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Phaco Surgery - Phacoemulsification with IOL in 30 Minutes

Are you struggling with cataracts that cloud your vision? Undergo phaco surgery for effective cataract treatment. Book your appointment today. Get in touch with the best-experienced ophthalmologists at Pristyn Care.

Are you struggling with cataracts that cloud your vision? Undergo phaco surgery for ... Read More

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Phaco Surgery: Overview of Technique, Benefits & Cost in India

The cataract is the leading cause of preventable blindness worldwide, having affected around 63% adults in South Asia, including India. Modern Phaco surgery has now become the wave of cataract removal with growing awareness and access to eye care. The method almost completely replaced conventional surgery due to a favourable safety profile, a short recovery period, and better success rates.

Also referred to as phacoemulsification, Phaco Surgery involves the minimally invasive procedure of removing cloudy eye lenses and implanting artificial intraocular lenses (IOLs). Usually under local anesthesia, the Phaco Surgery procedure employs ultrasound to break up and suck away the cataract-affected lens through a tiny incision.

• Disease name

Cataract

• Surgery name

Phacoemulsification

• Duration

15 minutes

• Treated by

Ophthalmologist

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What Is Phaco Surgery?

Phaco Surgery, or phacoemulsification, is a cataract-removal technique whereby ultrasound energy is used to emulsify the cloudy lens, which is then removed through a micro-incision. Compared to traditional extracapsular cataract extraction (ECCE), this more advanced technique entails faster healing, fewer complications, and quicker visual recovery.

During the Phaco Surgery procedure, a special handpiece having an ultrasonic-vibrating tip liquefies the cataract. The emulsified lens matter is sucked out, and a foldable intraocular lens (IOL) is placed in the original lens capsule.

Key Features of Phacoemulsification

Feature Details
Incision Size 2–3 mm (self-sealing, no stitches needed)
Anesthesia Used Topical or local anesthesia
Duration Approximately 15–30 minutes
Hospital Stay Outpatient procedure
Visual Recovery Typically, within 1–2 days
Lens Implant Foldable IOL placed inside the eye
Risk of Infection Lower than traditional methods due to smaller incisions

Are you going through any of these symptoms?

How the Phaco Surgery Procedure Works

The Phaco Surgery procedure is strictly controlled, using several precise steps with a phacoemulsification system. The surgery is usually done by an ophthalmologist in an aseptic operating theater.

Step-by-Step Procedure of Phaco Surgery

Step 1: Preparation and anesthesia: Local or topical anesthetic eye drops are applied to numb the eye. The pupil is dilated with mydriatic eye drops immediately before surgery.

Step 2: Micro-incision: An incision is made at the limbus edge using a 2-3 mm diamond or surgical steel blade. This is a self-sealing incision, so no stitches would be required in most cases.

Step 3: Capsulorhexis: By using fine instruments, a circular opening is made in the front part of the lens capsule, thus allowing access to the cataract.

Step 4: Phacoemulsification of cataract: An ultrasonic handpiece is introduced through the incision. It applies high-frequency sound waves that fragment the cataract into tiny pieces that are being aspirated out of the eye at the same time.

Step 5: Intraocular Lens (IOL) Insertion: The foldable artificial lens is injected inside the capsular bag using an injector. Once inside, the lens unfolds and is seated firmly.

Step 6: Closure of Incision: Since it is a really small wound, stitches are hardly ever needed. The eye is temporarily patched, and the patient is then observed for a period before discharge.

Benefits of Phaco Surgery

There is an increase in the demand for this Phaco Surgery treatment because of the many clinical benefits over traditional cataract surgery techniques. The patient experiences more comfort, leading to enhanced visual recovery, thus leading to the worldwide acceptance of this method among ophthalmologists.

1. Smaller Incision Size

With older surgical procedures, incisions of about 10–12 mm had to be made, whereas in Phaco Surgery, an incision of 2–3 mm is sufficient. This means:

  • Less trauma to the eye
  • Faster healing of tissue
  • Lower chance of infection or bleeding

2. No-Stitch Procedure

Since the incision seals itself, these types of surgery rarely require suturing. This lessens postoperative irritation and follow-ups for suture removal.

