Premium Cataract Surgery

REMOVE CATARACTS AND IMPROVE NATURAL VISION

Why should cataract surgery be viewed as a great opportunity?

Modern cataract surgery not only restores the clarity of the optics in the eye but allows access to lens implant technology which can improve the focusing of the eye.

What eye conditions does premium cataract surgery treat?

Not only can the cloudy lens be removed restoring a clear view of the world, but also the astigmatism of the eye can be addressed.

The higher order aberrations of the eye can be optimised and for many people, clear vision for near can be achieved in addition to clear vision for distance. Many of these patients no longer need to wear glasses after their cataract surgery.

Keep scrolling to read how our premium cataract surgery compares to your NHS and other private options.

How would I know if I have cataracts?

In this video, James Ball discusses how to tell if you have cataracts.

YouTube video

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How does cataract surgery work?

In this video, James Ball discusses how cataract surgery works.

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Achieving these outcomes takes a great deal of additional pre-operative examination and requires the expertise of a specialist anterior segment ophthalmic surgeon.

An anterior segment surgeon specialises in surgery to the cornea and lens exclusively. At Custom Vision Clinics, the surgeon measures the astigmatism and spherical aberration of the cornea and uses this information to precisely calculate the lens power required at the time of cataract surgery and the additional reshaping of the cornea required to provide the best possible outcome for each patient.

Understanding your private and NHS cataract surgery options

At Custom Vision Clinic the only questions we are ever asking about our cataract surgery are, “How do we improve the patient experience?” and “How do we improve our patient outcomes?”

In the NHS, the funding restrictions mean that the most commonly asked questions in cataract surgery care are “How can we push more patients through an operating list?” and “How can we make the operation cheaper?”

These differences in approach drive different outcomes:

Advantages of premium cataract surgery over conventional cataract surgery (on the NHS)

With premium cataract surgery:

  • You choose your surgeon.
  • Your surgeon plans your treatment with you after discussing your lifestyle, eye health and ambitions for your vision.
  • Your surgeon oversees your entire patient journey and if you have any concerns you can simply call their personal mobile number.
  • Most NHS cataract operating lists are put together from pooled lists of patients and the first time the patient meets their surgeon is on the day of surgery.
  • You choose when you want your surgery done.
  • You can have both eyes treated within one week.
  • Many NHS units make patients wait months to have their second eye treated.
  • You can have cataract surgery before it significantly impacts your vision and lifestyle.
  • In many areas of the UK the NHS apply thresholds to when patients can receive treatment. The patient may have to wait until their vision is very poor before they are offered treatment.
  • Additional measurements are taken before treatment planning to improve safety and accuracy. At Custom Vision Clinic all patients have IOLmaster 700 biometry, Lenstar biometry, Pentacam corneal shape measurement and an OCT scan (retinal scan).
  • In most NHS units and also many private hospitals, patients only have one set of measurements on one biometry machine.
  • You attend at a specified surgical appointment time so that you are not waiting with other patients
  • Adaptive fluidics are used during the cataract surgery. This makes the surgery more comfortable and safer. The adaptive fluidics reduce the risk of surgical complications and reduce the risk of damage to the optic nerve.
  • Adaptive fluidics are more expensive and so rarely used in NHS units and are only used in some private clinics.
  • Toric astigmatism correcting lenses are used for all cases where the lens will provide clinical benefit.
  • In most NHS units, astigmatism is left untreated at the time of cataract surgery and in almost all private clinics are only provided at additional cost.
  • Only hydrophobic acrylic lenses are used at Custom Vision Clinic.
  • Many NHS units use hydrophilic acrylic which are much less expensive than hydrophobic lenses but which cause a high rate of secondary cataract -PCO.
  • If PCO occurs within two years of surgery then corrective treatment (YAG capsulotomy) is provided free of charge.
  • The majority of private clinics make an additional charge for a YAG capsulotomy. We do not.
  • Additional medications are provided to ensure the best possible post-operative recovery.
  • If the refractive outcome (need for spectacles) is not what was planned despite all the extra measurements at Custom Vision Clinic we offer enhancement surgery free of charge (LASIK, LASEK or piggyback lens implantation – note: this is a clinical decision made between surgeon and patient after weighing up the pros and cons of further surgery – even with further surgery it is not possible to guarantee a specific refractive outcome or level of spectacle independence).
  • The majority of NHS patients require spectacles for distance and/or near vision after cataract surgery. The majority of private clinics either do not have the facilities for enhancement treatment or, if they do, make an additional charge for this service. We provide enhancement surgery free of charge.

What questions should you ask your cataract surgeon?

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Results at a glance

Laser procedures
Cataract procedures
%
Better than the national average of complication rates

My eyesight following the operation is brilliant and better than I thought possible, and this is all down to your excellent surgeon Mr James Ball and not to forget all the very dedicated people around him who make these operations possible.

Keith Garlick

Two of the best decisions I ever made in my life were firstly to have lens exchange and secondly to have Mr James Ball carry out my operation.

Patricia Walton

Within minutes I could tell there was a difference. But now, only a couple of months later, my sight is better than it was seven years ago! I can even read the really tiny print on the car sales ads! If you want that confidence you probably felt when you were younger, this is the ideal solution. Thanks to the treatment, I feel rejuvenated, independent and much younger!

John Hazelgreave

Many thanks for all your care and kindness. To me it appears a miracle that I can see so well. I feel very grateful. It is impossible to fully express my thanks.

Grace C.

May I offer grateful thanks for your expertise in operating on my eyes. It was intimated to me that you were the best, and from the results I am now enjoying, I am convinced that this is correct.

Jean D.

You are truly innovative. Thank you very much for curing the problems I have been having with my reading and near vision.

Sala M.

My work was becoming almost impossible. I had refractive lens exchange to both eyes with multifocal lens implants last July. I can now see better than 20/20 for distance and can read the tiniest print in newspapers - all without glasses! I have started reading for pleasure again, and I feel that my performance both at work and on the golf course has improved.

John

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Two of the best decisions I ever made in my life were firstly to have lens exchange and secondly to have Mr James Ball carry out my operation.

Patricia Walton

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Further information about eye conditions

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More Useful Information

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About our surgeons

Mr James Ball | Consultant Ophthalmic Surgeon

MA (Cantab) MB BChir FRCOphth CertLRS

I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic, St James’s University Hospital, and Nuffield Hospital. My major interest is in refractive surgery and finding the best treatment suitable for each patient.

Mr Jack Gormley | Consultant Ophthalmic Surgeon

MB ChB (Hons) FRCOphth CertLRS

I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic and York Teaching Hospital, where I lead the Corneal and Refractive service. I have completed over 2,000 surgical and laser eye procedures.