Femto-Laser Assisted Cataract Surgery (FLACS) is an advanced cataract removal technique that uses a femtosecond laser to perform several of the critical steps of cataract surgery with high precision. Traditional cataract surgery uses manual blades and ultrasound to break up the cloudy lens; FLACS replaces or assists several of those steps with laser pulses. Key steps that laser can assist with include:
- Making precise incisions in the cornea
- Creating a perfect circular opening in the lens capsule (capsulotomy)
- Pre-fragmenting or softening the cataract lens so ultrasound energy required is reduced
- Improving the consistency, centration, and stability of intraocular lens (IOL) positioning
The advantages typically claimed for FLACS include higher accuracy, more consistent outcomes, less dependence on surgeon manual technique, potentially reduced trauma to eye tissues, faster visual recovery, and possibly fewer complications (especially in difficult cataracts).
From publicly available information:
- Motewar Netralaya is a well-established eye care center in Nanded, Maharashtra, with a reputation for using modern phacoemulsification cataract surgery and premium lens implants.
- Dr. Vivek Motewar is a specialist surgeon, trained in cornea, lasers, phacoemulsification, and has over 40,000 eye surgeries to his name.
- They offer advanced cataract treatment using techniques like “Whitestar Phaco (cold phaco)” and Micro-incisional Phacoemulsification (MICS).
- The center provides premium lens options (monofocal, toric, multifocal, etc.) to reduce dependence on glasses.
Assuming Motewar Netralaya adds or offers femtosecond-laser assisted cataract surgery, here’s how the service might be structured, and what patients could expect:
- Detailed Eye Evaluation – Includes slit lamp exam, retina check, measurement of corneal shape (topography), eye length (biometry), and general health assessments.
- Imaging – To plan the laser steps: mapping of cornea for the incision, mapping of capsule, cataract density.
- Lens Choice – Discussion about what IOL is best: monofocal vs toric vs multifocal etc. Depending on patient’s lifestyle and visual expectations.
1. Anesthesia & Comfort – Usually topical anesthesia (eye drops), mild sedation if needed; the eye is numbed so patient doesn’t feel pain.
2. Laser Step -
- Corneal incisions: precise, computer-guided, typically very clean and reproducible.
- Capsulotomy: laser creates a circular opening in the lens capsule.
- Fragmentation / softening of the cataract: laser breaks up lens into smaller pieces, reducing need for ultrasound energy in the phaco step.
3. Phacoemulsification and Removal - The softened or pre-fragmented lens pieces are removed using ultrasound/phaco machine through tiny incision(s).
4. Intraocular Lens (IOL) Implantation – The artificial lens is placed in the lens-capsule bag. Because laser capsulotomy is more precise, IOL sits more centrally, possibly improving visual outcomes and reducing aberrations, especially with premium IOLs.
Closure & Post-Op – Often incisions are self-sealing (no stitches), or very small ones requiring minimal intervention. Eye patched or shielded for a short period, then postoperative drops prescribed.
Benefits –
- More consistent, precise incisions and capsulotomies → better IOL centration, potentially better visual quality especially with premium lenses.
- Reduced ultrasound energy likely → less damage to corneal endothelial cells, possibly faster recovery and less corneal swelling.
- Possibly safer in certain special cataract situations (hard cataracts, small pupils, posterior polar cataracts) because the laser can pre-treat parts that are risky manually.
- Less reliance on manual skill for certain steps, which may reduce variability between surgeries.
Considerations–
- Cost: Laser technology adds to surgery cost. Patients need to understand how much premium is involved and whether insurance / payment covers it.
- Availability: The specific laser machine must be present and well-maintained; in many centres it is still relatively new.
- Not all cataracts or eyes are ideal candidates: e.g., very dense/hard lenses, corneal opacities, certain anatomical issues may reduce the advantage.
- Learning curve: The surgeon and staff need training in the laser protocols.
- Possible risk (though small) of complications specific to laser: e.g., issues with docking (getting the laser aligned), laser capsulotomy complications, etc.
Given what is known:
- Motewar Netralaya already offers advanced phacoemulsification techniques (e.g. cold phaco, microincisional phaco) which already provide many advantages like faster healing, smaller wounds, less trauma.
- They also offer premium lens options, which are a large component of achieving spectacle independence and high quality outcomes.
- If FLACS is introduced, it could augment their existing phaco expertise, giving patients access to laser precision, perhaps improving outcomes for premium IOLs, or for complex cataract cases.
It is an advanced cataract removal technique using a femtosecond laser for precise and bladeless incisions.
Unlike manual methods, it uses laser technology for higher accuracy, safety, and faster healing.
No, it is a painless procedure performed under local anesthesia with eye drops.
The procedure usually takes 15–20 minutes, and patients can go home the same day.
Patients with cataracts who want greater precision, safety, and premium visual outcomes are ideal candidates.
Motewar Netralaya
Cataract and Premium Lens Implant
We offer advanced cataract removal using the latest phacoemulsification technology, ensuring maximum safety, precision, and effectiveness, along with premium lens implant options for enhanced vision quality.
Children’s Eye Check-up
Children should ideally have their eyes examined between the ages of 5 and 6. An eye check-up becomes essential if your child shows signs such as excessive watering, eye discharge, squint, or difficulty in reading.
Glaucoma Screening
Diabetic eye disease is one of the leading causes of blindness in India. Our centre is fully equipped to diagnose and treat all types of retinal conditions, offering advanced medical care and surgical solutions.
Comprehensive Eye Examination
Experience a fully computerized and automated eye check-up using the advanced TOPCON Phoropter—offering precision, accuracy, and the latest in cutting-edge vision testing technology.
Motewar Netralaya is staffed by a team of two highly experienced surgical ophthalmologists. In addition to providing routine eye care, their expertise extends to advanced procedures including vitreoretinal surgeries, laser treatments, and corneal surgeries.
Our hospital is backed by a team of skilled and experienced optometrists, nursing professionals, and trained machine operators who work hand-in-hand with our doctors. In addition, our non-medical staff is well-trained in hospital operations and patient care, ensuring smooth and efficient service at every step.
At Motewar Netralaya, we understand that medical concerns can bring stress and anxiety. That’s why we strive to maintain a warm and welcoming atmosphere, encouraging patients to feel comfortable, relax, and openly share their concerns.
Motewar Netralaya is equipped with cutting-edge ophthalmic technology, including the MEL-90 — the world’s fastest LASIK machine, YAG laser for treating opacities and performing iridectomies, and the Carl Zeiss Green Laser Visulas. These, along with several other state-of-the-art devices, ensure precision, safety, and superior patient outcomes.
We are located on Doctor's lane, near ST Bus Stand, Doctor Lane, Khadakpura, Nanded, Nanded-Waghala, Maharashtra 431601 in Nanded. By-lanes in the vicinity ensure sufficient parking space.
For the convenience of our patients, we have an in-house optical store and medical shop within the same premises. These facilities provide a one-stop solution, ensuring easy access to eyewear and prescribed medications under one roof.
Get in touch with Motewar Netralaya for expert eye care and advanced laser treatments.
