Cataract Surgery: SICS & PHACO Treatment
Cataract surgery is one of the most common and successful procedures in ophthalmology. With advancements in medical technology, patients have access to more efficient and less invasive treatment options. Two of the most prominent techniques for cataract surgery are Small Incision Cataract Surgery (SICS) and Phacoemulsification (PHACO). Both approaches are widely used, and the choice of technique depends on various factors, including the surgeon’s expertise, the patient’s condition, and the available medical equipment. Dr. Neha Tiwari, an experienced ophthalmologist, specializes in both methods, offering tailored treatment to ensure optimal outcomes for her patients.
What is a Cataract?
A cataract is the clouding of the eye’s natural lens, leading to blurry vision, difficulty seeing at night, and increased sensitivity to light. Cataracts generally develop with age, but they can also occur due to trauma, certain medications, or underlying health conditions. Once vision impairment starts affecting daily activities, surgery is often recommended as the best solution.
Small Incision Cataract Surgery (SICS)
SICS is a form of extracapsular cataract surgery where the cataract is removed through a small self-sealing incision. This technique is highly effective and relatively simple.
Key Steps in SICS:
Small Incision: A small (6-7 mm) incision is made in the cornea or sclera.
Cataract Removal: The cataract is removed in a single piece through the incision, ensuring minimal disruption to surrounding tissues.
Intraocular Lens (IOL) Implantation: After removing the cloudy lens, an artificial intraocular lens (IOL) is inserted to restore clear vision. Benefits of SICS:
Cost-Effective: SICS doesn’t require expensive machinery, making it a more affordable option.
Quick Recovery: Patients usually recover within a few weeks and can return to normal activities faster.
Widely Accessible: It can be performed in regions where advanced medical equipment for PHACO is not available. When is SICS Preferred?
SICS is often recommended for patients with dense cataracts, those in regions where Phacoemulsification equipment is unavailable, or in cases where the cataract is particularly hard and not suitable for PHACO. Phacoemulsification (PHACO)
Phacoemulsification, commonly known as PHACO, is the most advanced and popular technique for cataract surgery. It involves breaking up the cataract using ultrasound waves and then removing the fragments via suction.
Key Steps in PHACO:
Micro Incision: A tiny incision (2-3 mm) is made in the cornea.
Ultrasound Probe: A probe emitting ultrasonic waves is used to break the cataract into small pieces.
Cataract Removal: The broken fragments are suctioned out of the eye.
IOL Implantation: An artificial lens (IOL) is implanted to replace the natural lens. Benefits of PHACO:
Minimally Invasive: The smaller incision means less trauma to the eye and quicker healing.
Fast Recovery: Patients often experience faster visual recovery compared to SICS.
Precision: The use of advanced technology allows for more precise results, reducing the risk of complications. When is PHACO Preferred?
PHACO is ideal for patients with early-stage cataracts and those seeking quicker recovery. It is also the go-to choice for individuals who want minimal surgical scarring and a shorter procedure. Dr. Neha Tiwari’s Approach to Cataract Surgery
Dr. Neha Tiwari is known for her patient-centric approach, ensuring that every patient receives individualized care. With years of experience in both SICS and PHACO techniques, she carefully evaluates each patient’s case to determine the best surgical option.
Factors Considered by Dr. Tiwari:
Patient’s Eye Condition: The density and type of cataract can influence whether SICS or PHACO is more suitable.
Age and Health: Younger patients with fewer health complications may benefit from PHACO, while older patients with complex cases might prefer SICS.
Cost and Availability: In cases where access to advanced equipment is limited, Dr. Tiwari ensures the patient still receives top-quality care with SICS. Post-Operative Care:
Dr. Tiwari emphasizes the importance of post-operative care to ensure a smooth recovery:
Follow-up Visits: Regular check-ups after the surgery to monitor healing.
Medication: Use of prescribed eye drops to prevent infection and reduce inflammation.
Precautions: Patients are advised to avoid strenuous activities, protect the eyes from dust, and wear sunglasses outdoors.
Conclusion
Cataract surgery, whether performed through SICS or PHACO, is a highly effective way to restore vision and improve quality of life. With Dr. Neha Tiwari’s expertise, patients can expect compassionate care, tailored surgical techniques, and a smooth recovery process. Understanding the differences between SICS and PHACO helps patients make informed decisions, leading to better outcomes and satisfaction.