3. Faster Recovery and Visual Rehabilitation

Functional vision can be regained within 24 to 48 hours by most patients who have undergone the Phaco Surgery procedure. However, complete visual recovery may take from one to two weeks, depending on the general health of the eyes.

4. Minimal Pain and Discomfort

The entire Phaco Surgery treatment is performed under topical or local anesthesia, with minimal to no pain during treatment. Discomfort post-operation would be mild and usually lasts for a day or two.

5. Higher Precision and Safety

Cataract removal is carried out to greater precision, through ultrasound-based emulsification and modern instruments, minimizing opportunities for complications.

6. Improved Visual Outcomes

The IOL’s precise implantation within the capsular bag and intact surrounding structures of the eye mean that patients can experience clearer and sharper vision with fewer visual distortions and aberrations.

7. Reduced Hospitalization Time

Phaco Surgery is a day-care procedure. Within just a few hours after the surgery, patients usually get discharged from the hospital, thus saving hospital time and costs.

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Ideal Candidates for Phaco Surgery Treatment

Most of the people affected with cataracts are eligible for Phaco Surgery treatment. However, the ophthalmologists have to consider some criteria to determine suitability.

Eligibility Criteria:

  • Given diagnosis of age-related or congenital cataracts
  • Generally in good health of the eye, with no severe corneal scarring or uveitis
  • Eyes with pupils that dilate adequately for surgical working access
  • No major dislocational pathology of the lens
  • Controlled chronic illnesses such as diabetes and hypertension etc.

Caution is advised for:

  • Advanced glaucoma
  • Corneal degeneration or endothelial cell loss
  • Small pupils unresponsive to dilation
  • Unresponsive high intraocular pressure (IOP)

A thorough pre-operative evaluation of the patient should be done by slit-lamp examination, ocular biometry, and retinal imaging before finalizing eligibility for Phaco Surgery.

Who Should Avoid Phaco Surgery for Cataract Removal?

In most cataract cases, Phaco Surgery is safe and effective, but with some unique conditions, these procedures generally tend to become unsuitable or start raising the risk.

Contraindications Include:

 

Medical Condition Reason for Avoidance
Traumatic cataracts with lens instability May require alternate techniques to stabilize the lens
Corneal endothelial dystrophy Risk of endothelial cell loss and corneal decompensation
Zonular dialysis or weak lens support Phacoemulsification may dislocate the lens during removal
Chronic uveitis Higher inflammation risk post-surgery
Dense, brunescent, or mature cataracts Require more energy, increasing the chance of thermal damage

In such cases, surgeons may opt for manual small incision cataract surgery (MSICS) or extracapsular techniques based on risk assessment.

Risks and Complications of Phaco Surgery

Although uncommon, complications during or after the Phaco Surgery procedure may occur, especially in those with complex ocular problems or poorly controlled systemic illnesses.

Intraoperative Risks:

  • Rupture of the posterior capsule
  • Damage to the iris
  • Corneal burns secondary to prolonged phaco energy

Postoperative Risks:

  • Temporary rise in intraocular pressure
  • Posterior capsule opacification (PCO)
  • Endophthalmitis (severe infection, rare)
  • Corneal edema or inflammation
  • Cystoid macular edema (CME)

Most of these complications, if noticed early, can be treated successfully with regular follow-ups and strict adherence to prescribed medication schedules.

Phaco Surgery Cost in India

The price of Phaco Surgery treatment in India varies depending on factors such as the city, hospital setup, surgeon’s experience, and the selection of an intraocular lens (IOL). Compared to many parts of the world, it is more of an affordable solution; however, price differentials exist between metros and tier-2 cities.

Average Cost Range:

  • ₹20,000 to ₹1,20,000 per eye (depending on IOL type and hospital category)

City-wise Breakdown:

City Estimated Price Range (INR)
Delhi ₹25,000 – ₹1,40,000
Mumbai ₹25,000 – ₹1,40,000
Bangalore ₹25,000 – ₹1,40,000
Chennai ₹25,000 – ₹1,40,000
Hyderabad ₹25,000 – ₹1,40,000
Pune ₹25,000 – ₹1,40,000
Kolkata ₹25,000 – ₹1,40,000
Ahmedabad ₹25,000 – ₹1,40,000

Note: Prices are indicative and subject to change based on clinic type, technology, and add-ons like femto-assisted phaco or premium lenses.

