Cataract Removal

Advancements in technology have made cataract surgery one of the most successful forms of surgery performed today

Modern cataract surgery is an effective and completely painless solution – using a micro-invasive technique, the clouded natural lens is replaced with a clear, artificial intra-ocular lens.

At VISION, we use leading, high precision technology that ensures maximum safety, rapid recovery, and excellent visual outcomes.

The procedure is performed under topical anaesthesia and usually takes only a few minutes.

The Procedure

During the surgery, the clouded natural lens is removed and replaced with a clear, artificial intraocular lens.

There are different types of lenses, selected individually depending on the patient’s condition and visual needs. At VISION, we work with the full range of intraocular lenses from the leading American manufacturer Johnson & Johnson Vision.

Types of lenses:

  • Monofocal lenses – provide clear vision at one distance, usually far.

  • Toric lenses – specialized lenses that also correct existing astigmatism and come in two types:

    • Monofocal toric – usually for distance

    • Extended depth of focus (EDOF) toric – from distance to intermediate

  • Multifocal lenses – provide good vision at multiple distances: near, intermediate, and far.

  • Extended depth of focus (EDOF) – an innovative generation of intraocular lenses that provide a wider and smoother visual range, from far to intermediate (computer use, car dashboard, daily tasks), with very good visual quality and a natural sense of focus.

In rare cases involving specific diseases or previous eye injuries, special customised lenses are used, including those with an artificial iris.


Before the surgery, the following specialized tests are required:

Lens calculation
A good outcome depends on precise calculation and selection of the intra-ocular lens. Specialists at VISION use the most advanced optical biometer – Eyestar, which measures all the necessary parameters for the most accurate determination of the appropriate lens.

Endothelial cell analysis
Using the latest specular microscope – Perseus, at VISION we examine the number and condition of the cells responsible for maintaining corneal transparency. The test is non-contact, painless, takes only a few seconds, and is performed before and after cataract surgery for more accurate and safe evaluation.

Retinal examination
Before cataract surgery, it is important to examine the retina to assess the eye’s true visual potential. Using an OCT scanner, we can detect hidden changes in the macula or optic nerve that may affect the final outcome. At VISION, this is done with the latest-generation optical coherence tomograph/eye scanner (OCT) Solix, which produces 3D imaging of the posterior eye segment – painless, quick, and non-contact.

Corneal examination
We evaluate the thickness, curvature, and strength of the cornea, as well as the quantity and quality of the tear film. At VISION, this is performed using the most precise tomographer and topographer – Sirius, which provides the most detailed corneal imaging within seconds.

Expected Results

  • Achieving high visual acuity
  • Fast recovery
  • Vision improvement often noticeable within a few days
  • Complete healing may take several weeks

Side Effects

After surgery with an intraocular lens, vision usually recovers quickly, but it is possible to experience temporary:

  • blurred vision or glare in bright light
  • dryness or a feeling of irritation in the eye
  • increased sensitivity to light in the first few days
  • slight fluctuations in visual clarity as the eye adapts to the new lens

Risks

The surgery is safe, but as with any operation, there are rare risks:

  • temporary increase in eye pressure
  • infection or inflammation
  • swelling of the cornea or retina
  • partial need for glasses after the surgery

Frequently Asked Questions:

In most cases, after cataract surgery, vision is fully restored within the first few days. Patients’ vision is clearer and brighter, and hasПроцедурата по отстраняване на перде, в повечето случаи, позволява на пациента да се върне към обичайните си дейности в рамките на 2–3 дни, а към работа – обикновено след около седмица, според вида работа и индивидуалното възстановяване. better contrast.
Final visual acuity stabilizes within a few weeks.

The cataract removal procedure usually allows the patient to return to normal daily activities within 2–3 days, and to work – typically after about a week, depending on the type of work and individual recovery.

You will not be able to drive immediately after the surgery – your eye will be covered with a bandage. Usually, you will be able to drive after a few days, once your vision has stabilized and your surgeon confirms that you can see clearly and safely.

No. The procedure is performed under local anaesthesia and is completely painless. You may feel slight pressure or light during the procedure.

As early as the first or second day, if you do not feel irritation or dryness. It is recommended to take breaks for your eyes during the first week.

Usually after 2 weeks, when the eye has fully recovered. Avoid wearing makeup around the eyelid area until your doctor confirms it is safe to do so.

EVA™- system for cataract and vitreo-retinal surgery
EVA™- system for cataract and vitreo-retinal surgery

A high-tech surgical platform used in the largest eye clinics around the world

EVA™- system for cataract and vitreo-retinal surgery