Safe treatments and procedural options for IOL issues

How is a lens implant procedure performed? Learn about the surgical steps, laser options, and find out can an intraocular lens be removed and replaced.

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Treatment and Procedures

The Modern Surgical Experience

Undergoing a lens replacement procedure at Liv Hospital is a streamlined and highly efficient experience. The entire process is designed around patient comfort and surgical precision. Most procedures are performed in an outpatient setting, meaning you can return to the comfort of your home on the same day. Our surgical team uses the latest microsurgical techniques to ensure that the implantation of the new lens is as gentle as possible, leading to a rapid recovery and immediate visual improvement.

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Step One: Preparation and Anesthesia

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When you arrive for your procedure, the clinical team will prepare your eye using specialized drops.

  • Numbing drops are applied to ensure the eye is completely insensitive to pain.
  • Dilating drops are used to widen the pupil, providing the surgeon with a clear view.
  • A mild sedative may be provided to help you stay relaxed and comfortable.
  • The area around the eye is thoroughly cleaned to maintain a sterile environment.

Most patients are awake during the procedure but do not feel any discomfort, often describing the experience as seeing a “light show.”

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Step Two: The Micro-Incision

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The surgeon creates a microscopic incision at the edge of the cornea. In modern ophthalmology, this incision is typically less than 2.4 millimeters wide.

  • It is so small that it usually does not require any stitches.
  • It is precisely placed to minimize any post-operative astigmatism.
  • The incision acts as a self-sealing tunnel that closes naturally after the procedure.
  • It provides a safe entry point for the specialized instruments used to replace the lens.

Step Three: Phacoemulsification

The natural lens is located inside a thin, clear membrane called the capsular bag. To remove the cloudy or aged lens, the surgeon uses a technique called phacoemulsification. A tiny probe emits ultrasound waves that gently break the natural lens into microscopic pieces. These pieces are then safely vacuumed out of the eye. The surgeon is careful to leave the back of the capsular bag intact, as this will serve as the “pocket” that holds the new artificial lens in place.

Step Four: Folding And Inserting The Lens

Modern artificial lenses are made of flexible materials that allow them to be folded.

  • The lens is loaded into a specialized injector device.
  • It is inserted through the micro-incision in a rolled-up state.
  • Once inside the capsular bag, the lens gently unfolds and centers itself.
  • Flexible “arms” called haptics hold the lens securely against the walls of the capsule.

This foldable technology is what allows the surgery to be performed through such a small opening, which is the key to fast healing.

Can An Intraocular Lens Be Removed And Replaced ?

A common question regarding long-term care is can an intraocular lens be removed and replaced? The answer is yes, although it is rarely necessary.

  • This procedure, known as an IOL exchange, can be performed if the lens power needs to be adjusted.
  • It may be considered if a patient cannot adapt to the visual characteristics of a multifocal lens.
  • While it is more complex than the initial surgery, an experienced surgeon at Liv Hospital can safely perform an exchange to ensure patient satisfaction.
  • The best results occur when an exchange is performed within the first few months before the eye’s tissues firmly bond to the lens.

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Op. MD. Ulviye Askerova Op. MD. Ulviye Askerova Ophthalmology
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Laser-Assisted Lens Surgery (Femto-Cataract)

At Liv Hospital, we offer the option of using a femtosecond laser to perform the initial steps of the procedure.

  • The laser creates the micro-incision and the opening in the lens capsule with computer-guided precision.
  • It pre-segments the lens, reducing the amount of ultrasound energy needed.
  • It can also make tiny incisions in the cornea to correct minor astigmatism.

This technology adds an extra layer of customization and precision, particularly for patients who have chosen premium multifocal or trifocal lenses.

Finalizing The Procedure

Once the lens is perfectly centered, the surgeon performs a final check of the internal eye pressure and the stability of the implant. A protective shield or clear patch is often placed over the eye to protect it from accidental rubbing during the first few hours. You will spend a short time in the recovery lounge before being cleared to go home. The entire time spent in the operating room is usually less than twenty minutes, but the results provide a lifetime of clarity.

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Global Standards Of Surgical Care

The cost and availability of lens replacement procedures reflect the high level of technology involved. Globally, these procedures are recognized as the gold standard for treating both cataracts and high refractive errors. At Liv Hospital, we adhere to international clinical guidelines to ensure that our surgical outcomes match the best institutions in the world. Our investment in both surgeon expertise and surgical technology ensures that every patient receive a world-class experience.

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The Goal of Surgical Excellence

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The ultimate objective of the procedure is to provide you with vision that is as natural and clear as possible. Whether we are treating a dense cataract or performing a refractive lens exchange to eliminate glasses, the focus is always on safety and precision. By utilizing micro-incisional techniques and the highest quality intraocular lens types, we help our patients return to their normal lives with a renewed sense of clarity and visual freedom.

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FREQUENTLY ASKED QUESTIONS

How long does the actual surgery take?

The surgical portion of the procedure typically lasts between 10 and 20 minutes per eye.

Most patients only feel a mild scratchy sensation or a feeling of “something in the eye” for the first few hours.

Surgeons typically wait a few days to a week between eyes to ensure the first eye is healing safely before proceeding with the second.

No, once the lens is in place and the eye has healed, it stays in its position permanently.

A small, gentle medical device keeps your eyelids open, so blinking is not possible and will not interfere with the procedure.

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