Cataract surgery
Cataract develops when the natural lens of the eye gradually clouds as a result of natural ageing and begins to impair vision. The only way to remove the clouding is surgery, during which the cloudy lens is removed and replaced with an artificial one that takes over its function.
When is the right time for surgery?
There is no universal answer - it depends on how much the cataract is affecting your daily life. When it begins to interfere with driving, reading, working at a computer, or getting around, it is time to discuss surgery. The decision is always made together with the doctor, with an assessment of the condition of the eye and your individual needs.
The concept of waiting for a cataract to mature is long outdated and belongs to the past, when technology was not at today's level. Today, waiting only reduces quality of life and can make the surgery more difficult - timely intervention is always the better choice.
How does the surgery work?
The procedure is performed under local anaesthesia. The patient is awake but feels no pain and can talk to the surgeon.
Through a microscopically small incision in the eye, the cloudy lens is broken up by ultrasound and removed, then a soft, foldable artificial lens is inserted through the same incision and unfolds in place of the natural one. The wound heals on its own, without suturing. This method is called phacoemulsification and is the gold standard for cataract treatment worldwide.
In addition to cataracts, the same method can also be used to correct high refractive errors, severe astigmatism, or presbyopia, with the appropriate type of lens.
Which lenses do we use?
At Milmedic Clinic, we use top-quality lenses with no expiry date, following the most advanced protocols that meet international standards. We most commonly implant premium lenses - the advanced generation of intraocular lenses that provide sharp vision at multiple distances. Depending on the patient's needs, we choose between EDOF lenses (extended depth of focus) and multifocal lenses, all on the Clareon platform - the most advanced platform in modern ophthalmic surgery.
What happens after surgery?
Surgery is performed as day-case surgery - the patient goes home the same day. The next morning, a check-up is required, after which eye drops are used for one month. Vision returns quickly and normal activities can soon be resumed; the final refraction is checked four weeks after the procedure.
In a small number of patients, clouding of the posterior lens capsule may occur - known as secondary cataract - but this is resolved with a short laser procedure on an outpatient basis: laser capsulotomy.
Cataract surgery at Milmedic Clinic is performed by an experienced team of ophthalmologists who handle even the most complex cases. Meet our team →
Frequently asked questions
Will I need reading glasses after cataract surgery?
It depends on the type of lens implanted. Monofocal lenses give sharp distance vision, but glasses are usually needed for near. Premium lenses (EDOF and multifocal) are designed to provide sharp vision at multiple distances and in most patients reduce or eliminate the need for reading glasses. The right lens for you is chosen together with the doctor based on your needs and lifestyle.
When can I return to work after surgery?
Most patients return to work within two to three days, and for office work sometimes the day after the follow-up appointment. Physically demanding work or work in a dusty or chemical environment requires a longer rest - your doctor will advise you precisely at your check-up.
What should I follow after cataract surgery?
During recovery, it is recommended to avoid rubbing the eye, avoid direct contact of water with the eye, avoid wearing eye make-up, and protect the eye from dust and impact. Regular use of the prescribed drops is essential. Detailed instructions are given by the doctor on the day of surgery and at the follow-up the next day.