Cataracts are a common part of ageing, and the decision to have surgery is a significant one. Just as important as the decision to proceed with surgery is choosing the right surgeon to perform it. As an ophthalmologist, I understand that this process can feel overwhelming. This guide is designed to empower you with the knowledge to select a cataract surgeon with confidence.
1. Credentials and Experience Matter
The first step is to verify a surgeon’s qualifications. In Australia, ensure your surgeon is a Fellow of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO). This fellowship indicates that they have completed extensive, specialised training and have met rigorous standards for practice.
Beyond basic qualifications, consider their experience specifically with cataract surgery. Key questions to ask include:
How many cataract procedures do you perform each year? High-volume surgeons often have more refined skills and are better equipped to handle a wide range of clinical scenarios.
Do they have experience with complex cases? If you have other eye conditions like glaucoma or have had previous eye surgery, you need a surgeon comfortable with these complexities.
What is their complication rate? Every surgery carries risks, but a skilled surgeon will have a low complication rate and be transparent about it. They should also be proficient in managing any complications that may arise.
2. Technology and Techniques
Cataract surgery has evolved significantly. Modern techniques are safer and offer better visual outcomes than ever before. Discuss the technology and surgical methods the surgeon uses.
Intraocular Lenses (IOLs): There is a vast array of IOLs available today, from standard monofocal lenses to advanced multifocal, toric (for astigmatism), and extended depth of focus (EDOF) lenses. A good surgeon will conduct a thorough assessment of your eyes and lifestyle to help you choose the lens that best suits your individual needs and visual goals. They should explain the pros and cons of each option clearly.
Surgical Technology: Ask if they use the latest technologies, such as femtosecond laser-assisted cataract surgery (FLACS). While not necessary for every patient, access to advanced technology can enhance precision and may be beneficial in certain cases. Your surgeon should be able to explain why they recommend a particular approach for you.
3. The Importance of the Consultation
The initial consultation is your opportunity to evaluate the surgeon and their practice. Pay attention to the following:
Communication: Does your surgeon listen to your concerns and answer your questions thoroughly? Do they explain the procedure, risks, and benefits in a way you can understand? You should feel comfortable and respected, not rushed.
Personalised Care: A good surgeon will treat you as an individual. They should take the time to understand your occupation, hobbies, and what you want to achieve with your vision after surgery. The “one-size-fits-all” approach is a red flag.
Thorough Examination: The pre-operative assessment should be comprehensive. This includes precise measurements of your eye (biometry) to calculate the correct IOL power and a detailed examination to check for any other eye conditions.
4. The Surgeon's Team and Facility
The surgeon is the leader, but the entire clinical team plays a role in your care. The clinic staff should be professional, organised, and helpful. The surgery will be performed in either a private hospital or a day surgery centre. Ensure the facility is accredited and adheres to the highest standards of safety and sterilisation.
5. Seeking Recommendations and Reviews
Word-of-mouth is a powerful tool.
GP or Optometrist: Your local general practitioner or optometrist is an excellent resource. They work with ophthalmologists regularly and can refer you to surgeons they trust and who have a track record of good patient outcomes.
Friends and Family: Ask for recommendations from people you know who have had a positive experience with cataract surgery.
Online Reviews: While online reviews can be helpful, approach them with a degree of caution. Look for consistent themes in feedback rather than focusing on single standout reviews, whether positive or negative.
Final Thoughts
Choosing your cataract surgeon is a crucial decision that directly impacts your surgical outcome and your quality of life. Take your time, do your research, and ask plenty of questions. The right surgeon for you will not only be technically skilled and experienced but will also be a trusted partner who guides you through the process with clear communication and personalised care. Your vision is precious, and finding a surgeon you trust is the first step toward protecting and improving it.