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Home >  Cataract Surgery > Flacs

Femtosecond Laser-assisted Cataract Surgery (FLACS)

In the world of vision correction, Femtosecond Laser-Assisted Cataract Surgery or FLACS is a breakthrough. This innovative technique uses a laser for precise incisions in the eye to remove cataracts. With its myriad benefits including shorter recovery times, reduced pain, and fewer complications, it has become an effective alternative to traditional cataract surgery. If you or your loved ones are struggling with cataracts, consult with the expert ophthalmologists at Pristyn Care. Book your appointment today and embrace a clearer tomorrow.

In the world of vision correction, Femtosecond Laser-Assisted Cataract Surgery or FLACS is ...a breakthrough. This innovative technique uses a laser for precise incisions in the eye to remove cataracts. With its myriad benefits including shorter recovery times, reduced pain, and fewer complications, it has become an effective alternative to traditional cataract surgery. If you or your loved ones are struggling with cataracts, consult with the expert ophthalmologists at Pristyn Care. Book your appointment today and embrace a clearer tomorrow.Read More

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    Dr. Barkha Gupta - Cataract Surgery Treatment Specialist in C-2/390, Pankha Rd, C4 D Block, Janakpuri, over 10 Years Experience

    Dr. Barkha Gupta

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    Dr. Varun Gogia - Cataract Surgery Treatment Specialist in 26, National Park Rd, near Moolchand Metro station, Vikram Vihar, Lajpat Nagar IV, Lajpat Nagar, New Delhi, Delhi 110024, over 19 Years Experience

    Dr. Varun Gogia

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    Dr. Chanchal Gadodiya - Cataract Surgery Treatment Specialist in Matriyash Kamalkunj, 1206/B3, off Jangali Maharaj Road, Deccan Gymkhana, Pune, Maharashtra 411004, over 13 Years Experience

    Dr. Chanchal Gadodiya

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    location iconMatriyash Kamalkunj, 1206/B3, off Jangali Maharaj Road, Deccan Gymkhana, Pune, Maharashtra 411004
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    Dr. Sunil Kumar Narang - Cataract Surgery Treatment Specialist in Model Town, Delhi, 110033, over 45 Years Experience

    Dr. Sunil Kumar Narang

    MBBS, MS-Ophthalmology
    45 Yrs.Exp.

    4.5/5

    45 Years Experience

    location iconModel Town, Delhi, 110033
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What is FLACS Cataract Surgery?

Femtosecond Laser-Assisted Cataract Surgery or FLACS is a revolutionary technique used in the field of ophthalmology. It utilizes an advanced femtosecond laser, a device that enables eye surgeons to make precise incisions in the eye for cataract removal. The use of a laser allows for a more controlled and predictable removal of cataracts.

Performed by an ophthalmologist, this outpatient procedure does not require an overnight hospital stay. Compared to traditional cataract surgery, FLACS offers several advantages such as accuracy, efficiency, and less discomfort.

In this procedure, the cloudy lens is meticulously removed using laser technology and replaced with an artificial intraocular lens (IOL). The entire process takes less than an hour and boasts a high success rate. Given its advantages, it’s no wonder why many doctors and patients are opting for FLACS as a preferred method of treatment.

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Diagnosis Before Cataract Surgery

Prior to the removal of a cataract, a thorough eye examination by an ophthalmologist is imperative. This involves several tests, which include:

  • Visual Acuity Test: This test measures the sharpness of your vision. Using an eye chart, your doctor will assess the clarity of your sight, one eye at a time to detect any vision impairment.
  • Slit-Lamp Examination: Also known as biomicroscopy, this test employs a special microscope called a slit lamp. It provides a magnified view of the front structures of your eye such as the cornea, iris, and lens, enabling the detection and evaluation of cataracts.
  • Dilated Eye Exam: To examine your retina and the back of your eye more clearly, your doctor will use eye drops to dilate your pupils. This gives them a better view of any cataracts present.
  • Measurement of the Eye: This step is necessary to determine the right size for the artificial lens implant which will replace the natural lens during surgery.

