Prof. dr hab. n. med. Zbigniew Zagórski
What is it?
Cataract is a progressive clouding of lens of an eye. In majority of cases it is associated with ageing, though there are also cases of congenital cataracts. This disease is the most common cause of reversible loss of vision.
Indications for treatment
The surgery is necessary when the cataract impairs vision to the extent worsening the quality of everyday life. The treatment is also recommended in the cases of narrow-angle glaucoma, as the removal of cataract may cure this form of glaucoma or prevent its occurrence. Early cataract operation is also recommended in chronic open-angle glaucoma, because it lowers by a few mm the pressure in the eye, allowing for easier continuation of monitoring of the course of the disease and makes any subsequent glaucoma procedures safer.
Methods of treatment
The only known treatment method is the removal of clouded natural lens and replacing it with an artificial one. Ultrasonic phacoemulsification is the latest method of cataract surgery. Manual removal and laser supported procedure are also used.
With modern methods of cataract removal through small incision (1.8 - 2.8 mm), in the case of uncomplicated cataracts the risk of significant intraoperative complications for good surgeons is significantly lower than 1%. The risk increases considerably in the case of complicated, mature and hard cataracts, especially if treatment is performed by less experienced surgeons. Hence, it is advised to promptly undergo the treatment and choose an experienced surgeon, especially if the operation is associated with a considerable risk.
Rehabilitation after uncomplicated incipient cataract surgery is very fast and the risk of complications is minimal. The period of rehabilitation in the case of mature and hard cataracts may be longer, usually due to corneal oedema, and might take up to several weeks. Although, in those instances also the number of complications increases, with proper treatment the risk of losing vision when operated in the best centers is significantly lower than 0.1% (one in every few thousands of operations). For less experienced surgeons it may be several times higher.
Effects of the treatment
Patients without other serious ocular problems such as retina, optic nerve and uveal diseases regain correct vision after surgery. In addition after the surgery, patients suffering from refractive errors such as short-sightedness (myopia), long-sightedness (hyperopia), or astigmatism, with the implantation of appropriate lenses may gain vision impossible to achieve ever before without glasses or contact lenses.
Cataract treatment in Professor Zagórski Eye Surgery Centers
In our centers only experienced surgeons perform surgical procedures and therefore the risk is minimalized. Prof. Zagórski routinely performes phacoemulsification cataract surgery for over 20 years, probably longer than other active surgeons in Poland.
We offer a wide range of lenses, the type of which depends, among other things, whether the cataract surgery is also intended to remove one of refractive errors like short-sightedness, long-sightedness or astigmatism. Patients can choose between economical operation with implantation of hydrophilic monofocal lenses produced by Croma, Zeiss or Human Optics, and the more expensive ones in which hydrophobic lenses made by Hoya and Alcon (Acrysof IQ), including ones with blue light filter, are implanted. Prices of surgeries, in which bifocal lenses are used, range from 3500 to 4900 PLN. Additionally, we offer procedure in which a trifocal Zeiss lens is implanted for the price of 4900PLN. The price for a treatment facilitating new, introduced to the market less than a year ago, Symfony lens with extended depth of focus is 3900 PLN, same as in the case of procedure during which an astigmatism correcting monofocal lens is implanted.