Experts in cataract surgery
En Área Oftalmológica Avanzada as cataract surgery experts.
Here we explain the technology and technique pre, post and intra surgical most advanced available today, which we apply in our ophthalmological center and which difference from other surgical centers.
Experts in cataract surgery
En Área Oftalmológica Avanzada as cataract surgery experts.
Here we explain the technology and technique pre, post and intra surgical most advanced available today, which we apply in our ophthalmological center and which difference from other surgical centers.
Cataract surgery the new challenge
La cataract surgery It is the most frequent surgical act in ophthalmology, among other things because cataract is a phenomenon of vision loss that is due to age, so that sooner or later, We will all suffer this process and we will all have to undergo surgery.
In recent years, technologies and cataract surgery have been improving, so that we are becoming more demanding regarding the results when considering this surgery. The patient wants a very effective and safe surgery, he wants me to let's guarantee success of the intervention, with a Fast recovery and that allows you to be better than before, removing glasses, both from afar and up close.
Guarantee success in cataract surgery?
Although this goal of guaranteeing the success of surgery in all patients is almost impossible, it is no less true that we can achieve a success rate very close to one hundred percent and this is achieved by taking into account a series of factors that we present below and that allow obtain a very high combination of efficacy and safety.
At Área Oftalmológica Avanzada We have all the necessary means to achieve this goal, both in facilities, technology, specialist staff y surgeons, factors that allow reaching a degree of excellence that makes us "unique" in Barcelona to get the better results and to be able to say that we are the ideal center for those who want cataract surgery.
The most advanced cataract surgery
Which are the factors that make us different from other centers that operate cataracts.
The answer is that we meet all the requirements that arise today to achieve this level of excellence:
- We make the most advanced surgical technique.
- We can study patients before surgery to select the type of lens and its power.
- We detect pathologies that can alter the outcome of the intervention and should be pretreated.
- We have the technology and experts to perform the micropused MICs surgery that allows us to operate both eyes in the same session.
- We have a anesthesia team that ensures that the patient does not suffer during surgery.
- We have the necessary means to carry out the correct postoperative follow-up (rapid visual recovery and possibility of laser retreatment or visual therapy.
These points that we have just pointed out ampWe talk in detail.
Bilateral surgery
La bilateral cataract surgery consists in making the cataract operation of both eyes at once.
Among the latests Moravia's compositions advantages of bilateral surgery of cataracts we have, among many others, the following benefits.
- Recovery visual faster.
- Decrease the risk of 2 interventions, especially in cases of associated pathology.
- Minor time of work leave.
Bilateral cataract surgery is especially indicated in those patients who present associated pathology such as diabetes or coagulation disorders and that require special preparation before entering the operating room
MICS bimanual technique
La MICS bimanual micro-incision technique is to make some much smaller incisions than usual allowing a much faster and safer sealing of the incision y no need to put points guaranteeing a better surgical result.
Some and advantages to perform cataract surgery microincision are:
- Less traumatism surgical.
- Less tissue damage, especially important in patients with pathologies that induce greater inflammation: with a history of uveitis, dry eye, autoimmune pathology.
- Less aggression on the corneal endothelium, a structure that guarantees the transparency of the cornea and deteriorates during cataract surgery. This fact is fundamental in young patients who have phagorefractive surgery and have a long life expectancy and the damage of the endothelium in surgery will induce corneal disorders after several years (there is a loss of endothelial cells with age, approximately 3% every year starting at age 50). In the same way, it is essential in the cases of patients with low endothelial cellularity by age (patients over 80 years old) or in cases with endothelial degeneration such as guttate degeneration of the cornea.
- Shorter recovery time of visual perception: After cataract surgery there is a neurosensorial process of adaptation to the new vision, something that is especially important in the case of binocular vision (vision in relief and calculation of distances, essential in certain jobs or driving). This fact is especially important in the case of multifocal lenses, which we know require a longer adaptation time and it has been shown that, as in the case of laser refractive surgery, when both eyes are operated on in the same session, recovery neurosensorial is more effective and reduces the time to less than half of the time required in surgery of both eyes separately, we went to 1 week compared to 1 month in classic surgery.
- Facilitates a better refractive result. It allows better control of astigmatism correction and induces fewer changes in the final graduation (less residual ametropia).
La bimanual cataract surgery can only be performed by the best trained surgeons and with better skills to perform surgical acts.
Better refractive results
One of the problems with cataract surgery is that we cannot always guarantee the refractive result, that is, that there is no residual graduation to force us to wear glasses after surgery, especially in the case of multifocal lenses, where the ultimate goal is to eliminate the glasses both from a distance and from near and medium distance.
The technique Bimanual MICS allows for smaller incisions that induce less changes in the geometry of the cornea and allow reduce unexpected graduations due to healing of corneal wounds that occur during surgery.
Better surgical control
With this technique and with the technology used by the latest generation microscopes, we can Better control of intraocular lens positioning and centration, especially important in the case of multifocal lenses and toric for astigmatism correction, which must be perfectly centered and aligned on the astigmatic axis that we are going to correct.
Custom preoperative study
To guarantee the success of the surgery, it is essential to perform a pre-intervention study, to value the type of lens that we will implant and also to calculate the power of the lens or to rule out there are no previous pathologies that can make the procedure fail recovery of final vision, as in the case of the presence of dry eye, horny guttata o retinal pathology, as the presence of early changes of the macula, which would discourage the selection of multifocal lenses.
Personalized postoperative treatment
In some cases it is necessary to special treatments after surgery, As:
- Improve the quality of the tear film since in many cases it can be the cause of blurred vision or the presence of halos in the light sources that bother and can cause important disturbances in daily activity, such as driving or working with computers.
- Improve visual quality and stereopsis through Visual therapy specialized. The relief vision and distance calculation can be affected after cataract surgery and it will be necessary to have the necessary means and experience to solve these problems when they show up that, although uncommon neighborhoods, are the very annoying when they appear and it is necessary to solve them well and as soon as possible.
- Retreatment of residual ametropia. In some cases small mismatches in the final graduation, in most cases due to healing process, who modifies the calculation of intraocular lenses that has as objective that there are no diopters so that it is not necessary to use glasses. In the same way as in the previous point, although there are few cases, it is necessary have the technology and experience to perform an excimer laser retouch to correct these imbalances that can cause cataract surgery to fail.
If you have any further questions, come see us at Área Oftalmológica Avanzada. We are delighted to welcome you!