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Step-by-step Procedure of FLACS Cataract Surgery

FLACS, a revolutionary way to perform cataract surgery, is a two-stage process that includes:

FLACS (Femtosecond Laser-Assisted Cataract Surgery) involves several steps:

  • Preparation: The eye is numbed with topical anesthesia, and the area around the eye is cleaned and draped to maintain sterility.
  • Femtosecond Laser Planning: The surgeon uses advanced imaging technology to create a detailed 3D map of the eye. Using this map, the surgeon plans the precise location, depth, and size of incisions and capsulotomy (opening in the lens capsule).
  • Femtosecond Laser Application: The patient is positioned under the femtosecond laser system, and the planned incisions and capsulotomy are performed with computer-guided laser pulses. The laser breaks up the cataract and softens the lens for easier removal.
  • Phacoemulsification: After the femtosecond laser treatment, the surgeon performs phacoemulsification, a process where an ultrasonic probe is used to break up and remove the cataract fragments from the eye.
  • IOL Insertion: An artificial intraocular lens (IOL) is then inserted into the capsular bag to replace the natural lens removed during surgery. The IOL is carefully positioned to correct the patient’s vision.
  • Wound Closure: In most cases, the incisions created during surgery are self-sealing and do not require sutures. If necessary, the surgeon may use tiny sutures to close the incisions.

Who is the Right Candidate for FLACS Cataract Surgery?

FLACS surgery for cataract is an advanced procedure, but like all medical treatments, it’s not suitable for everyone. Your eye specialist will assess your condition, symptoms, and how significantly the cataract impacts your daily life before deciding on the best course of action. However, there are some general guidelines:

  • Visual Symptoms: If your vision has deteriorated to the point where performing everyday tasks such as reading or driving becomes difficult, your doctor might recommend FLACS.

Impact on Daily Life: A deciding factor is how much the cataract affects your quality of life. If it’s hampering daily activities and independence, then FLACS may be suggested as a solution.

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What are the Benefits of Femtosecond Laser-Assisted Cataract Surgery?

FLACS surgery offers several advantages to patients when compared to traditional cataract surgery, these advantages include:

  • Shorter Recovery Period: Due to the precision of the laser, smaller incisions are made which lead to less tissue damage, thus reducing healing time.
  • Minimised Discomfort: The laser’s high level of accuracy allows it to target specific areas with extreme precision, resulting in reduced pain for patients.
  • Fewer Complications:FLACS provides surgeons with a clear view of the procedure and allows them to make corrections when needed, leading to fewer complications.
  • Improved Accuracy: The precise targeting capacity of the femtosecond laser leads to improved surgical outcomes.

How to Prepare for FLACS?

Preparing for FLACS is crucial as proper preparation will lead to successful outcomes. Here’s how you can get started:

  • Consultation: Have a detailed discussion with your specialist to ascertain if FLACS is the ideal option for your specific case.
  • Open Communication: If you have any questions or concerns about the procedure, make sure to discuss them with your doctor. Remember, no question is too small when it comes to your health.
  • Treatment Plan: Collaborate with your doctor to create a tailored plan which suits your needs and optimises your results post-surgery.

Recovery Tips and Precautions to Follow After FLACS Cataract Surgery

Recovery from FLACS might seem challenging initially, but by adhering to some simple steps, you can ensure that your healing journey becomes smooth. Here are some tips and precautions you can follow after FLACS:

  • Use Prescription Eye Drops: Follow your surgeon’s instructions regarding the use of prescription eye drops to prevent infection, reduce inflammation, and promote healing. Administer the drops as prescribed and avoid touching your eyes with unwashed hands.
  • Protect Your Eyes: Wear protective eyewear, such as sunglasses or eyeglasses, to shield your eyes from bright lights and UV radiation, especially in the first few days after surgery. Avoid rubbing or touching your eyes, and refrain from swimming or exposing your eyes to water for at least one week.
  • Rest and Avoid Strain: Limit activities that may strain your eyes, such as reading, watching TV, or using electronic devices, especially in the first few days after surgery. Take regular breaks to rest your eyes and avoid heavy lifting or strenuous activities for at least one week.
  • Follow Activity Restrictions: Follow any activity restrictions provided by your surgeon, such as avoiding bending over, lifting heavy objects, or engaging in strenuous exercise. These restrictions help prevent complications and promote healing.

Potential Risks or Complications Associated with FLACS

Like any surgical procedure, FLACS also carries some risks and potential complications. However, being aware of these beforehand can help you make an informed decision about the operation:

  • Adverse Reactions: With femtosecond laser treatment, there’s an increased risk of unexpected miosis, subconjunctival haemorrhage, corneal epithelial defect, and corneal haze.
  • Learning Curve Concerns: Ocular surface injuries may occur initially, but they can be managed after gaining experience over time.
  • Specific Concerns: Certain complications are specific to FLACS like Descemet membrane tear or trauma, iris trauma, and macular oedema. However, it’s important to remember that FLACS is generally considered a safe procedure with a high success rate.

