Eye · PuneNABH accredited4.9 · 12k reviews

Cataract (Phaco + IOL) Surgery in Pune

Also known as Minimally-invasive eye surgery

Bladeless lens replacement with premium IOLs. A phaco approach with same-day discharge and a typical recovery of 2–3 days. But surgery is the last step, not the first — start with a ophthalmologist and rule out the simpler fixes.

TreatsCataractBlurred visionGlareSpectacle removal
Written from standard clinical references · Awaiting review by a qualified clinician · Updated Jul 2026
Phaco
Approach
Minimal
Cuts · stitches
Same day
Discharge
2–3 days
Back to work
All insurances accepted
No-cost EMI available
Same-day discharge
Free post-op follow-ups
Consultation first — surgery only if needed

How it works

You don't buy an operation here — you start with a doctor. Book a consultation first; Cataract (Phaco + IOL) surgery happens only if a ophthalmologist confirms you need it.

1
Book a ₹600 consultation
Meet a Meridian Health ophthalmologist — in-clinic or on video. They examine you and review any reports you bring.
2
Get an honest verdict
Many cases settle with medication, lifestyle changes or a minor step. You're advised surgery only if you truly need it.
3
If surgery is advised
Your ₹600 consultation is adjusted into the surgery cost. We handle insurance approvals and scheduling.
4
Day-care phaco surgery
The phaco procedure with same-day discharge, and free post-op follow-ups until you've fully healed.
Understand it first

About cataract

A cataract is clouding of the eye's natural crystalline lens, which should be completely transparent. With age the proteins inside the lens aggregate and scatter light, reducing sharpness and — earlier and more noticeably — contrast. It is painless and progressive, and no drop, tablet or exercise reverses it: the only definitive treatment is replacing the lens. Different types behave differently, and a posterior subcapsular cataract in particular causes disproportionate glare and reading difficulty long before the vision chart looks bad.

Common symptoms
Gradual blurring or a misted, filmy quality to visionGlare and haloes around headlights, making night driving difficultColours looking faded or yellowedFrequent changes of spectacle prescriptionDifficulty reading in dim lightOccasionally double vision in one eye, or a temporary improvement in near vision as the lens changes
What causes it
Ageing of the lens — much the commonest cause
Diabetes
Long-term steroid use, in drops or tablets
Ultraviolet exposure and smoking
Eye injury, previous intraocular surgery or uveitis
High myopia; congenital and metabolic causes in the young
Stages of cataract
1Early
Mild clouding; glasses still help.
2Immature
Vision blurs; night-time glare increases.
3Mature
Dense clouding; surgery advised.
4Hypermature
Advanced — best treated promptly.
See a doctor if symptoms persist, worsen or keep returning. Early treatment is simpler and avoids complications.
Surgery is not the first step

When is surgery actually needed?

Early cataract is managed by updating your spectacles, improving task lighting, using anti-glare lenses and avoiding night driving. That is a legitimate stage of treatment, not a stalling tactic, and it can last years. Surgery is advised when the reduced vision genuinely interferes with what you need to do — driving, reading, work, or moving about safely — or when the cataract is preventing examination and treatment of the retina behind it, or has caused a secondary problem such as lens-induced glaucoma. Waiting until a cataract is 'mature' is no longer advised: a dense lens is harder and riskier to remove than a moderate one.

The technique

Why phaco, not open surgery

Phacoemulsification is done under anaesthetic drops through an incision of 2 to 2.8 mm that seals itself without a stitch. A circular opening is made in the front of the lens capsule, an ultrasound probe emulsifies and aspirates the cloudy lens material, and a foldable intraocular lens is injected into the preserved capsular bag, where it unfolds and centres itself. The power of that lens comes from biometry measurements taken beforehand. Monofocal, toric and multifocal or extended-depth-of-focus lenses trade spectacle independence against contrast and night-time haloes — that is a clinical conversation with your surgeon about your eye and your work, not a menu choice by price.

Compare
Phaco (day-care)
Open surgery
Cuts & stitches
One small incision
Large incision with stitches
Anaesthesia
Topical / local drops
General / spinal, longer
Hospital stay
Same-day discharge
2–3 days admitted
Post-op pain
Minimal
Significant for days
Bleeding
Very little
Moderate
Back to work
2–3 days
2–3 weeks
Recurrence
Low
Higher

Your options for cataract

Non-surgical options are listed first where they exist. Which one suits you depends on your examination and reports — this table is here so you can ask better questions, not to choose for you.

