Symptoms can be subtle in the early stages and include:
The procedure is carried out at the Nuffield in Taunton as a day case. After admission to your private cubicle, Mr Rossiter will visit you before the surgery. You can expect to be in hospital for a few hours.
The procedure itself typically takes around 10-15 mins. Mr Rossiter usually performs the surgery without any injections; just local anaesthetic drops. A general anaesthetic can be arranged in rare instances if preferred.
The cataract is removed using state of the art equipment. Using a Zeiss operating microscope, Mr Rossiter will insert a small ultrasonic probe through a tiny incision on the edge of the cornea. The new lens is placed into the skin of the old human lens which holds it in place. No stitches are usually needed and the incision is self-sealing.
Recovery is rapid and usually an improvement is seen within 24-48 hours, although it can take a few weeks to get to its very best. Eye drops will be needed for 3 to 4 weeks after and Mr Rossiter will see you for a check-up about a week later.
It is possible to have both eyes treated on the same day. As Mr Rossiter uses only local anaesthetic without injection, the eyes are covered after the surgery only with a clear plastic shield (no patching). The sight immediately after surgery is good enough for managing at home alone for routine self-caring activities. The second eye is only done if the first eye has been successful and it is treated as a completely separate operation with new equipment, gowns and gloves. The benefits of this are:
Loss of vision or the Eye
The major risk of cataract surgery is of loss of sight (or rarely the eye) from infection (endophthalmitis), retinal detachment or bleeding under the retina (suprachoroidal haemorrhage). The national figures suggest that the risk of this type of complication is 1:1000 operations.
Mr Rossiter has been a consultant for over 14 years and during this time has performed over 5000 cataract operations without experiencing either of these serious complications.
Posterior capsule rupture
The complication rate which is thought to demonstrate quality in cataract surgery the best is the rate of posterior capsular rupture. This is a break in the skin at the back of the cataract normally left behind to hold the implant lens). This complication increases the risk of a variety of other problems such as retinal detachment and cystoid macular oedema (swelling on the retina). Its occurrence may also prevent the use of premium lens implants.
The national published rate for consultants is 1.6%. Mr Rossiter's personal posterior capsule rupture rate is 0.28%