Traditional cataract surgery involves implantation of single focus lenses to replace the clouded cataract lens. Typically, the lens selected would correct distance vision only. Reading glasses are therefore still an obtrusive necessity.

Monovision with cataract surgery Monofocal lenses can be used to attempt to correct both distance and near vision in Cataract Surgery. As monofocal lenses have only 1 focal point they can only achieve this by providing one eye for distance and one for reading. 3D depth perception is lost and visual quality is compromised due to the power discrepancy between the two eyes. Without depth perception, we cannot accurately determine the relative size of objects or how far away they are. This can cause difficulty with everyday activities such as pouring a cup of tea, parking a car, safely crossing the road, threading a needle or navigating downstairs.

Premium multifocal lenses with advanced cataract surgery is the only approach that can provide the full spectrum of vision – distance, intermediate and near vision in both eyes with perfect depth perception, for life. We select the superior procedure to achieve your goals, then customise your treatment so that it is as individual as you are.

Manual versus laser-assisted cataract surgery

Freedom Eye Laser is committed to the latest technology, only when it is safest and most effective. Given the Refractive Lens Exchange procedure is the same as in cataract surgery, there are two options to consider – traditional manual surgery versus laser-assisted surgery.

Traditional manual cataract surgery is the most common surgery performed worldwide and is recognised as being both safe and effective.

Femtosecond Laser-Assisted Cataract Surgery (FLACS) was introduced to Australia in 2009 as the latest technology. Many practices invested in these expensive machines with the hope it would be a safer and more effective option. Recent independent research indicates this information is misleading.

When comparing the efficacy and safety of Femtosecond laser-assisted cataract surgery (FLACS) to standard manual cataract surgery, Popovic and colleagues (2016) analysed thousands of procedures and concluded that in the hands of a surgeon who has mastered cataract surgery, the risk of tearing the capsule and complicating the procedure is 10x higher with laser cataract surgery. A Cochrane analysis (2016) of 13 studies found no significant differences in visual outcomes or complication rates for FLACS versus traditional surgery. 11 of the 13 studies were either funded by the manufacturer of the laser or had financial links with the manufacturer.

For further reading on this topic, see the Eyeworld review here.

While Dr Genge has trained and is accredited to use the femtosecond cataract laser, he chooses the manual surgical option with exceptional results. This decision is based on a large body of current, independent research suggesting that the additional cost of over $800 per eye to the patient, is at the very least unnecessary… and at worst, less safe.

Dr James Genge dedicates time to understand each patient’s visual goals, thoroughly explains the process and allows time for questions to ensure you are confident and informed. His involvement is maintained through the entire process – from assessment to postoperative care and beyond. While this seems like a standard approach, we can assure you that it is the Freedom Eye Laser difference. We pride ourselves on personalised care and superb results.