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020 3940 8776

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020 3940 8776

Refractive Cataract Surgery

Don't languish on NHS waiting lists. Discover how I can help you to a life free of cataract symptoms and do away with the need for glasses in most cases as well. This is Customised Refractive Cataract Surgery.

or you can download my guide to State of the Art Vision Correction Treatments -2020 and BeyondMr S. Rehman

Download my FREE ebook on State of the art vision correction treatments 2020

Download the Guide

What is a Cataract?

You may have heard the phrase “the eye is like a camera” and the reason that so many people say this is because it’s actually true! Light enters the eye through the outer layer or cornea, passes through the lens and is focussed to a sharp image on the light sensitive layer at the back of the eye called the retina, where it is sent to the brain so we can “see”.

The lens is normally as clear as a drop of water, allowing light to pass through freely; a cataract is formed when the lens in the eye goes cloudy. This cloudiness is something that happens to all of us to some degree as we age. It is also associated with certain other medical conditions (such as diabetes). In a few unfortunate people it can even occur at a much younger age than normal, in their 40’s or even earlier.

So what are the consequences of a cataract? It’s a bit like taking photographs when the lens of your camera is fogged – or your vision (if you wear glasses) when you walk into a warm room from being out in the cold. Colours become less clear, bright lights can be surrounded by halos, you tend to get dazzled (by cars when driving at night, for example) and constantly feel as if you ned new glasses. In very bad cases it can be had to recognise faces, and if left untreated you will go blind – although this is now rare in the UK as most people get treated much earlier than this.

Cataract surgery has evolved hugely over the last thirty years. In my hands this is a 10 minute procedure performed using nothing more than eyedrop anaesthesia, no needles/injections required! and with micro-incisions and advanced lens implants to correct astigmatism and even provide functional near sight - cataract surgery is by definition also a full complement vision correction procedure. Watch the video below to see the main technical steps of the procedure. Finally - most patients undergoing cataract surgery at my practice report little or no discomfort during or after the procedure.

How can we at Bettersight treat your cataracts?

  • Our medical director, Mr Shafiq Rehman, will personally assess your case with a detailed eye examination together with some of the most advanced scanning equipment available anywhere in the world to determine the best treatment approach for you.
  • If you have cataracts impacting on your eyesight AND you would prefer to have cataract surgery customised and personalised to your needs then a much more advanced form of cataract surgery – called ‘Refractive Cataract Surgery’ will be considered for you.
  • We at Bettersight believe that any patient considering cataract treatment should consider this as a ONCE IN A LIFETIME OPPORTUNITY for you to achieve the vision you want without any longer having to wear glasses for most daily tasks. This is what we call REFRACTIVE CATARACT SURGERY. Although the surgery itself will be very similar to standard NHS style surgery – the ability to fully customise and control the vision outcome by using advanced lens implants – such as BIFOCAL, TRIFOCAL and even PANOPTICAL Extended focus lens implants allows Mr Rehman to provide excellent distance and reading and close vision for many of his patients so that they DONT HAVE to wear glasses any longer.
  • We will thoroughly assess your general eye health, astigmatism and prescription needs as this will influence lens choice. You are unique and so is the precise customisation that you need in order to get the best possible results.
  • There are a very wide variety of lens options, and after a detailed discussion with you about your lifestyle, hobbies and individual needs and preferences Mr Rehman will draw on his un-paralleled experience and help to guide your choice so that you achieve the result that will suit you best.
  • If you wear spectacles or contact lenses in many cases it is possible to tailor your treatment so that you no longer need to wear them after treatment! Many people – even including some Optometrists are not aware of precisely how good our current technologies are – this is why Mr Rehman was invited to a series of radio interviews to help spread this message.
  • All you need to do is relax, knowing you’re going to be in an extraordinarily safe pair of hands that have tailor-made treatments just like this for many thousands of people just like you over the last 25 years.

See the video below to hear Mr Rehman explaining Refractive Cataract Surgery to Sky News in October 2018.

Click Below to Find out More About the Types of Intraocular Lenses

Ever since 1949 when London eye surgeon Mr Harold Ridley implanted the worlds first intraocular lens, lens technology has developed at an incredible pace.

The original intraocular lens (IOL) was essentially made from a material similar to perspex and was implanted through a large incision. Fast forward 70 years and today we have IOL's made from high optical quality, flexible materials which can be implanted through tiny 2mm incisions. This means your eye heals and seals much faster.

But there is even more - IOL's also now come with differing optical properties. If you want of find out more about current IOL technology just click here and let's go.


Frequently Asked Questions

Yes- there are very few situations in which we would not be able to offer cataract surgery for a patient. Obviously if we identify medical problems that could increase the risk of an adverse outcome then this will be discussed in depth with you, in order for you to come to an informed decision on whether to proceed or not.

