+65 6560 2220 101 Irrawaddy Road #19-01/02/03/07
Royal Square @ Novena
Singapore 329565

Manual Phacoemulsification Cataract Surgery

What is the most advanced surgery for treating Presbyopia and Cataract ?

Traditional Manual Phaco-emulsification Cataract Surgery

is where all the incisions and openings are manually made with knives and sharp instruments inside the eye, followed by ultrasonic energy to aspirate and remove the cataract. This technology is now more than 50 years old and although the incision size is now a lot smaller than it used to be 50 years ago, certain aspects of Manual Phaco-emulsification are performed with limited precision and still has room for human errors to occur resulting in loss of vision.

A knife enters the eye to make a
corneal incision

A sharp micro-forcep enters the eye to tear
the capsule surrounding the cataract

The cataract is sculpted manually using
higher ultrasound energy level

Advanced Cataract Surgery

CATALYS® Femtosecond Laser Cataract Surgery Machine for Customizing 100% Bladeless Cataract Surgery

The highest level of Advanced Laser Cataract Surgery is not only computer-controlled during Lens Measurement, Calculation and Implantation stage, it is also customized and 100% bladeless with the use of the Femtosecond laser. Femtosecond laser devices are truly the most remarkable advance in cataract surgery since the development of Phaco-emulsification 50 years ago. The new Femtosecond laser cataract surgery automates and safeguards some of the most traditionally challenging steps of cataract surgery. This technology optimizes the critical steps of cataract surgery – cataract incision, capsulotomy and nucleus division. It creates accurate, reproducible and customized corneal and lens incisions facilitating the subsequent steps of cataract surgery. The combination of Computer-Guided Lens implantation and 100% Bladeless improves the effectiveness, precision, outcome, and safety of traditional cataract surgery.

Intelligent Bladeless Femtosecond Laser wound construction

Perfectly round and centric capsule opening performed bladeless

Bladeless division of cataract into smaller pieces requires less ultrasound energy for total removal of cataract, enabling a faster post-op visual recovery.

A perfectly well-centred premium lens implant which corrects myopia, astigmatism andpresbyopia (“Lao Hua”) can achieve total spectacle freedom to meet the demands of the modern cataract patient

What are the advantages? Is it just hype? As a lay person, are there really practical advantages to having a computer-guided and 100% Bladeless Femtosecond Laser Cataract Surgery?

100% Bladeless Femtosecond laser cataract surgery offers a paradigm shift in cataract surgery. Clinical evidence in support of the use of the technique is rapidly accumulating, and increased safety is a plus point.

Artificial Intelligence (AI) in modern cataract surgery out-performs a surgeon’s hand, reduce chance of human errors, provide greater precision and reproducibility.

One month follow-up after Cataract Surgery

With the expert partnership of Dr Natasha Lim Eye Centre, NOVENA Bladeless Cataract Surgery and Eye Specialist Centre will be the first and only private clinic with its own in-house MOH-accredited Ambulatory Surgery Centre that offers Advanced Computerised Zeiss CALLISTO® Cataract Suite and 100% Bladeless Cataract Surgery from the minute a diagnosis is made to finish of the cataract surgery journey:

The CARL ZEISS CALLISTO® Computerized Refractive Cataract Suite provides computer – guidance to intra-ocular lens implantation. It performs pre-operative measurement of intra-ocular lens implant using Optical Coherence Tomography imaging of the entire length of the eye for even greater accuracy. It captures unique feature points and curvature gradients of the eyeball for use as reference points so that no more manual eye marking is necessary for precision lens implant alignment. This data is automatically transferred to the eyepiece of the ZEISS CALLISTO® computer-assisted operating microscope for real-time active eye axis tracking throughout the surgery.

