Cataract Surgery and Intraocular Lens Implantation
Cataract surgery and intraocular lens implantation under the care of Dr. Nishant Taneja at the Indian Eye Institute and Laser Center in Tirana. Treatment includes cataract surgery as well as the management of complex cases, dislocated lenses, and postoperative complications.
What Is a Cataract?
A cataract is a clouding of the eye’s natural lens. Normally, the lens is clear and helps focus light onto the retina.
Loss of lens transparency can cause blurred vision, glare, reduced contrast, and visual distortion. Symptoms usually develop gradually and may affect reading, driving, and everyday activities.
During cataract surgery, the cloudy lens is removed and replaced with an artificial intraocular lens. The lens is selected based on the eye’s measurements and needs.
Dr. Nishant Taneja also treats patients referred by other surgeons for complications following cataract surgery. He has extensive experience in vitrectomy for displaced cataract material or dislocated intraocular lenses, as well as in secondary IOL fixation techniques.
CATARACT SURGERY AT A GLANCE
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Recovery:
Anesthesia:
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PHOTO GALLERY
Moments with Our Patients
What Are the Symptoms of Cataracts or Intraocular Lens Problems?
Cataracts usually develop slowly, whereas displacement of an intraocular lens can cause more sudden changes. The most common signs include:
Blurred Vision
Sensitivity to Light
Difficulty Seeing at Night
Halos Around Lights
Faded Colors
Double or Fluctuating Vision
Options for Cataract Treatment
Treatment is selected based on the condition of the natural lens, the support available for the intraocular lens, retinal health, and the presence of complications.
Cataract Surgery with IOL Implantation
During cataract surgery, the cloudy natural lens is removed and replaced with an artificial intraocular lens.
Before surgery, the necessary measurements are taken to calculate the appropriate lens power. The aim is to restore the clarity of the eye’s optical system and improve functional vision.
The final outcome also depends on the condition of the retina, optic nerve, and other structures of the eye.
Vitrectomy for Displaced Lens Material or Intraocular Lenses
A vitrectomy may be required when lens material becomes displaced into the back of the eye during or after cataract surgery. It may also be used to treat an intraocular lens that has become displaced or dropped into the vitreous cavity.
During the procedure, the vitreous gel is removed to allow the displaced material or lens to be treated safely. The lens may then be repositioned, removed, or replaced.
Dr. Nishant Taneja has extensive experience in vitreoretinal surgery for these complex cases.
Secondary Intraocular Lens Fixation
Secondary fixation is required when the eye lacks adequate support for standard intraocular lens placement.
Depending on the condition of the eye, Dr. Taneja may use sutured or sutureless scleral fixation, iris-claw lens fixation, or iris-sutured lens fixation.
The technique is selected individually based on the anatomy of the eye, the existing lens, and any complications present.
Dr. Nishant Taneja cares for patients referred by other surgeons for the treatment of cataract surgery complications. He also trains the next generation of vitreoretinal surgeons in managing these complex cases.
Benefits of Cataract Surgery
Treatment aims to improve visual clarity and restore the eye’s optical function. In complex cases, the goal is also to stabilize or replace the displaced lens.
Clearer Vision
Reduced Glare
Permanent Lens Replacement
Treatment of Complex Cases
Personalized Treatment
Personalized Cataract Treatment Solutions
Cataract Surgery
The clouded lens is removed and replaced with an artificial intraocular lens selected based on eye measurements.
- Removing the cloudy natural lens
- Intraocular lens implantation
- Lens power selection
- Postoperative follow-up visits
Vitrectomy for Complex Cases
Vitrectomy is used when cataract material or an intraocular lens becomes displaced into the back of the eye.
- Displaced cataract material
- Dislocated natural lens
- Displaced intraocular lens
- Complications after cataract surgery
Secondary Intraocular Lens (IOL) Fixation
When the lens cannot be placed in the usual position, secondary techniques are used to stabilize it.
- Sutured scleral fixation
- Sutureless scleral fixation
- Iris-claw lens fixation
- Iris-sutured lens fixation
What to Expect
01. Comprehensive Eye Examination
During the examination, visual acuity is assessed, intraocular pressure is measured, and the front of the eye is examined with a slit lamp. The pupils are then dilated to examine the lens, vitreous, and retina.
For planned cataract surgery, the necessary measurements are taken to calculate the power of the intraocular lens.
In complex cases, the position of the displaced lens material or lens, the condition of the capsule, and the available support for IOL fixation are assessed. OCT, ocular ultrasound, or other tests may be performed as needed.
02. Procedure
Surgery is performed under local anesthesia with sedation, depending on the type and complexity of the procedure.
During cataract surgery, the cloudy natural lens is removed and replaced with the selected intraocular lens.
When a displaced natural or intraocular lens must be removed, a vitrectomy performed, and a secondary lens secured, the procedure may take up to 90 minutes.
Depending on the condition of the eye, the intraocular lens may be secured to the sclera with or without sutures, clipped to the iris, or sutured to the iris.
03. Recovery and Follow-Up
Temporary blurred vision, light sensitivity, tearing, or mild discomfort may occur after the procedure. Eye drops should be used as instructed by the clinic.
Patients undergoing uncomplicated cataract surgery usually leave the clinic after the procedure. Patients who require vitrectomy are generally admitted overnight and return home the following day.
During recovery, rubbing the eye, strenuous physical activity, and heavy lifting should be avoided for the period recommended by Dr. Taneja. Patients should not drive until they are confident that their vision is adequate.
Severe pain, a sudden decrease in vision, worsening redness, or a sudden increase in floaters requires immediate contact with the clinic.
Indian Eye Clinic Tirana: 15+ Years of Trust
Retina | Cataract | Refractive Surgery
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Frequently Asked Questions
Surgery is generally recommended when cataracts interfere with reading, driving, work, or daily activities. The decision is made after an examination and a discussion of the patient's needs.
A cataract does not recur once the natural lens has been removed. However, the capsule behind the artificial lens may become cloudy over time, causing blurred vision again. This condition is assessed and treated separately.
The lens may be repositioned, secured, or replaced, depending on its position and the condition of the eye’s supporting structures. If the lens has fallen into the back of the eye, a vitrectomy may be required.
Recovery depends on the type of procedure. After standard cataract surgery, vision usually begins to improve gradually. Recovery after vitrectomy or secondary lens fixation may take longer and require more frequent follow-up visits.
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