No – cataracts are by their very nature, degenerative. This means that once a cataract is identified it will likely progress with further decline of vision and vision quality over time. Unfortunately Cataracts cannot regress.

No – there is no evidence that cataract’s once formed can be treated successfully with any form of eye-drop treatment.

No – it is not possible for a cataract to reform after cataract surgery. Remember the clouding crystalline lens is removed in its entirety as part of the cataract operation. You may have heard of something called ‘after cataract’ – this is not a true cataract, but rather a clouding of the capsule, called ‘posterior capsular opacification – PCO’ and can arise over the subsequent years after cataract surgery. PCO however is treated using a simple type of laser called a YAG laser and is a 5 minute outpatient, painless very low risk procedure which once done is extremely unlikely to reform.

This is not true, in fact in general cataracts are more likely to be treated successfully in the early to moderate stage of cataract formation. Once a cataract is ‘ripe’ it has become completely opaque or very dense and the risks of cataract surgery go up quite considerably. With old fashioned, large incision cataract surgery (called ECCE) it was indeed better to have a more ripened cataract for surgery, but with todays’ ultra-small incision surgery it is generally lower risk to have cataract surgery at a much earlier stage.

No – in my practice, over 99% of patients are treated with nothing more than eye-drop anaesthetic – no needles and no injections either! However, for patients who have profound anxiety or medical conditions which may not allow them to cooperate with the procedure (e.g Parkinsons tremor, Dementia etc) then full general anaesthesia is certainly possible. Please note that our GA service is available only at the Spire Hospital Elland.

No – in my practice, over 99% of patients can be treated successfully and with little or no discomfort with nothing more than eye-drop anaesthetic. I do not find it necessary to use needle injections in any case with modern techniques. In fact one might wonder why many eye surgeons continue to use injections for cataract surgery! something I abandoned over 15 years ago!

Three main reasons – All come down to one word - CHOICE

  1. Rapid access – no ‘waiting lists’ I offer a seven-day access to cataract surgery service. Especially as a result of COVID-19 and the huge backlog of patients waiting for cataract surgery on the NHS systems, being able to have access to cataract treatment within a week is one privilege that you can choose.
  2. You choose who you want to do your surgery. In the traditional NHS many surgeries are performed by trainee surgeons. Whilst some people are very comfortable with this prospect, others may not be. By opting for a private treatment in my service you can be assured that my 25 years+ experience of cataract surgery is at your personal disposal.
  3. believe cataract surgery is a once in a life time opportunity for you to choose the vision you always wanted. We can help to correct Myopia, Hyperopia, Astigmatism and even Presbyopia with todays advanced technology lens implants. The result – you could enjoy a life without the hassle of glasses for most of what you do on a lifelong basis. What’s not to like? Advanced technology lens implants and the vitally important option of being able to refine and enhance your vision with Excimer Laser vision correction is simply not a service that is or is likely to become available through the NHS. You don’t choose to have a cataract, but you can choose how to have it sorted!

Another old wives tale from the past – but one that bizarrely continues to linger. NO. ABSOLUTELY NOT – and what’s more it NEVER WAS THE CASE. Your eye remains exactly as it is – rest assured.

Yes – absolutely. We have a very specialised protocol in place at all our sites which allows us to perform same day bilateral surgery in the safest way possible. Here is how we do it,

  • We treat the poorer eye first
  • Only if the first surgery is un-eventful and straight-forwards would we proceed to second eye surgery with your permission.
  • Both the surgeon and the scrub nurse will re-scrub, re-glove and re-gown for the second eye surgery
  • Brand instruments are brought in for the second eye surgery
  • All materials, liquids, gels, - in fact anything that will be in any contact with the eye must not only be fresh but must come from either a different manufacturer or from a different batch number.

These measures are not easily performed and only a few select service providers are able to meet my stringent criteria to allow safe delivery of same day cataract surgery. You can be assured that I and my team leave no stone unturned to provide the safest possible environment for you to have both eyes treated on the same day in this way – if you choose to do so

Yes – It’s not unusual for people who have enjoyed good vision without need for glasses (emmetropia) to require glasses after cataract surgery unless special attention is paid to your eye scans. Some people will have astigmatism on the cornea that is ‘cancelled out’ by corresponding but reverse astigmatism in the natural lens. Because the natural lens is removed in cataract surgery this allows for the corneal astigmatism to suddenly reveal itself after cataract surgery. The result is a need for astigmatic glasses, something you would not have required if full attention is paid to your situation. Up-to 30% of people can have significant astigmatism on their cornea, which if not properly addressed with “toric’ lens implants could leave them feeling unsatisfied with their outcome.


What Our Patients Say

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