Cataract Surgery (FAKO Method)

What Is Cataract (FAKO)?

Cataract is an eye condition in which the natural lens of the eye loses its transparency, leading to blurry vision. Although it is commonly associated with aging, factors such as diabetes, prolonged cortisone use, eye trauma, and certain congenital conditions can also cause cataract formation.

As cataracts progress, visual clarity diminishes, and colors may appear faded. The only effective treatment for cataracts is surgery, and the most commonly used modern technique is known as phacoemulsification (FAKO).

What Is FAKO Cataract Surgery?

The FAKO technique is one of the most widely used modern surgical methods for cataract treatment. In this procedure, a tiny incision is made, and the clouded lens is broken down using ultrasonic vibrations and simultaneously removed by suction. An intraocular lens (IOL) is then implanted to restore vision.

This method is preferred for being stitch-free, offering a fast recovery, and carrying minimal surgical risk. It is performed under local anesthesia and usually takes about 15–20 minutes.

How Is FAKO Surgery Performed?

FAKO surgery begins by applying anesthetic eye drops to numb the eye. A small incision of about 2–3 mm is made in the cornea. Through this incision, a special probe is inserted to break the cataract-affected lens into fragments using ultrasonic waves.

The fragmented pieces are simultaneously removed through suction. Finally, an artificial intraocular lens is placed into the natural lens capsule. No stitches are required during the procedure, and the entire operation is completed within 10–20 minutes.

What Are the Advantages of FAKO Surgery?

FAKO cataract surgery offers several advantages over traditional methods:

  • Stitch-free and minimally invasive
  • Very short recovery time
  • Minimal damage to surrounding eye tissues
  • Comfortable procedure with local anesthesia
  • Same-day discharge
  • Improved vision within 1–2 days for most patients

Thanks to these benefits, the FAKO method has become one of the most preferred techniques for cataract surgery worldwide.

Post-Operative Recovery After FAKO Cataract Surgery

The recovery process after FAKO cataract surgery is generally quite fast. Most patients can return home just a few hours after the procedure. In the first few days, mild irritation, tearing, and blurred vision may occur, but these symptoms usually subside quickly. Vision typically begins to improve within a few days.

To accelerate healing and prevent infection, patients should use the prescribed antibiotic and steroid eye drops regularly. Most people return to daily activities within one week, and full visual clarity is generally achieved within 4 to 6 weeks.

Precautions After FAKO Surgery

There are several important points to keep in mind during the recovery period:

  • Do not touch or rub the eye under any circumstances.
  • Use prescribed antibiotic and corticosteroid drops consistently as directed.
  • Avoid dusty or windy environments.
  • Be cautious while washing your face; avoid water contact with the eye for at least one week.
  • Refrain from heavy lifting or intense physical activity during the first week.
  • Do not skip follow-up appointments.

Following these guidelines ensures faster and smoother healing after surgery.

Types of Intraocular Lenses Used in FAKO Surgery

During FAKO surgery, the natural lens is removed and replaced with an artificial intraocular lens (IOL). The type of lens is selected based on the patient’s eye structure and visual needs:

  • Monofocal lenses: Correct either near or distance vision, but not both.
  • Multifocal lenses: Provide support for both near and distance vision.
  • Toric lenses: Designed specifically to correct astigmatism.
  • EDOF lenses (Extended Depth of Focus): Offer a wider range of focus for more natural vision.

The choice of lens should be made in consultation with your ophthalmologist, based on both clinical evaluation and personal lifestyle preferences.

Who Is a Good Candidate for FAKO Surgery?

Anyone diagnosed with cataracts who experiences reduced vision and decreased quality of life may be a candidate for FAKO surgery. It is especially recommended for individuals with symptoms such as blurry vision, difficulty seeing at night, or faded color perception.

This method is considered very safe, especially for individuals with no chronic diseases and good overall eye health.

Preoperative Preparation for FAKO Surgery

Before undergoing FAKO cataract surgery, patients go through a comprehensive eye examination. During this evaluation, factors such as eye pressure and retinal health are assessed. The type of intraocular lens (IOL) to be used is also determined during this stage.

In some cases, eye drops may be prescribed in advance, depending on the patient’s eye health. The procedure date is scheduled considering the patient's overall medical condition. If the patient is taking blood-thinning medications, temporary discontinuation may be required under a doctor’s guidance. On the morning of the operation, patients are advised to have a light breakfast and wear comfortable clothing to the hospital.

Risks and Complications of FAKO Surgery

FAKO surgery is highly safe when performed using modern techniques. However, like any surgical procedure, it may carry certain risks, including:

  • Temporary dry eyes
  • Intraocular infection (endophthalmitis)
  • Increased eye pressure
  • Retinal edema
  • Lens misalignment
  • Decreased visual acuity (rare)

These risks are relatively rare and can typically be identified early and treated effectively during follow-up examinations.

FAKO Surgery Prices 2025

As of 2025, the cost of FAKO cataract surgery varies depending on the chosen lens type, the location of the hospital, and the surgeon’s experience. Procedures using monofocal lenses are generally more affordable, while multifocal or toric lenses tend to increase the overall cost.

An accurate quote can only be provided after a detailed eye examination and consultation.

Any questions? We're here to help

What is the FAKO method in cataract surgery?

The FAKO method involves breaking up the cataract-affected lens using ultrasonic waves and replacing it with an artificial intraocular lens.

How long does FAKO surgery take?

The procedure usually takes 10 to 20 minutes, and most patients are discharged on the same day.

What does FAKO stand for?

FAKO is an abbreviation of "phacoemulsification," which refers to the process of liquefying and aspirating the eye’s natural lens.

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