Cataract Surgery

Cataract

Mr Saeed performs modern cataract surgery with small no stitch incision by phacoemulsification and intraocular lens implantation. Mr Saeed’s cataract surgery record is comparable to the national cataract data set with a very low complication rate. Mr Saeed takes on routine, low risk cataract surgery cases as well as complex high risk cataract surgery cases.

Mr Saeed recommends mono-focal intraocular lenses for patients undergoing cataract surgery to provide good vision at distance. Although multifocal lenses, (which can focus for distance and near) are available, this option does not suit everyone.

What is a cataract?

A cataract is opacity of the natural lens inside the eye. This opacity can be due to a number of reasons but the most common reason is ageing change. As the lens becomes more and more opaque, the vision becomes more blurred. Some patients may get glare specially when driving at night. Most patients will notice a gradual blurring of vision. Colours may appear dull and grey. The contrast is affected and the ability to distinguish objects in different shades of light is affected.

The normal lens is transparent. Over time and exposure to ultraviolet light, the transparent lens of the eye starts becoming cloudy.

This situation leads to blurred vision and ultimately loss of sight.

Some people can develop a cataract earlier in life; the causes may be congenital, genetic (i.e. runs in the family), trauma, inflammation, diabetes, steroid use or other conditions which may cause the lens of the eye to displace or become opaque.

The loss of sight can be of various types:

  • Blurred vision
  • Decreased vision at night
  • Decreased contrast sensitivity
  • Glare symptoms specially while driving at night
  • Inability to read small print or problems with contrast

An example of how cataracts can impair the vision is demonstrated by a series of photographs. These are a series of photographs taken by a phone camera on a cold London morning through a windscreen.

What if I have a cataract?

Cataract surgery will be discussed at your consultation with Mr Saeed if you have a cataract. If you have a very mild cataract which does not affect your vision, you may be advised not to have cataract surgery until the cataract becomes more advanced.

If your cataract is significant and is affecting your vision, you may be advised to have cataract surgery. Sometimes you need to have cataract surgery to monitor the health of the back of the eye – examples include diabetic retinopathy.

What will happen after my consultation?

Your eyes will be measured and you will be assessed for fitness for local anaesthesia. Depending upon your requirements an artificial lens (intraocular lens; IOL) will be chosen for you. If you wish to be put to sleep during your surgery, you may need to undergo a full anaesthetic assessment.

Are there risks with cataract surgery?

As with any surgical procedure, there are risks. Cataract surgery may not produce the desired level of vision if there are other conditions affecting the eye like macular degeneration, glaucoma or corneal conditions. 95% of cataract surgery proceeds without any complication or problems.

Approximately 2% of patients may have a complication or problems during surgery. This may include rupture of a membrane called posterior capsule rupture, vitreous loss (disturbance of the jelly), dropped nucleus (incomplete removal of cataract), bleeding or damage to the iris (coloured part of the eye). Some of these problems need a further procedure to fix the problem either during the original surgery or further surgery at a later date.

Some patients may develop problems after cataract surgery. This may include an infection called endophthalmitis, retinal detachment, raised pressure in the eye or macular oedema (retinal swelling).

Most of these problems are treatable, although the final outcome after surgery depends upon the type of complication and its management.

Mr Saeed avoids problems during cataract surgery by meticulous planning and good surgical technique. If any complication happens, he can deal with this in a safe and effective manner to get best results.

What do Mr. Saeed’s patients say?

“I didn’t feel a thing and my vision is so much better.” – Mrs S

“I was so nervous but Mr Saeed reassured me and it went so well. The surgery took a little while and my vision is fantastic now.” – Mrs C

Treatment

Mr Saeed performs modern cataract surgery with small no stitch incision by phacoemulsification and lens implantation. 

Mr Saeed recommends mono-focal intraocular lenses for most patients undergoing cataract surgery to provide good vision at distance.

For patients with significant astigmatism, a special type of lens can be arranged called a toric lens. This lens needs to be ordered specially. Patients with astigmatism almost always need spectacles after cataract surgery. With toric lenses the need for spectacles can be reduced or spectacle prescription can be reduced. Mr Saeed uses Rayner Ray one toric lenses. 

Although multifocal lenses, (which can focus for distance and near) are available, this option does not suit everyone). An example is Alcon PanOptix lens. Patients who want this kind of lens usually need more tests and more time to get used to the lens after surgery. The lens is more expensive than standard lenses. Mr Saeed recommends this lens in selected patients and recommends cataract surgery with femto second laser asssisted capsulorexhsis, incisions and nuclear fractis. 

Mr Saeed is an expert in small incision Cataract surgery with phacoemulsification. He performs small incision cataract surgery with 2.2 mm incisions. The advantage with small incision size is no need for stitches. These incisions produce less astigmatism, heal quicker and lead to quicker overall recovery with reduced chances of per-operative problems.

99% of Mr Saeed’s patients do not have any complications. You can check Dr Saeed’s updated and nationally published safety rate & performance by the NOD website. Mr MUHAMMAD USMAN SAEED | NOD Audit

Problems and complications are rare. Usually the problems are minor, if encountered and can be rectified at the time of surgery or afterwards.

Mr Saeed performs cataract surgery at Ashtead hospital in Surrey, Royal Liverpool University hospital and Aintree hospitals in Liverpool.. He performs femto second assisted cataract surgery at Royal Liverpool University hospital with toric lenses, multifocal lenses and premium lenses. 

Gallery

Contacts

Mr MU Saeed Consultant Ophthalmologist

contact@londoneyedoctors.co.uk

07969166551

For an appointment @ Sefton Suite Liverpool 01512576700