What is the Cost of FLACS in India?

The cost FLACS cataract surgery can be a considerable component for many patients. The cost of FLACS surgery in India varies and depends on several factors. Here are some key determinants for the cost FLACS:

  • Type of Lens: The choice of lens used in FLACS can significantly affect the overall cost. Different lenses come with varying price tags, and your doctor’s recommendation would depend on your condition and preference.
  • Surgeon’s Fees: Eye surgeons, based on their expertise and experience, might have different fee structures. A more experienced surgeon might charge higher fees than a less experienced one.
  • Hospital Charges: Different hospitals have various pricing structures. A hospital equipped with state-of-the-art facilities may charge more than others.
  • Location: The geographical location of the clinic or hospital also plays a role in determining the cost. Operational costs are generally higher in metro cities as compared to smaller towns, which can reflect in the surgery costs.

Is FLACS Covered Under Insurance?

Dealing with cataracts can be stressful enough without worrying about the financial implications. Thankfully, most health insurance policies in India cover cataract surgeries, including FLACS. This coverage helps ease the burden of the expenses associated with the surgery, including pre- and post-operative care. Insurance policies cover various aspects related to cataract surgery, such as:

  • The cost involved for FLACS.
  • Surgeon’s fees.
  • Hospital charges.
  • The cost of an artificial lens implant.

In addition, your policy may also cover pre-surgery consultations, diagnostic tests required before the surgery, and follow-up visits after the procedure.

However, you must also be aware of certain exclusions that insurance policies may have:

  • Waiting Period: Some insurance policies require a waiting period of 1-2 years before you can make a claim for FLACS.
  • Limitations: Insurance policies may have sub-limits on the amount that can be claimed for the procedure. Expenses exceeding this limit will have to be paid by the patient.
  • Refractive Errors: Insurance policies might not cover certain refractive errors below a specific dioptre threshold.

It is necessary to read your health insurance policy carefully and talk to your insurance provider to understand the inclusions and exclusions for FLACS. Ensure you are well-informed about your coverage before you proceed with the surgery.

FAQs Related to FLACS

What exactly is FLACS?

FLACS is a modern cataract removal procedure. It uses precise femtosecond laser technology, instead of traditional manual tools, to make incisions and soften the cataract. The femtosecond laser allows for a higher degree of accuracy, potentially enhancing surgical outcomes.

How does FLACS differ from traditional cataract surgeries?

The primary difference lies between FLACS and traditional cataract surgery in the technology used. FLACS uses a femtosecond laser to make precise incisions and break up the cataract, while traditional surgeries rely on manual tools such as blades.

Does FLACS cause any pain?

No, just like other eye surgeries, FLACS is performed under topical anaesthesia or mild sedation, so you won’t feel any pain during the procedure.

How long does it take to recover from FLACS?

Recovery from FLACS is similar to traditional cataract surgery. Many patients notice an improvement in their vision within a few days of the operation. However, full recovery might take a few weeks.

How long does it take to perform FLACS?

The actual laser treatment in FLACS usually takes less than a minute. However, the total time spent in the operation theatre might be around 15-20 minutes, including preparation and aftercare.

Is there a chance of developing cataracts again after undergoing FLACS?

After any type of cataract surgery, including FLACS, there’s a small chance of developing something called secondary cataracts or posterior capsule opacification (PCO). However, this can be easily treated with a quick laser procedure.

Can both eyes undergo FLACS on the same day?

While it’s technically possible to operate on both eyes on the same day, most doctors prefer to perform surgery on one eye at a time. This allows the first eye to start healing and gives the doctor a chance to check for any complications before proceeding with the second eye.

Is FLACS safe?

FLACS is considered safe, as it’s a less invasive procedure. The use of laser technology makes it highly precise, potentially reducing risks associated with manual incisions. However, like every surgery, there are possible risks which your doctor will discuss with you.

When should I visit my ophthalmologist after undergoing FLACS?

Typically, your first follow-up visit will be scheduled for the day after your surgery. Subsequent visits might be scheduled one week, one month, and three months post-surgery. However, the frequency of visits may depend on individual circumstances and how well your eye is healing.

Can people with other eye conditions undergo FLACS?

Generally, yes. FLACS can be performed on individuals with most other eye conditions, including glaucoma and age-related macular degeneration. However, your doctor will make the final decision based on your specific case.

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Medically Reviewed By
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Dr. Barkha Gupta
MBBS, MD-Ophthalmology
10 Years Experience Overall
Last Updated : August 21, 2026

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