Cataract

What is cataract?

A cataract is a clouding of the natural focusing lens inside your eye. Your lens sits just behind your pupil. Normally your lens is clear and helps to focus the light entering your eye. Developing cataracts will cause your sight to deteriorate, usually becoming cloudy and misty. Cataracts can affect one or both eyes and do not improve by themselves.

Cataract can only be treated by surgery, during which the cloudy lens is removed and replaced by an artificial lens.

How do cataracts affect my vision?

Cataracts usually cause cloudy or misty vision but they can also cause glare and haloes due to light scatter. This can be particularly troublesome with night driving. You may have noticed that colours are less bright and have problems reading. Sometimes it causes frequent changes in your glasses prescription. Cataracts usually come on gradually and your eyesight will deteriorates over time.

How are cataracts removed?

Cataracts can only be removed by surgery. Cataract surgery is a quick, safe and highly effective procedure. It is one of the most successful and commonly performed operations in medicine.

Cataract surgery removes your cloudy lens and replaces it with an artificial lens. This lens is known as an intraocular lens implant or IOL and will not need to be changed for the rest of your life.

There isn’t any other effective treatment at present, no medicine or drops will treat cataract successfully.

Keyhole microsurgery

At Sarum Vision we use modern “keyhole” microsurgery (phacoemulsification) techniques to perform the surgery. Our surgeons also practise in the NHS and have performed thousands of cataract operations and are subject to regular quality checks.

Nearly all of our cataract surgery is done by simply using drops to numb the eye (topical anaesthesia) with no anaesthetic injections required. At Sarum Vision we use the latest technology in our cataract surgery machines to improve safety and efficiency This makes the procedure more comfortable and recovery faster.

At Sarum Vision our experienced surgeons will guide you through the decision making process and help you to decide whether it is the right time for you to have surgery based, upon the type and extent of cataract and your visual needs.

What our clients say

Thank you for your kindness and support regarding my recent cataract treatment at Sarum Vision. Throughout my initial assessment you provided me with comprehensive information and clarity regarding my options, whilst retaining a cheerful but professional manner at all times. I felt reassured and confident about surgery and Mr Wakefield and the surgical team were wonderful throughout the procedures for both eyes, Mr Wakefield kept me informed as to what he was doing right the way through and at no point did I feel anxious or worried. I am so very pleased with the results. I can’t thank you enough. I have already recommended Sarum Vision to a couple of friends and I will continue to do so. Sarum Vision provided me with a prompt professional service, the staff were all fantastic , it was good value for money and I have walked away with the amazing gift of being able to see without having to use contact lenses or glasses. You are amazing ! Keep up the good work !!!

- L. N

Mr Wakefield I can only describe the results of the cataract operations you did for me as “life enhancing”. I only have to use glasses on rare occasions, when the light is low, and the print is small. Otherwise, I can see near and far with restored clarity and focus. Driving has become a pleasure again, my bird identification skills are restored, I can thread a needle without stabbing myself, and I have gained hours a week by not having to hunt down the right pair of glasses for what I want to do.

What I appreciated about the process, in addition to the wonderful result, is the manner in which the clinic operates. You yourself were endlessly patient in answering all my (endless) questions, and obviously highly skilled in your art, but on top of that the kindness and understanding shown by you and all the staff, particularly Julie, was outstanding.

So thank you all.

- F. J. K

This has been simply incredible for me – I have the vision of my youth back again – perfect for reading, computers and driving without glasses. I really never dreamed this would be possible. The process was reassuring and straight-forward, and the actual cataract operations were very speedy and entirely pain free (I am bit of a wimp). Mr Wakefield has great expertise and experience, and the equipment is state-of-the-art.

- A. L

“ I recently attended Sarum Vision for a cyst of moll removal under the care of Mr Naeem Haq. From the initial consultation through to the removal procedure I found the staff care excellent and the environment to be relaxing, with any concerns or enquiries dealt with in a caring manner by all members of the team that I met. My special thanks go to Mr Haq for his skills and his reassuring manner which was superb; I could not have wished for better ”

- P. A

Mr Haq was absolutely superb in treating my difficult and unusual condition. I could not have wished to have been in better hands. He was very professional in making serious judgements. I will always be most grateful to Mr Haq.

- J. T

What options are there with cataract surgery?

Cataract surgery represents a once in a lifetime opportunity to improve your vision and correct your glasses prescription at the same time.

Selecting the correct lens implant (IOL) is critical in achieving this. At Sarum Vision we have invested in the latest equipment to give us the highest degree of accuracy and safety currently possible.

Your surgeon will tailor your treatment to your visual needs. We can optimise your “3D” vision or give you “blended” vision with a range of focus. You may wish to use this unique opportunity to correct astigmatism and potentially to remove the need for any glasses at all, using cutting edge multifocal (trifocal) or Extended Depth of Focus (EDOF) IOLs.

We look after you every step of the way

It is likely you will have questions about this treatment; feel free to browse our FAQ's below.

I have been told that I have a cataract, what next? +

You will be given an appointment to see one of our Specialist Cataract surgeons for an initial consultation to help decide which cataract surgery solution is best for you.

You will be asked questions about your eye problems and general health. To allow your Consultant to do a complete check of your eye and examine the cataract you will have dilating drops applied which means that you will not be able to drive home from this appointment.

