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mild gritty or scratchy discomfort and light sensitivity for 1-2 days afterward, usually managed with simple analgesics.","preparation":["Comprehensive eye examination with biometry and IOL power calculation","Medical history, allergies and medication review with surgeon","Pre-operative antibiotic or anti-inflammatory eye drops if prescribed","Follow clinic fasting instructions; arrange an escort home","Pupil dilation on the day of surgery","Report tamsulosin or similar drugs (floppy iris risk)"],"recovery_timeline":[{"phase":"Day of surgery","description":"Eye shield worn; blurry vision; discharged home after a short observation.","restrictions":["No rubbing or pressing the eye","No driving"]},{"phase":"Days 1-7","description":"Vision clears progressively; prescribed anti-infective and anti-inflammatory drops used; mild irritation settles.","restrictions":["Avoid water and soap in the eye","Avoid dusty environments and eye makeup","Avoid heavy lifting and bending"]},{"phase":"Weeks 2-4","description":"Return to normal activities; drops tapered over about 3-4 weeks.","restrictions":["Avoid swimming and strenuous exercise until cleared"]},{"phase":"Weeks 4-6","description":"Refraction stabilizes; glasses prescribed if needed.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":14,"unit":"days","qualifier":"Ordinary functional recovery per eye for daily activities after uncomplicated surgery; no formal rehabilitation program needed."},"result_longevity":"The implanted IOL is generally permanent and does not need routine replacement; later posterior capsule clouding can occur in some patients and is treatable with a quick laser procedure.","revision_rate_pct":{"min":0.5,"max":2,"unit":"percent","qualifier":"Eyes needing repeat surgery within 1–2 years (IOL exchange, retained lens material, wound or retinal repair); laser capsulotomy excluded."},"scars":"Self-sealing clear corneal incision of about 2-3 mm, usually not visible and typically sutureless.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical session per eye; second eye is usually done separately, typically 1-4 weeks later if needed."},"stages":[{"code":"surgery","label":"Phacoemulsification with IOL implantation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single eye, uncomplicated primary cataract extraction with lens implant; routine follow-up checks are not counted."},"success":{"metric":"Proportion of eyes achieving best-corrected visual acuity of 20/40 or better (visual acuity)","value":95,"unit":"% of eyes","horizon":"After surgery, once refraction has stabilised (about 1-3 months)","population":"Adults undergoing cataract surgery with IOL implantation","evidence_status":"limited"},"techniques":[{"name":"Phacoemulsification with foldable monofocal IOL","suits_whom":"Most adults with cataract; standard approach.","recovery":"Fast visual recovery over days; glasses typically still needed for near or intermediate vision."},{"name":"Phacoemulsification with toric, multifocal or extended-depth-of-focus IOL","suits_whom":"Patients with astigmatism or wishing to reduce glasses dependence, with healthy eyes.","recovery":"Similar to standard; neuroadaptation to multifocal optics may take weeks to months."},{"name":"Femtosecond laser-assisted cataract surgery","suits_whom":"Selected patients where laser-assisted steps are preferred.","recovery":"Similar to standard phacoemulsification."},{"name":"Manual small-incision (extracapsular) cataract surgery","suits_whom":"Very dense cataracts or settings without phaco equipment.","recovery":"Slightly longer recovery, with more induced astigmatism."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per eye, about 15-30 minutes of surgery; total clinic stay about 2-4 hours."},"initial_assessment_documents":["Recent eye examination report","Current glasses or contact lens prescription","Optical biometry report (if available)","Corneal topography report (if available)","List of blood thinners and prostate medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Same-day surgery; stay about 1-2 days for the day-1 check. Second eye usually needs a separate trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check how many cataract surgeries the surgeon has done","scope":"procedure","source":{"url":"https://www.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":"Ask whether the surgical center has had an outbreak of eye infections affecting more than one patient","scope":"procedure","source":{"url":"https://www.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":"C3","text":"Check whether the surgeon discussed follow-up surgery","scope":"procedure","source":{"url":"https://www.aao.org/eye-health/diseases/choosing-cataract-surgeon","host":"aao.org","quote":"Did the ophthalmologist discuss follow-up surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the surgeon is fully trained in the procedure you want","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check the qualifications of the clinician who will do the procedure and the facility's credentials","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An offer without two consultations with the treating surgeon before surgery is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Aftercare arrangements that are not explained before you book are a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees 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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Eye-drop schedule given at discharge for continuing medicines at home","document":"drops regime chart","source":{"url":"https://www.hey.nhs.uk/patient-leaflet/following-cataract-surgery-post-operative-eye-care-advice/","host":"hey.nhs.uk","quote":"You will be given a drops regime chart as a reminder when you are discharged.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, 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":"T3","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":"T4","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 documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cataract symptoms are not bothering you very much","name":"New glasses or contact lenses","source":{"url":"https://aao.org/eye-health/diseases/cataracts-treatment","host":"aao.org","quote":"You might just need a new eyeglass or contact lens prescription to help you see better.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your cataracts do not keep you from things you want to do","name":"Monitoring cataracts without surgery","source":{"url":"https://aao.org/eye-health/diseases/cataracts-treatment","host":"aao.org","quote":"Not everyone with cataracts needs immediate surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"phacoemulsification-foldable-monofocal","name":"Phacoemulsification with foldable monofocal IOL","how_it_works":{"text":"Ultrasound breaks the cloudy lens into small pieces, which are then removed","source":{"url":"https://my.clevelandclinic.org/health/treatments/21472-cataract-surgery","host":"my.clevelandclinic.org","quote":"Your surgeon will use ultrasound waves to break up your lens into many tiny pieces.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://www.moorfields.nhs.uk/private/about-moorfields-private/blog-articles/getting-back-to-your-routine-after-cataract-surgery","host":"moorfields.nhs.uk","quote":"usually takes around 1 week to get back to your day-to-day activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"phacoemulsification-toric-multifocal","name":"Phacoemulsification with toric, multifocal or extended-depth-of-focus IOL","how_it_works":{"text":"The lens is designed to correct refractive error","source":{"url":"https://www.aao.org/eye-health/treatments/cataracts-iol-implants","host":"aao.org","quote":"The toric lens is designed to correct that refractive error.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://www.moorfields.nhs.uk/private/about-moorfields-private/blog-articles/getting-back-to-your-routine-after-cataract-surgery","host":"moorfields.nhs.uk","quote":"usually takes around 1 week to get back to your day-to-day activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"femtosecond-laser-assisted","name":"Femtosecond laser-assisted cataract surgery","how_it_works":{"text":"A laser may help soften the cataract before removal","source":{"url":"https://www.healthline.com/health/laser-surgery-for-cataracts","host":"healthline.com","quote":"The laser beam may also help soften the cataract, making it easier to remove the clouded 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