The information on this page is intended for Dr Saha's private patients.
For general information regarding cataract and cataract surgery, please click on the "Cataract" link on my Homepage.
If you are having (or considering having) cataract surgery under my care you will receive personalised pre and post operative care from my team and I. Your surgery will, of course, be performed personally by me using state of the art equipment and techniques which are well proven, safe and predictable.
Surgical Technique and Lens Implants
I perform Micro Incision Cataract Surgery (MICS) as well as Small Incision Cataract Surgery (SICS). I offer a number of different lens implants. These include aspheric monofocal, toric, and multifocal. The choice of lens is dependent on the patient's personal requirements and suitability. Generally speaking, a monofocal implant will give good vision (without spectacles) at a fixed distance. For example, good distance vision could be achieved without spectacles, but reading glasses would be needed for near vision. Most people choose this option and are very satisfied. A toric implant will give a similar result and will correct for astigmatism (uneven curvature of the eye) if this is present. A multifocal implant will give good (but not necessarily perfect) vision (without spectacles) at a number of different distances. In other words, a patient will be able to read and see distance without any spectacles. Of course, this sounds like a perfect scenario, however, there are limitations and compromises which need to be considered. This lens implant is not ideal for all patients and the compromises (albeit small) need to be carefully discussed prior to choosing this lens. This choice of lens aims to achieve "spectacle independence" but not "spectacle freedom". There are situations (eg small print, dim light) when spectacles will still be necessary. Cataract Surgery under my care typically takes between 10 and 15 minutes of operating time, although complex cases make take longer. The vast majority of surgery is performed as a day-case procedure.
Surgery can be performed using a number of anaesthetic techniques. A large proportion of my patients have surgery using a surface anaesthetic (drops) and do not require an injection of anaesthetic around the eye. The remainder of patients have surgery using an anaesthetic "block" which involves placing an anaesthetic agent around the eye using a very fine tube. This technique, again, does not involve any sharp needles or injection. The choice of anaesthetic and their relative pros and cons can be discussed during your clinic consultation.
Some patients may be offered a light sedative drug at the time of surgery to aid with anxiety. This can be discussed with my Anaesthetist at the time of surgery.
After the Surgery
After surgery has been completed a protective plastic shield will be placed over your eye. You will be offered a refreshment and looked after by our nursing staff until you feel happy to go home. A post-operative check will performed by me within a day or two of surgery and further follow-up discussed at that time. Post-operative drops will be issued to you to help the eye heal. It is normal for the eye to feel a little gritty after surgery, although this quickly resolves.
www.retinalspecialist.com The Virtual Home of Niladri (Ted) Saha 2009