A Bladeless Revolution in Vision Correction
A New Era in Cataract Surgery
Cataracts are one of the leading causes of visual impairment globally, but modern medicine continues to advance. One of the most exciting innovations is Femto Cataract Surgery, a bladeless, computer-guided laser procedure that’s transforming how cataracts are treated. If you’re exploring options for clearer vision, this blog will help you understand what Femto is, how it works, and why it’s considered the gold standard in surgical precision.
What Is Femto Cataract Surgery?
Femto Cataract Surgery, also known as Femtosecond Laser-Assisted Cataract Surgery (FLACS)– uses a high-frequency laser to perform several key steps of the procedure traditionally done manually. This includes:
- Creating precise incisions in the cornea
- Opening the lens capsule (capsulotomy)
- Pre-softening the cloudy lens for easier removal
These steps are performed with exceptional accuracy, reducing the need for handheld blades and improving the safety and consistency of the operation.
What Is a Femtosecond Laser?
A femtosecond laser emits ultra-short energy pulses (measured in quadrillionths of a second). It allows surgeons to work at microscopic precision without generating heat or damaging surrounding tissue.
This technology enables a level of control and customisation in eye surgery that is impossible with manual techniques alone.
How Femto Enhances Cataract Surgery
Bladeless Precision
No manual incisions are needed. The laser creates clean, reproducible cuts that promote quicker healing and reduce the risk of complications.
Better Capsulotomy
The capsulotomy (opening of the lens capsule) is circular, centred, and sized precisely; this ensures better lens placement, especially important with premium intraocular lenses (IOLs).
Pre-Softening of the Cataract
By softening the lens before removal, less ultrasound energy is required. This is gentler on the eye and reduces inflammation and recovery time.
Customised Treatment
Each eye is scanned and mapped in real-time before surgery, allowing the laser to adapt the procedure to the patient’s unique anatomy.
Who Is Femto Cataract Surgery Suitable For?
Femto is generally suitable for most patients with age-related cataracts, but it’s particularly beneficial for those who:
- Want premium IOLs such as multifocal or toric lenses
- Have mild astigmatism needing precise correction
- Are concerned about surgical safety and consistency
- Prefer bladeless, technology-assisted procedures
- Seek improved visual outcomes with less trauma to the eye
Your ophthalmologist will assess your eye health, vision needs, and corneal thickness to determine if you’re a good candidate.
Is It Painful?
Femtocataract surgery is not painful. It is performed under local anaesthesia with eye drops, and many patients report seeing lights or slight pressure during the procedure, but no pain.
Afterwards, you may feel mild irritation, light sensitivity, or blurriness for a few hours, which typically resolves quickly.
The Procedure at a Glance
- Pre-surgery scans are done to map your eye.
- A femtosecond laser performs the initial steps: incisions, capsulotomy, and lens fragmentation.
- The surgeon removes the softened lens and implants a new IOL.
- The incisions are self-sealing—no stitches are required.
The entire process takes 20–30 minutes, and patients are usually discharged the same day.
Recovery and Results
Most people notice improved vision within 24–48 hours, with ongoing clarity over the following weeks. Due to the reduced trauma to the eye, recovery tends to be quicker and smoother than traditional cataract surgery.
Your ophthalmologist will provide antibiotic and anti-inflammatory eye drops to prevent infection and support healing.
What Are the Risks?
As with any eye procedure, there are risks such as infection, inflammation, or lens dislocation, though they are rare. Femto is considered extremely safe, especially in experienced hands, and the laser adds a layer of precision that helps reduce potential errors.
Is It Worth the Extra Cost?
Femto Cataract Surgery often involves a co-payment, especially when combined with premium lenses. While most medical aids cover standard surgery, Femto’s added precision and benefits come at an additional cost, typically ranging from R3,000 to R15,000 per eye, depending on the provider and lens type.
Many patients find the investment worthwhile for the enhanced visual outcomes and peace of mind.
Technology Meets Precision
Femto Cataract Surgery represents the future of cataract care. With bladeless incisions, laser precision, and better outcomes, especially for premium lenses, this modern technique is designed for people who want the best for their vision.
