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eye after uncomplicated surgery; desk work resumes within days, physical or dusty work later."},"complication_rate_pct":{"min":0.5,"max":3,"unit":"percent","qualifier":"Sight-threatening events (endophthalmitis, retinal detachment, macular edema); excludes capsule opacification."},"contraindications":["Active eye infection or inflammation","Uncontrolled glaucoma or active uveitis (relative, needs stabilization)","Severe corneal endothelial disease (relative; needs specialist planning)","Proliferative diabetic retinopathy or unstable retinal disease (relative)","Cannot lie flat, stay still or tolerate local anesthesia (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Per eye; same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity within days; strenuous exercise and swimming resume after 1-2 weeks."},"final_result_months":{"min":1,"max":1.5,"unit":"months","qualifier":"Vision improves within days; refraction stabilizes by about 4-6 weeks."},"fly_home_after_days":{"min":1,"max":7,"unit":"days","qualifier":"Usually allowed after day-1 check if healing is normal; some surgeons advise up to 1 week."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":2,"unit":"days","qualifier":"Day-after check of pressure, cornea and lens position."}},{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Check of healing and vision."}},{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Refraction and final vision assessment."}}],"indications":["Cataract with visual impairment (lens replacement)","Refractive lens exchange for high refractive error or presbyopia","Lens subluxation or other lens opacity requiring removal and replacement"],"main_risks":["Posterior capsule opacification","Infection (endophthalmitis), rare but serious","Inflammation or raised eye pressure","Corneal edema","Cystoid macular edema","Retinal tear or detachment","IOL malposition or dislocation","Residual refractive error, glare or halos (especially multifocal lenses)","Posterior capsule rupture","Vitreous loss or dropped lens fragments"],"pain":"Minimal during surgery with topical or local anesthesia; mild gritty discomfort, irritation or light sensitivity for a day or two afterwards.","preparation":["Eye exam with biometry, keratometry and retinal assessment","Discussion of lens options and expected refractive outcome","Review of general health and current medications with the surgeon","Start prescribed pre-operative eye drops if instructed","Arrange transport home and an escort","Follow fasting instructions given by the clinic","Tell surgeon about alpha-blockers (e.g., tamsulosin): floppy iris risk","Stop contact lens wear before biometry and surgery"],"recovery_timeline":[{"phase":"First 24 hours","description":"Eye shield worn; blurry vision and mild irritation; drops started.","restrictions":["Do not rub the eye","No driving until cleared"]},{"phase":"Days 2-7","description":"Vision clears progressively; anti-inflammatory and antibiotic drops continue.","restrictions":["Avoid water and soap in the eye","Avoid dusty environments and eye makeup"]},{"phase":"Weeks 2-4","description":"Return to normal activities; drops tapered.","restrictions":["Avoid heavy lifting and swimming until cleared"]},{"phase":"Weeks 4-6","description":"Refraction stabilizes; glasses prescribed if needed.","restrictions":[]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Reading, TV and light housework resume within about 3 days; full routine, including eye drops, takes about 1 week."},"result_longevity":"The IOL is intended to be permanent; posterior capsule opacification may develop later and is treatable with laser capsulotomy.","revision_rate_pct":{"min":0.1,"max":1,"unit":"percent","qualifier":"Patients needing IOL exchange, repositioning or explantation after uncomplicated implantation; excludes laser capsulotomy."},"scars":"Tiny self-sealing corneal incision of about 2-3 mm, usually without sutures and not visible.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One surgical session per eye; second eye usually operated on a separate day after the first heals."},"stages":[{"code":"first_eye","label":"Lens implantation, first eye","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial procedure."}},{"code":"second_eye","label":"Lens implantation, second eye (if both eyes need treatment)","after":{"min":7,"max":28,"unit":"days","qualifier":"Typically 1-4 weeks after the first eye."}}],"qualifier":"Usually one session per eye."},"success":{"metric":"Proportion of eyes with corrected distance acuity 20/40 or better","value":95,"unit":"percent","horizon":"1-3 months after surgery","evidence_status":"limited","population":"Adults after primary IOL implantation without significant coexisting eye disease"},"techniques":[{"name":"Phacoemulsification with foldable monofocal IOL","suits_whom":"Most cataract patients wanting good distance vision, often needing reading glasses.","recovery":"Quick, usually days to functional recovery."},{"name":"Toric IOL","suits_whom":"Patients with significant corneal astigmatism.","recovery":"Similar to standard phaco."},{"name":"Multifocal or extended depth-of-focus IOL","suits_whom":"Patients seeking reduced glasses dependence with suitable healthy eyes.","recovery":"Similar recovery; neuroadaptation to glare or halos can take weeks to months."},{"name":"Manual small-incision or extracapsular extraction with IOL","suits_whom":"Dense cataracts or limited phaco resources.","recovery":"Somewhat longer than phaco."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Operating time per eye for uncomplicated phacoemulsification with IOL; whole visit is longer."},"initial_assessment_documents":["Recent eye examination report","Optical biometry printout","Corneal topography or keratometry report","Current glasses prescription","List of blood thinners and prostate medications","Report of other eye diseases (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Both eyes can be done on separate days in one 7-14 day stay; a second trip only if staged later."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many cataract surgeries the surgeon has done, to gauge experience","scope":"procedure","source":{"url":"https://aao.org/eye-health/diseases/choosing-cataract-surgeon","host":"aao.org","quote":"How many cataract surgeries has the ophthalmologist done?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether the surgeon has experience with the type of lens recommended for you","scope":"procedure","source":{"url":"https://aao.org/eye-health/diseases/choosing-cataract-surgeon","host":"aao.org","quote":"Ask the cataract surgeon if they have experience with these types of lenses.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether the surgical center has ever had an eye infection outbreak affecting more than one patient","scope":"procedure","source":{"url":"https://aao.org/eye-health/diseases/choosing-cataract-surgeon","host":"aao.org","quote":"Ask the surgeon if their surgical center has ever had an outbreak of eye infections that affected more than one patient.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check who will review your healing later in the day or the day after 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sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Advert or information promising complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The surgeon you consult may not be the one who performs the operation","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening vision or vision loss","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21472-cataract-surgery","host":"my.clevelandclinic.org","quote":"Worsening vision or vision loss","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Crusting or mucous discharge around the eye","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21472-cataract-surgery","host":"my.clevelandclinic.org","quote":"Crusting or mucous discharge around your eye.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Throbbing pain and swelling in 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before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations 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