Factors Influencing the Cost of Phaco Surgery

Cost Factor Description
Type of IOL Used Monofocal lenses are more affordable; multifocal or toric lenses cost more
Surgeon’s Experience Senior ophthalmologists or specialized retina surgeons may charge a premium
Technology and Equipment Clinics using femtosecond lasers or advanced phaco systems have higher fees
City and Clinic Tier Metropolitan clinics and NABH-accredited hospitals tend to have higher charges
Inclusion of Diagnostics Some packages include pre-operative tests, medication, and follow-up charges
Insurance or Cashless Facility If covered by insurance, the out-of-pocket expense can be significantly lower

Is Phaco Surgery Covered by Insurance in India?

Yes. Almost every health insurance plan in India includes Phaco Surgery treatment for cataracts under insurance. Although the reimbursement quoted depends on the exact terms of the policy, and whether it is done in a network hospital.

Important Insurance Considerations:

  • Cataract cover is usually capped (₹15,000–₹1,00,000 per eye)
  • Typical waiting periods are from 2 to 4 years
  • Cashless services can be availed in empaneled hospitals
  • Reimbursement may not be made completely for premium IOLs (multifocal, toric)

Patients should contact a general insurance company or a Third Party Administrator (TPA) to verify eligibility and the documentation, and the reimbursement procedure prior to the surgery.

Phaco Surgery vs. Traditional Cataract Surgery

Both techniques aim to remove clouding of the natural lens, but Phaco Surgery has now become the most accepted procedure in clinical ophthalmology.

Comparative Table:

Feature Phaco Surgery Traditional Cataract Surgery
Incision Size 2–3 mm 10–12 mm
Need for Stitches Usually no Often required
Anesthesia Used Topical/Local Local with sedation
Recovery Time 1–2 days 1–2 weeks
Risk of Complications Lower Higher due to manual handling
Visual Rehabilitation Faster Slower
Hospital Stay Outpatient May need overnight stay
Cost (Approx.) Moderate to High (tech-dependent) Generally lower

Aside from lessening the trauma to tissues of the eye, the Phaco Surgery procedure also reduces postoperative complications and thus renders it compatible for most age-related and early-stage cataracts.

Recovery After Phaco Surgery: Timeline & Aftercare Instructions

Although Phaco Surgery is considered minimally invasive and is performed on an outpatient basis, aftercare assumes a very important role in healing and attaining maximum visual results. Following post-op care greatly decreases the likelihood of inflammation, infections, or posterior capsule opacification.

Typical Recovery Timeline:

Post-Surgery Duration Expected Recovery Milestones
First 24 Hours Mild discomfort, blurry vision, light sensitivity, and use of a protective shield
2–7 Days Vision stabilizes, and normal activities can be resumed (excluding eye strain)
2–4 Weeks Clear vision achieved, eye fully healed, follow-up with ophthalmologist

Post-Operative Care Guidelines

The following are the necessary steps for a smooth recovery after undergoing the Phaco Surgery procedure:

Medication and Drops:

  • Use prescribed antibiotics and anti-inflammatory eye drops for a period ranging from 2 to 4 weeks.
  • Never miss an administration. Administer at times prescribed by your doctor.
  • If unsure, avoid the use of any over-the-counter eye products, unless your doctor has given you permission.

Eye Protection:

  • Protective shields or glasses should be worn for 3 to 5 days after 3 days post-surgery.
  • Avoid rubbing or pressing on the operated eye. 

Hygiene and Activities:

  • In the first week, splashing water directly onto the eyes should be avoided.
  • Bathe from the neck down or just wipe the face with a clean, smooth cloth.
  • Avoid dusty environments, eye makeup, and swimming for at least two weeks.
  • No driving, bending, or lifting heavy objects until cleared by the doctor

Screen Time and Reading:

  • Try to limit screen time (phone, TV, computer) for the first 3 to 4 days.
  • Depending on comfort, gradually resume reading after 5 to 7 days.

