I be able to see without glasses?
This depends on the type of lens selected. Premium (multifocal/trifocal) lenses can correct both distance and near vision together and can reduce the need for glasses.
Related topics
Treatments often evaluated together
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Cataract – Intraocular Lens Treatments
Cataract is a disease that occurs when the eye's natural lens loses its transparency. In modern refractive cataract surgery, intraocular lenses (monofocal, EDOF, trifocal, toric) are selected based on the patient's age, corneal structure, and visual needs.
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Femtosecond Laser-Assisted Cataract Surgery (FLACS)
FLACS is an advanced method that performs certain stages of cataract surgery with a computer-controlled femtosecond laser. Corneal incisions, capsule opening, and lens fragmentation are performed by the laser with micron-level precision.
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Presbyopia (Age-Related Near Vision Loss) Treatment
Presbyopia is an age-related vision disorder that occurs in individuals over 40 when the eye's lens loses its flexibility. It presents with blurred near vision, eye strain, and headaches. Options ranging from glasses and lenses to laser and intraocular lens treatments are evaluated on a personalized basis.
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