Do you feel as if you are seeing the world through a gray and blurred lens? You are not sure whether it is a spring or rainy autumn day outside? The facial contours of the closest people in your life are blurry? And finally … are you statistically older than 60? We are almost sure you have a cataract. It is the clouding of the eye lens. As we age, metabolism slows down in the eye lens and minor damages that are increasingly difficult to repair themselves are gradually accumulating. This results in thickening of the lens proteins, which is manifested as a clouding of the lens. By getting older and due to increasing clouding of the ocular lens, its hardness increases as well, that is, the cataract matures. The main symptoms of a cataract are the decay of visual acuity and blurred vision.
A cataract usually occurs as a result of aging, but it can also appear at any age as a consequence of:
Fifty percent of people aged between 65 and 74, and 70% of people over 75, have a cataract.
For more than 15 years Polyclinic Bilić Vision has been helping its elderly patients to "see again".
Due to the long experience in cataract surgery, we are among the leading health care institutions that provide this operation, which can be confirmed by many satisfied Polyclinic Bilić Vision patients to whom we have successfully removed the cataract and restored good vision.
At the Polyclinic Bilić Vision cataract surgery is performed on an outpatient basis according to the so-called principle of one-day surgery. For the patient, this means that there is no bed rest after the operation and, after completion of the surgery, he or she is ready to return home. Common preoperative tests are not necessary because the procedure is performed in local anesthesia using anesthetic drops. During surgery, the patient does not feel pain but feels the physician touching the eye. The operation lasts between 10 and 15 minutes. The operation is completely painless, there are no sutures, thus reducing the possibility of postoperative astigmatism.
It is important to note that both eyes are never operated on at the same time. There should be a one or two week gap between the surgeries of each eye.
We apply the most modern method of ultrasonic surgery of cataract, the so-called phacoemulsification, or fragmentation of the clouded lens by ultrasound and its microprobe removal. The removed lens is replaced by an artificial one. This method of cataract surgery is applied at the most eminent world ophthalmic clinics and at the same time, according to the success rate, it is one of the most successful operations in medicine in general.
Cataract will be determined on the basis of ophthalmic examination by a biomicroscope. Due to the possibility of other ocular diseases that may further complicate the treatment, a complete and detailed ophthalmic examination is required.
Sometimes it is necessary to do an ultrasound examination of the eye as well because it is not possible to clearly analyze the ocular background, i.e. the eye parts that lie in the depth behind the lens, due to the strong clouding of the ocular lens.
Depending on the outcome of the examination, or the current diopter you have, the existence of astigmatism, the length of your eyeball, your needs (reading, watching television, driving, computer work, etc.) and your lifestyle, your doctor will recommend the type of intraocular lens which suits you best.
Today there is a very wide range of implantable lenses that can meet the most diverse needs of patients:
There are no strict instructions on how to prepare for the operation, but we always advise you to:
Recovery of the eye after the operation is very fast and in several days most patients have full visual acuity.
Once the droplet anesthetic in the eye begins to take effect, the patient is placed under the operating microscope in a lying position on his or her back. Measures of sterile preparation of the operating field are being carried out.
After the preparation of the operating field (disinfected with Betadine), the eye, the head and the chest part are covered with a sterile patch.
A holder is placed to keep the eyelids open. The eye is being inserted through two corneal openings smaller than 3 millimeters. Such openings do not require sutures and greatly accelerate postoperative recovery. Through the openings, the instruments are used to make an opening in the capsule (bag in which the lens is located). The ultrasonic probe crumbles the lens parts and sucks them out of the eye. After removing the natural lens, the artificial lens is embedded in the eye. The diameter of the artificial lens is usually 6 millimeters so that the lens bends and inserts into an instrument that can be introduced into the eye through a 3 millimeter incision. In the eye, the artificial lens again overtakes its original appearance.
The whole procedure usually lasts 15 to 20 minutes. The aforementioned procedure and type of anesthesia may be different in more complex cases or in the case of children.
The patient’s eye is not covered with a bandage after the surgery. He or she puts on dark and large enough sunglasses to protect the eye from external influences (wind, sun, rain, dust, artificial light, etc.). The first day after the surgery, the patient must wear sunglasses even at home, indoors, all the time. During the first two weeks after surgery, sunglasses should be worn if the patient leaves home.
It is necessary for the first couple of days to sleep with the protective cap on the eye to prevent the patient from rubbing the operated eye during sleep and to protect him or her from infection. The first follow-up examination is performed the day after surgery.
The first results can be seen on the first day after cataract surgery. Also, during the first few days, a slower recovery is possible if the operation was complicated. In most cases, after this operation over 90% of people achieve visual acuity above 80%. If there are some pathological conditions of the retina, visual acuity may be worse.
Immediately after the surgery you will be prescribed drops and eye ointment, which should be used according to the doctor's instructions two weeks after the procedure. Medications prevent the development of inflammation and accelerate the recovery of the eye.
There may be a slight foreign body sensation, like an eyelash in your eye. The patient's vision will be blurred for two to three days, and the eye may be sensitive to light and touch. Do not rub or press the operated eye!
During the entire recovery, watching television, reading, and computer work is allowed. These actions cannot harm the operated eye. Within the first two weeks after the surgery, you should not bend over or lift heavy objects because bending over increases the eye pressure, which is not desirable in the process of healing of a surgical incision! You can take care of your hygiene and do easier housework. It takes some time that visual acuity of the operated eye is completely recovered, so you will be able to return to your usual activities only two weeks after surgery without any risks. Two weeks after the procedure is another check-up, and the last one four weeks after surgery, ending the regular postoperative examinations.
At the last postoperative check-up, four weeks after the operation, you will be prescribed reading glasses (if you look good with the old reading glasses, you can use them without any fear until your doctor prescribes new ones). This is not the case for patients who have an implanted multifocal lens for distance, medium range and near vision.