Follow-Up Appointments:

  • Follow up on post-operative visits on Day 1, Day 7, and Week 4.
  • Further re-examination may be recommended according to the progress of healing.

When to Contact the Surgeon Immediately

Look for medical attention if any of the following symptoms occur post-Phaco Surgery treatment:

  • Persistent or severe pain
  • Redness worsening with time
  • Sudden drop in vision or new visual disturbances
  • Swelling of eyelids and/or around the eye
  • Yellow or greenish discharge from the eye
  • Nausea or headaches with visual disturbances.

Early detection and treatment would help prevent severe complications such as infections or a drop in intraocular pressure.

Customization Options in Phaco Surgery

Phaco Surgery procedure offers levels of customization according to the patient’s refractive error, lifestyle, and medical history. Selecting the right intraocular lens is of utmost importance to address any further visual requirements after surgery.

Types of Intraocular Lenses (IOLs)

Type Purpose Cost (Indicative)
Monofocal IOL Corrects vision at one distance (near or far) ₹25,000 – ₹45,000
Multifocal IOL Allows vision at multiple distances (reduces glasses use) ₹80,000 – ₹1,20,000
Toric IOL Corrects astigmatism in addition to cataracts ₹55,000 – ₹90,000
EDOF IOL Extended depth-of-focus; better intermediate vision ₹45,000 – ₹65,000

Some surgeons may also offer femto-assisted Phaco Surgery treatment, where lasers are used for incisions and lens fragmentation for greater accuracy and safety.

Technological Advancements in Phaco Surgery

Technological innovations have recently made the Phaco Surgery procedure faster and safer, giving cataract management even better results.

Emerging Technologies:

  • Femtosecond Laser-Assisted Cataract Surgery (FLACS): Automates the incision and the capsulotomy, which allows for improved IOL centration.
  • Torsional Phacoemulsification: Uses oscillating energy instead of conventional linear ultrasound, thereby causing less damage to the cornea.
  • Adaptive Fluidics: Adapts intraocular pressure dynamically during surgery and maintains intraocular stability.
  • Digital Marker Systems: Helps align the toric lens with precision in patients who have astigmatism.

These technologies are slowly being incorporated into India’s premium eye hospitals, especially in metro cities.

Phaco Surgery has changed the treatment of cataracts by way of minimally invasive, highly efficacious, and quick-recovery methods of surgery. Its ability to bring in quick improvement of vision with lesser risks makes it preferred among patients and surgeons across India. This highly customizable treatment option, especially in terms of IOL choice, makes it possible to achieve greater levels of visual satisfaction depending on an individual’s needs.

Phaco Surgery treatment is now more accessible to the general public due to its availability in top hospitals, insurance coverage, and advanced technology. However, the success of the procedure still depends on the surgeon’s expertise and careful follow-up care.

Get a thorough eye check-up and consult a board-certified ophthalmologist before deciding on the Phaco Surgery procedure. Early treatment can restore clear vision and help avoid serious complications from a progressing cataract. To explore your options, connect with a cataract specialist at Pristyn Care.

Frequently Asked Questions Around Phaco Surgery

What is the minimum age requirement for Phaco Surgery?

There is no set minimum age. Usually, cataracts affect patients above 50. However, congenital cataracts or traumatic cataracts might require Phaco Surgery treatment on a young patient, even a child, under specialist supervision.

Can both eyes be operated on the same day?

Typically, only one eye is treated at a time. The other eye is usually operated upon a week or two after the first eye has recovered, depending upon the patient’s response and the doctor’s opinion.

Is Phaco Surgery safe for diabetic patients?

Yes, if blood sugar levels are under control. Pre-operative assessment is required in diabetics; also, extra care is provided during and after surgery to prevent infections or delayed healing.

How long does the artificial lens last?

The Intraocular lenses (IOLs) implanted during Phaco Surgery are intended for life. The lens normally need not be replaced.

Is a laser used in Phaco Surgery?