You will have tests to measure and scan your eye to help with your bespoke treatment plan. All of the equipment we use is state-of-the-art and ensures that your surgery is performed with the highest degree of accuracy and safety.

For your convenience, these tests would normally be done on the same day as a “one-stop” so there is no need to come back prior to the day of your surgery. All of these tests are quick, non-invasive and do not require any special precautions.

Your experienced Consultant will create a bespoke treatment plan specific to you and guide you through the decision-making process to ensure that you are entirely comfortable with your choices.

What options are there with cataract surgery? +

Monofocal cataract surgery

Cataract surgery represents a once in a lifetime opportunity to improve your vision and correct your spectacle prescription at the same time. Your surgeon will discuss your visual needs with you in detail and help you to choose the best solution for you.

Selecting the correct lens implant (IOL) is critical in achieving this. At Sarum Vision we have the latest equipment to measure your eyes with the highest degree of accuracy currently possible to help advise you on the best type of implant for your visual needs. Standard cataract surgery involves using “monofocal” IOLs which correct for either distance or, less commonly, reading. Most patients undergoing monofocal cataract surgery choose to be spectacle free for distance and wear glasses for reading.

We are also able to optimise your “3D” vision or give you “blended” vision with extended depth of focus. Most patients are delighted by the improvement in their vision with monofocal cataract surgery.

Enhanced IOL cataract surgery

Depending on your visual needs it may be appropriate to perform enhanced surgery using cutting edge technology to correct astigmatism or even achieve spectacle independence without the need for glasses at all. This type of enhanced surgery uses the latest toric, multifocal (trifocal) or Extended Depth of Focus (EDOF) IOLs.

Each of these solutions are designed to meet specific visual needs and our experienced surgeons will guide you every step of the way to ensure you make the right choice.

What happens on the day of my operation? +

All of our surgery is performed as “daycase” surgery. This means that you attend and go home on the day of the operation usually within a couple of hours.

You will be welcomed by one of our team and checked prior to going through for surgery. Our friendly team will be with you every step of the way to put you at ease and make the day of your surgery as pleasant as possible. At Sarum Vision we create a bespoke surgical treatment plan for each of our patients from your initial consultation to your post-operative follow-up; because of this, we are able to offer a highly efficient service and make the day of your operation run smoothly. We are able to provide you with relaxing music of your choice during your surgery and afterwards our friendly staff will ensure that you have some refreshments and are relaxed prior to being discharged. At Sarum Vision we use the latest technology in our cataract surgery machines to improve safety and efficiency. This and the modern “keyhole” technique means that nearly all of our patients are able to go home a short while after surgery and resume most normal activity within a few days of the surgery.

How long does my eye take to recover after surgery? +

Because we use modern techniques and eye drops for anaesthesia the majority of patients will achieve “20/20” vision within a few days and often the day following surgery.

Before you go home on the day of surgery one of our friendly team will go through the dos and don’ts for allowing the eye to heal after surgery. You will receive a telephone call within the first couple of days after your surgery and normally an appointment to see your surgeon between one and four weeks after the operation.

You will have 24 hour, 7 day a week access to advice if needed however the majority of our patients are amazed by how quickly and painlessly the eye settles.

We advise you to make arrangements to avoid driving for the first week after surgery however if you meet the DVLA driving standard you are able to drive sooner than this as long as the eye is comfortable and not light sensitive. If you are in any doubt please call us for advice before driving.

Will I need to wear glasses after cataract surgery? +

This depends on your eyes and your visual needs. Most patients, even with surgery using a monofocal IOL, would not need to wear glasses for distance tasks such as driving but would need glasses for reading. Enhanced cataract surgery potentially allows spectacle independence with no glasses needed at all. Our experienced surgeons will be able to help you decide which is the best solution for your visual needs and create your individual treatment plan.

Further information on cataracts is available on the Royal College of Ophthalmologists website:

https://www.rcophth.ac.uk/wp-content/uploads/2017/10/2017_Understanding-Cataracts.pdf

What does cataract surgery cost? +

If you have an initial Consultation with one of our surgeons but are unsure about whether to proceed with surgery, should you later decide to go ahead with surgery the costs of your initial consultation and tests will be deducted from your surgery package price.

Package prices for cataract surgery all include:

Your initial consultation with the Consultant
Any additional tests required as a result of your consultation
Pre-operative measurements to design your bespoke treatment plan
The surgery itself
Post-operative drugs
One post-operative visit or any additional visits if deemed necessary by your Consultant
Any further treatment related directly to the surgery itself

Prices for cataract surgery:

Initial “one-stop” cataract consultation	£250 (plus £200 for tests)
Monofocal IOL cataract surgery	from £2950
Follow-up consultation	£160

Package prices:

Monofocal IOL surgery

One eye	£3300
Both eyes	£6250

Enhanced IOL surgery (the cost depends of exact IOL)

One eye	from £4200
Both eyes	from £8000

Of course we are happy to see you if you would prefer just an assessment for cataracts and expert advice on whether surgery is the right choice for you.

Cataract assessment would involve an initial Consultation with one of our surgeons and usually two tests.

Remember, you will never pay twice! If you have an initial Consultation with one of our surgeons but are unsure about whether to proceed with surgery, and you later decide to go ahead with surgery the costs of your initial consultation and tests will be deducted from your package price for surgery.

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