Option
Stay
Recovery
What it is for, and the trade-off
Spectacle update & better lighting
The correct first step for early lens change. No risk — but it stops helping as the opacity progresses.
Phacoemulsification + foldable IOL
Same-day discharge
2–3 days
The standard: tiny self-sealing incision, drop anaesthesia, quick visual recovery.
Femtosecond laser-assisted (FLACS)
Same-day discharge
2–3 days
A laser performs some of the steps. Evidence for a meaningful outcome advantage over skilled phacoemulsification remains limited, and it costs more.
Manual small-incision surgery (MSICS)
Same-day discharge
1–2 weeks
Sutureless manual technique, excellent for very dense cataracts. Slightly larger incision, slower refractive stabilisation.
Extracapsular extraction
1 day
4–6 weeks
Largely historical — a large sutured incision, kept for exceptional cases.
You choose the doctor

Our ophthalmologist surgeons

Dr. Sanjay Kulkarni

Dr. Sanjay Kulkarni

Senior
MBBS, MS (General Surgery)
4.820 yrs exp
Laparoscopic & GI surgery
Next slot: Today · 6:30 PM
Dr. Arjun Menon

Dr. Arjun Menon

Senior
MBBS, MD, DM (Neurology)
4.718 yrs exp
Stroke care · Epilepsy
Next slot: Tomorrow · 10:00 AM
Dr. Karan Malhotra

Dr. Karan Malhotra

Senior
MBBS, MS (Orthopaedics)
4.817 yrs exp
Joint replacement · Sports injuries
Next slot: Tomorrow · 4:30 PM
Dr. Imran Sheikh

Dr. Imran Sheikh

Senior
MBBS, MD, DM (Gastroenterology)
4.816 yrs exp
Endoscopy · Liver & pancreas
Next slot: This week · 12:30 PM
Transparent pricing

Cost, EMI & insurance

Cataract (Phaco + IOL) surgery — all-inclusive package
55,000 – ₹70,500
No-cost EMI from 4,600/month over 12 months.
Your ₹600 consultation is deducted from this package.
Included
Surgeon, anaesthetist & OTPhaco procedure & consumablesDay-care room & nursingMedicines during the stayFree post-op follow-ups
Billed separately
Pre-op tests (₹2,000–5,000)Stay beyond the packageUnrelated conditions

Covered by insurance

Cataract (Phaco + IOL) surgery is covered by most health policies. We start cashless pre-authorisation before admission — you pay nothing extra at discharge.

Star HealthHDFC ErgoICICI LombardNiva BupaCare HealthTATA AIGAditya BirlaCGHS / ECHS
What to expect after

Your recovery timeline

Day 0
Surgery day
Home with same-day discharge. Light diet, prescribed pain relief and gentle movement encouraged.
First week
Back to routine
Most patients return to desk work within 2–3 days. Simple aftercare speeds healing.
By 2–3 days
Fully recovered
Normal activity and exercise resume around 2–3 days. A free follow-up confirms complete healing.

Week by week after cataract (phaco + iol) surgery

Day 0

Home within a few hours with a protective shield. Vision is often blurred and glary on the first evening — that is normal.

Day 1

Review appointment, drops start, and most people already notice a clear improvement.

Week 1

No rubbing, no water in the eye, sunglasses outdoors. Shield at night.

Week 2–3

Drops taper. Most daily activity resumes; driving once vision meets the legal standard and the surgeon agrees.

Week 4–6

Refraction stabilises and final spectacles are prescribed. The second eye is usually scheduled once the first has settled.

The honest part

Risks, preparation & aftercare

Every operation carries risk. These are the complications your surgeon will take you through before you consent — they are listed here so you read them without a pen in your hand.

Possible complications of cataract (phaco + iol) surgery

Clouding of the capsule behind the lens months to years later — treated with an outpatient YAG laser, not repeat surgery
Infection inside the eye (endophthalmitis) — rare but sight-threatening, which is why pain, increasing redness or falling vision after surgery is a same-day emergency
Swelling of the cornea, or of the macula (cystoid macular oedema)
Raised eye pressure
Rupture of the posterior capsule with vitreous loss, needing a modified procedure
Retinal detachment, more likely in highly short-sighted eyes
Residual refractive error still needing glasses
Glare, haloes or shadows, reported more often with multifocal lenses

Before your procedure

Biometry to calculate the lens power, a dilated retinal examination, and corneal and macular assessment. Blood sugar and blood pressure controlled. Tell the surgeon if you take tamsulosin or any alpha-blocker for the prostate — it causes floppy iris syndrome and changes the surgical plan, and it matters even if you stopped it years ago. Antibiotic drops as prescribed, no eye make-up, and nothing by mouth only if sedation is planned.

After you go home

Use every drop exactly on the schedule given — this is the instruction patients most often get wrong. Wear the shield at night for a week. Do not rub the eye, swim, or let water splash into it. Avoid dusty environments and heavy lifting for two weeks. Attend the day-one, week-one and week-four reviews. Report pain, increasing redness, discharge, flashes, floaters or falling vision the same day.

Good to know

Frequently asked questions

+

Start with a conversation, not a commitment.

Book a ₹600 consultation with a ophthalmologist — adjusted into your surgery cost if you go ahead. No pressure, no surgery unless you need it.

Related procedures

600 consult
Adjusted into surgery cost