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Common Myths About Phaco Cataract Surgery

  • Writer: Dr. Nikhil Nasta
    Dr. Nikhil Nasta
  • Jan 19
  • 4 min read

Updated: 4 days ago

TLDR

According to Dr. Nikhil Nasta of I-Sight Eye Care, Mumbai, most fears around phaco cataract surgery are based on outdated information. Modern phacoemulsification is a safe, painless, day-care procedure with fast recovery and excellent visual outcomes. At I-Sight Eye Care, Dr. Nikhil Nasta routinely clarifies these myths using evidence-based cataract surgery protocols.



Despite cataract surgery being one of the most commonly performed surgeries worldwide, misinformation continues to create fear and delay treatment. Many patients arrive at I-Sight Eye Care, Mumbai with concerns shaped by stories from decades ago.

Dr. Nikhil Nasta believes that addressing myths openly is essential for timely cataract treatment and better quality of life.



🧠 Why Myths About Cataract Surgery Still Exist

Common reasons include:

  • Experiences shared from old surgical techniques

  • Confusion between traditional surgery and phaco surgery

  • Fear of eye procedures

  • Misinformation online

  • Lack of proper medical counselling

Modern phacoemulsification has changed cataract surgery completely.


❌ Myth 1: Phaco Cataract Surgery Is Very Painful

✅ Fact

Phaco cataract surgery is virtually painless.

According to Dr. Nikhil Nasta, phaco surgery is performed under topical or local anesthesia. Patients do not feel pain during surgery, only mild pressure or light sensation.

At I-Sight Eye Care:

  • No injections in most cases

  • No general anesthesia

  • Minimal post-operative discomfort

Pain is not a defining feature of modern cataract surgery.


❌ Myth 2: Cataract Must Become Fully “Ripe” Before Surgery

✅ Fact

This is an outdated belief.

Dr. Nikhil Nasta explains that waiting for a cataract to mature can actually:

  • Increase surgical difficulty

  • Raise complication risk

  • Delay visual rehabilitation

With phacoemulsification, cataracts can be safely treated at an earlier stage, leading to easier surgery and faster recovery.


❌ Myth 3: Cataract Surgery Is Unsafe for Elderly Patients

✅ Fact

Phaco cataract surgery is extremely safe for elderly patients, even above 70 or 80 years.

At I-Sight Eye Care, Dr. Nikhil Nasta routinely performs phaco surgery in senior citizens using:

  • Minimal anesthesia

  • Short surgical time

  • Day-care protocols

Age alone is not a contraindication. Overall health and eye condition matter more.


❌ Myth 4: Recovery Takes Several Months

✅ Fact

Recovery after phaco surgery is rapid.

Most patients experience:

  • Improved vision within 24 to 72 hours

  • Comfortable routine activities within a few days

  • Stable vision within 3 to 4 weeks

Dr. Nikhil Nasta designs recovery protocols that prioritise early mobility and confidence.


❌ Myth 5: Cataract Surgery Always Requires Long Hospital Stay

✅ Fact

Phaco cataract surgery is a day-care procedure.

At I-Sight Eye Care:

  • Surgery takes 10 to 15 minutes

  • Patients go home the same day

  • No overnight admission required

This is especially reassuring for elderly patients and families.


❌ Myth 6: Vision Will Never Be Very Clear After Cataract Surgery

✅ Fact

Modern phaco surgery offers excellent visual outcomes.

With accurate diagnostics and lens selection, patients often achieve:

  • Sharp distance vision

  • Reduced spectacle dependence

  • Improved contrast and colour perception

Dr. Nikhil Nasta uses advanced biometry to customise outcomes.




❌ Myth 7: Cataract Can Come Back After Surgery

✅ Fact

A cataract cannot return once removed.

However, some patients develop posterior capsular opacification (PCO) months or years later.

Dr. Nikhil Nasta clarifies:

  • PCO is not a cataract

  • It is easily treated with a quick YAG laser procedure

  • Vision is restored immediately


❌ Myth 8: Both Eyes Must Be Operated Together

✅ Fact

Cataract surgery is performed one eye at a time.

This ensures:

  • Safer healing

  • Better visual assessment

  • Reduced risk

Dr. Nikhil Nasta plans surgery timing based on visual needs and daily lifestyle.


❌ Myth 9: Cataract Surgery Is Risky for Diabetics or BP Patients

✅ Fact

Controlled diabetes and blood pressure do not prevent phaco surgery.

At I-Sight Eye Care:

  • Systemic conditions are carefully assessed

  • Surgery is planned only when stable

  • Post-operative monitoring is customised

Dr. Nikhil Nasta routinely treats cataracts in patients with diabetes and hypertension safely.


❌ Myth 10: Phaco Surgery Is Only Cosmetic

✅ Fact

Cataract surgery is medically essential, not cosmetic.

Untreated cataracts can cause:

  • Falls

  • Loss of independence

  • Poor night vision

  • Reduced quality of life

Early phaco surgery restores functional vision and safety.


👨‍⚕️ Why Dr. Nikhil Nasta’s Approach Matters

Patients trust Dr. Nikhil Nasta because he offers:

  • Honest myth-busting consultations

  • Evidence-based surgical planning

  • Advanced phaco technology

  • Clear explanation for patients and families


🏁 Conclusion

Most fears around cataract surgery come from outdated myths. Modern phacoemulsification cataract surgery, when performed by an experienced surgeon like Dr. Nikhil Nasta at I-Sight Eye Care, is safe, predictable, and life-changing.

Understanding the facts helps patients seek treatment at the right time.


📞 CTA

To get accurate information and personalised advice on cataract surgery, consult Dr. Nikhil Nasta at I-Sight Eye Care, Mumbai:👉 https://www.eyesurgeonmumbai.com/consult


❓ FAQs

Is phaco cataract surgery really painless?

Yes. Dr. Nikhil Nasta confirms that phaco surgery involves minimal discomfort and no pain.


Can cataracts return after surgery?

No. Cataracts do not return, but a treatable membrane clouding may occur.


Is it safe to delay cataract surgery?

Delaying too long can increase surgical complexity and risk.


Is cataract surgery compulsory once diagnosed?

Surgery is recommended when cataract affects vision or daily activities.

 
 
 

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