How is Cataract Surgery Done

Another common question is: How is Cataract Surgery Done? 

PHACOEMULSIFICATION (KPE-KELLMAN PHACOEMULSIFICATION):

Like other procedures, there are a number of techniques.  The most common is by phacoemulsification (ultrasound) with aspiration of the lens material and folding and implanting of a plastic lens.

PLANNED EXTRACAPSULAR CATARACT EXTRACTION (ECCE)

An older technique removes the cataract in one piece and requires multiple stitches.  Often there is a significant amount of astigmatism from the sutures and they have to be removed to correct this.

INTRACAPSULAR CATARACT EXTRACTION (ICCE)

An older technique yet involves removing the lens completely with the capsule.  It is not done in this country except under rare circumstances, it is called intracapsular cataract extraction.

FEMTOSECOND ASSISTED PHACOEMULSIFICATION (KPE-KELLMAN PHACOEMULSIFICATION):

The newest technique uses a femtosecond laser to aid in creating the incisions in the cornea and to create an opening in the lens and to soften the lens.  Ultrasound must still be used and this technique is more expensive for the patient as it is not covered by Medicare or any insurance plans.  The outcome is the same and the surgery takes longer and must be done in stages.