Conventional Phaco Surgery employs ultrasonic energy and not a laser. On the other hand, femto-assisted approaches use lasers to create corneal incisions and perform lens fragmentation, thereby improving precision.

What is posterior capsule opacification (PCO)?

Posterior capsule opacification (PCO), also known as a secondary cataract, sets in after the lens capsule becomes cloudy post-surgery. It can be easily and painlessly treated with a YAG laser procedure in an outpatient setting.

Can I wear contact lenses after Phaco Surgery?

Post-surgery, contact lenses are rarely required since clear vision is provided by IOLs. Yet, in rare scenarios, soft lenses may be prescribed after a full recovery period.

Are there any long-term side effects of Phaco Surgery?

Long-term complications seldom arise if the surgery has been performed correctly by experienced personnel. Occasionally, dry eyes, glare, and halos are experienced, but they can be treated with medications or a change in lenses.

Can Phaco Surgery correct pre-existing refractive errors like myopia or hyperopia?

Yes. Based on the IOL chosen, the Phaco Surgery procedure may cure myopia, hyperopia, astigmatism, or presbyopia, therefore lessening the dependency on glasses or bifocals after surgery.

Is Phaco Surgery possible for patients with only one functional eye?

Yes. Surgeons take additional precautionary measures and detailed planning before performing Phaco Surgery in this high-risk case to save as much vision as possible without complications.

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Medically Reviewed By
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Dr. Varun Gogia
18 Years Experience Overall
Last Updated : August 14, 2025

What Our Patients Say

Based on 12 Recommendations | Rated 5.0 Out of 5
  • MK

    Megha Kharwar

    verified
    5/5

    Pristyn Care's phacoemulsification treatment for cataract was truly a gift for my eyes. The foggy vision had been hindering my daily activities, but their compassionate team put me at ease. The surgery was surprisingly quick and painless, and the surgeon's expertise was commendable. The post-operative care was exceptional, and the recovery was smoother than I expected. Thanks to Pristyn Care, I can now see the world with clarity and joy. I highly recommend them for their outstanding cataract treatment!

    City : Madurai
  • AG

    Anisha Gujjar

    verified
    5/5

    I am grateful to Pristyn Care for their outstanding phacoemulsification treatment for cataract. The blurry vision had been affecting my work and hobbies, but their skilled team assured me of a solution. The surgery was swift and painless, and the surgeon's expertise was evident throughout. The post-operative care was top-notch, and they were always available to address my concerns. Thanks to Pristyn Care, my vision has improved significantly, and I can now see the world with clarity. I highly recommend Pristyn Care for their personalized and excellent cataract treatment!

    City : Nashik
  • SD

    Samarth Deshmukh

    verified
    5/5

    Pristyn Care's phaco surgery for cataract was a success. The ophthalmologist was skilled, and the procedure was painless. Pristyn Care's post-operative care was excellent, and my vision has significantly improved. Thank you, Pristyn Care!

    City : Bhubaneswar
  • AS

    Anurag Sarkar

    verified
    5/5

    My experience with Pristyn Care for phaco-surgery was exceptional. I had cataracts in both eyes, and the surgeon performed the procedure with precision and care. The post-operative follow-up was thorough, and my vision is now crystal clear. Thank you, Pristyn Care!

    City : Delhi
  • ST

    Sonal Tripathi

    verified
    5/5

    Living with cataract had been a challenge, but Pristyn Care made the treatment journey smooth. Their phacoemulsification surgery was efficient, and the surgeon's confidence put me at ease. The entire process was hassle-free, and the post-operative care was impressive. I'm thrilled with the improvement in my vision, all thanks to Pristyn Care. They provided personalized care and made me feel valued as a patient. If you're looking for reliable cataract treatment, Pristyn Care is the answer!

    City : Nagpur
  • SM

    Siddharth Maurya

    verified
    5/5

    I had four family members undergo phaco-surgery at Pristyn Care, and all of them had fantastic outcomes. The surgeons were skilled, and the facilities were top-notch. The team ensured that each patient received personalized attention. Highly recommend Pristyn Care for eye surgeries.

    City : Lucknow