This is paired with the centre’s CATALYS® Femtosecond Laser, an FDA-approved system, bringing both laser precision technology and computer-guided consistency to cataract surgery. Treatment is fully customized to each individual’s eye, enabling better intra-ocular lens implants placement and the most accurate visual outcomes. These advantages are especially important when it comes to centration and alignment of high-definition (HD), premium intra-ocular lens implants such as presbyopia-correcting multifocal and high definition (HD) mono-vision lens implants. It is also the most precise form of correction for cylinder axis in eyes that suffer from astigmatism.

Z ALIGN Toric Assistant defines the reference and target axes wholly under computer guidance and displays them on ZEISS CALLISTO® screen and on the surgeon’s operating microscope’s eyepiece in high resolution, assisting the surgeon in the precise alignment of toric intra-ocular lens implants during cataract surgery

We don’t have to touch the eye. The reference appears as an overlay by the ZEISS CALLISTO® software. ZEISS CALLISTO® continuously tracks the patient’s eye throughout surgery in high resolution to provide assistance overlays. This has been proven. It is a more precise method of alignment of intra-ocular lens implant.

With patients appreciating the ability to customize their vision, incremental clinical advantages such as experiencing greater precision procedures and faster recovery periods, and once again enjoying the vision they had in their 20s without glasses, it is no surprise that this innovative procedure is rapidly setting the new standards for modern cataract surgery.

For an all-in-one correction of myopia, astigmatism and presbyopia, Computer-Guided Multi-focal lens implantation ensures pristine lens centration and even better visual outcomes.

Is there going to be a huge premium for this type of surgery? Will it be coverable by Insurance and Medisave?

There is no doubt that femtosecond laser cataract surgery is superior to manual cataract surgery. The main concern from patients presently is whether this technology is affordable or not. Yes it is coverable by Insurance and Medisave. Doctor’s fees and hospital facility fees vary greatly from person – to – person, place – to –place. You will find some doctors performing traditional manual phaco-emulsification who are charging more than some doctors performing 100% Bladeless Femtosecond Laser Cataract Surgery, and vice versa. For any surgical procedures, there are no fixed fees.

The issue of cost arises with any new technology and is always resolved. Whenever a superior technology emerges, it ultimately succeeds. NOVENA Bladeless Cataract Surgery & Eye Specialist Centre owns its Ambulatory Surgery Centre Operating Facility, its own ZEISS computerized cataract suite for lens alignment and lens implantation, its own CATALYS® Femtosecond Laser for 100% Bladeless Cataract Surgery and aims to make this technology affordable to the mass market. The private sector has had a reputation of being “expensive”. The Centre’s mission is to deliver cutting edge technology with the best expertise and strike off exorbitant facility / machine fees as it controls its own pricing, instead of being dependent on third party hospital’s facility fees. For NOVENA Bladeless Cataract Surgery & Eye Specialist Centre, there will not be huge difference in price between the traditional manual Phaco-emulsification and 100% Bladeless Femtosecond Laser Cataract Surgery.

We understand what the patients are looking for and their prime concerns. We only want to deliver the best and we want to make it affordable. Whilst cataract surgery is often associated with half a day of hospital stay with elaborate admission and discharge protocols, NOVENA Bladeless Cataract Surgery Centre boasts a privately run MOH-accredited Ambulatory Surgery Centre IN – HOUSE that saves on time and mental anxiety of patients by completing their cataract surgeries within 15 minutes in an environment of relaxation and comfort, without the need for intravenous sedation or eye injection , enabling initial admission to final discharge time of 1 hour , and patients can make their own way home safely.

If you yourself needed cataract surgery today? Would you go for this new technology or would you go for something that has been around in the market for the last few decades with proven results?

If I needed cataract surgery today, which method – manual or Bladeless Femtosecond Laser Cataract Surgery would I choose for my eyes? For me there is only one choice. I would select the Bladeless Femtosecond Laser. This is not debatable, it is a fact. Why not enjoy better safety and greater precision if I could. Bladeless Femtosecond Laser Cataract Surgery is the future of cataract surgery and the future is here.