Blog Details

Types of Cataract
  Comments (0) 20 Mar, 2025

Types of Cataract Surgery & The Best One!

How long can you live with blurry vision? It affects your quality of life, changing the way you see and experience the world. One cannot live even a few minutes with blurry vision without discomfort, yet many people avoid treatment due to fear of surgery and continue to live with it. However, with today’s advanced types of cataract surgery options, restoring clear sight has never been easier.

There are five types of cataract surgery options available, ranging from traditional procedures involving incisions to advanced bladeless techniques. Let’s explore each one in detail. 

1 . Phacoemulsification (Phaco) 

Also known as phaco surgery, phacoemulsification is one of the most common and widely used procedures for cataract removal. In this technique, a tiny incision is made in the cornea, through which the surgeon inserts a probe that emits ultrasound waves to break up the cataract. The fragmented lens is then gently suctioned out, while the lens capsule is preserved. A foldable artificial intraocular lens (IOL) is implanted in its place, and the self-sealing incision usually requires no stitches, allowing for a quicker recovery.

Benefits of phacoemulsification cataract surgery:

  • Minimally invasive with a small corneal incision.
  • Faster healing and a lower risk of complications.
  • Quick procedure, usually completed in 10-15 minutes per eye.
  • Performed under local anesthesia, ensuring patient comfort.

2. Extracapsular Cataract Extraction (ECCE) 

Another type of cataract surgery is Extracapsular Cataract Extraction (ECCE), primarily used for severe cataracts or cases where phacoemulsification is not suitable. In this procedure, a 10-12 mm incision is made in the eye, allowing the surgeon to remove the entire cloudy lens in one piece. An artificial intraocular lens (IOL) is then implanted, and the incision is closed with stitches to ensure proper healing.

Benefits of extracapsular cataract extraction (ECCE) surgery:

  • Ideal for patients with dense or mature cataracts.
  • Removes the cataract in one piece, making it effective for advanced cases.
  • Suitable for patients who are not candidates for phacoemulsification.

3. Intracapsular Cataract Extraction (ICCE)

Among the various types of cataract surgery, Intracapsular Cataract Extraction (ICCE) is one of the oldest and most traditional methods. This procedure involves making a large incision to remove both the lens and its surrounding capsule. The intraocular lens (IOL) is placed in front of the iris, and stitches are required to close the incision. Due to its invasive nature and higher risk of complications, ICCE is rarely used today, as more advanced and less invasive techniques are now available.

One of its few advantages is that no artificial lens is implanted.

4. Femtosecond Laser-Assisted Cataract Surgery

This is a laser-assisted cataract surgery, a technique increasingly favored in modern medical procedures due to its minimally invasive nature and reduced trauma to the eye. Unlike traditional methods, this type of cataract surgery is performed entirely with a computer-controlled laser, which creates precise corneal incisions and softens the cataract, minimizing the need for ultrasound energy. 

The intraocular lens (IOL) is then implanted, much like in phacoemulsification. By combining the precision of laser technology with the benefits of phacoemulsification, this method enhances accuracy, safety, and overall surgical outcomes.

Benefits of femtosecond Laser-Assisted Cataract Surgery 

  • Increased precision and reduced risk of human error.
  • Less damage to surrounding eye tissues.
  • Faster recovery time compared to traditional phaco.
  •  Better outcomes for patients with astigmatism.
  • No blades, anesthesia is used. 

5. Refractive lens exchange with Intraocular Lens Implants

This type of cataract surgery is used for patients who have both cataracts and refractive errors like myopia or hyperopia. Refractive lens exchange (RLE) is mainly performed to correct vision rather than just remove cataracts. This type of cataract surgery involves removing the natural lens, similar to cataract surgery, and replacing it with a specialized intraocular lens (IOL). Depending on the type of IOL used, RLE can help correct myopia, hyperopia, presbyopia, and astigmatism.

Benefits of Refractive Lens Exchange (RLE) Surgery

  • Suitable for people over 40 or 50 with presbyopia (age-related vision loss).
  • Helps individuals with high myopia or hyperopia who are not eligible for LASIK.
  • Provides long-term vision correction and eliminates the risk of future cataracts.
  • Offers different IOL options based on individual vision needs.
  • Reduces the need for glasses or contact lenses.

Phacoemulsification, refractive lens exchange surgery, femtosecond laser-assisted cataract surgery, extracapsular cataract extraction, and intracapsular cataract extraction are the five different types of cataract surgery. You can choose anyone based on your vision problems and needs. 

Are cataract surgeries safe?

Yes, all five types of cataract surgery are safe. Today, more than 98% of patients experience better vision after the procedure due to advancements in technology. However, some people still have concerns, often because they choose the wrong ophthalmologist or do not follow post-surgery care as advised by the doctor. It is important to visit a trusted ophthalmologist with good reviews, such as ABO Eye Hospital in Nagpur, which provides quality lenses and offers affordable cataract surgery cost in Nagpur.

Which cataract surgery is best? 

Among the five types of cataract surgery, Femtosecond laser-assisted cataract surgery is often preferred because it uses a laser and does not require a blade or anesthesia. Many choose this option as it carries less risk compared to others. However, to get the best results, it is important to follow precautions after cataract surgery as said by your ophthalmologist. You can choose femto laser surgery at ABO Eye Hospital in Nagpur, which provides cataract surgery cost in Nagpur at a rate that many can afford. 

Conclusion

With improvements in medical technology, different types of cataract surgery are available to meet various patient needs. From phacoemulsification to femtosecond laser-assisted cataract surgery, each method has its benefits. Choosing the best lens for cataract surgery, such as monofocal, multifocal, or toric IOLs, helps in better vision correction. Consulting an experienced ophthalmologist and following the precautions after cataract surgery, as told by the doctor, can lead to clear vision without any risks. Cataract surgery is a safe and effective procedure that improves vision and quality of life.

Leave A Comment

Select the fields to be shown. Others will be hidden. Drag and drop to rearrange the order.
  • Image
  • SKU
  • Rating
  • Price
  • Stock
  • Availability
  • Add to cart
  • Description
  • Content
  • Weight
  • Dimensions
  • Additional information
Click outside to hide the comparison bar
Compare