Cataract
Summary
The eye's lens helps focus an image on the back of the eye (retina). When we are young, our lens appears clear. As we age, the lens proteins begin to age, causing the lens to get cloudy and we call this a cataract.

This can then lead to symptoms of glare and reduced vision. Most people get cataracts as they get older. Some people can be born with cataracts.

Studies have shown that people improve their vision, contrast sensitivity, depth perception, activity, anxiety, depression, visual disability, confidence, handicap and quality of life and reduce falls after cataract surgery (1-3).
The Surgery
Cataract surgery is one of the most frequently performed operations in the country. Approximately 330,000 cataract operations are performed each year in England alone.

Most people undergo cataract surgery under local anaesthetic. Local anaesthetic can be administered as drops on the eye or as a small injection around the eye.

In a small number of cases where patients are highly anxious or unable to keep their eyes still, they can be given sedation or general anaesthetic.

The surgical time can vary from 10 minutes to an hour depending on the type of cataract and complexity of your case. When Dr Rupal Morjaria sees your case, she will discuss your case in detail with you before surgery.
Will I need glasses after surgery?
Measurements of your eye are taken before surgery so Dr Rupal Morjaria can discuss options with you.

Most people choose to see clearly from a distance without needing glasses but will need reading glasses after surgery.

Special lenses can be put in your eye that helps you with your distance and near vision, such as multifocal lenses and extended depth of focus lenses.

These lenses, however, are often unsuitable for people with any conditions affecting the retina at the back of their eye.
Risks of Cataract Surgery
Cataract surgery is one of the most frequently performed operations in the country. Approximately 330,000 cataract operations are performed each year in England alone.

Most people undergo cataract surgery under local anaesthetic. Local anaesthetic can be administered as drops on the eye or as a small injection around the eye.

In a small number of cases where patients are highly anxious or unable to keep their eyes still, they can be given sedation or general anaesthetic.

The surgical time can vary from 10 minutes to an hour depending on the type of cataract and complexity of your case.

When Dr Rupal Morjaria sees your case, she will discuss your case in detail with you before surgery.
Post-operative management
In most cases, your vision should settle within 24-48 hours. If you have other ocular pathology, your eyes can take 2-3 weeks to recover. Most people must take drops for three weeks, four times a day. Occasionally, more eye drops are required

Rupal Morjaria is the FOCUS lead for the Birmingham Midland Eye Centre, a Charity organisation which provides support to patients with visual impairment. She is also the current secretary of the Midland Ophthalmology Society.

Cataract Surgery

30% of adults over 65 are estimated to have cataracts in the UK.
Cataract surgery is the replacement of your natural opacified lens for a clear lens. It is the most common outpatient procedure carried out.

Diabetic Retinopathy

Diabetic retinopathy is the presence of fluid leakage and bleeding at the back of they eye due to poor blood sugar control. Treatment can help to preserve vision.

Retinal Vein Occlusion

This results in loss of vision from a blockage in one of the main retinal vessels or a branch resulting in fluid leakage and bleeding into the eye. Laser treatment and injections into the eye can help to preserve vision or prevent complete loss of vision.

Macular Degeneration

Dry and Wet Macular degeneration are common causes of blindness. There are many factors that can predispose you to getting this. Treatment can be given to delay loss of vision from wet macular degeneration including anti-VEGF injections.

Central Serous Retinopathy

This is a condition causing central distortion as a result of fluid accumulation under the retina. In most people it improves within a short time period, however some require investigation and treatment.

Retinitis Pigmentosa

Retinitis Pigmentosa is a general term for a range of genetic retinal conditions which results in early loss of central or peripheral vision.

Yag Laser Capsulotomy

This is a simple commonly performed procedure within 1 to 5 years after cataract surgery to polish the lens.

Retinal injections

Retinal injections include anti-VEGF injections such as Lucentis (Ranibizumab), Eylea (Aflibercept), Avastin (Bevacizumab) and steroid injections; triamcinolone, ozurdex (dexamethasone implant) and Iluvien (fluoncinolone implant) are used to treat sight threatening conditions.

Professional Memberships

  • Royal College of Ophthalmologists
  • British Medical Association
  • Medical Defence Union
  • UK Eye Genetics group
  • EuRetina
  • Midland Ophthalmology Society

Prizes/Awards


  • Ophthalmology Honours Award Honouree
  • West Midlands Trainee Award Nominee
  • Midland Ophthalmology Society Travel Award for the best Oral Presentation.
  • MidlandOphthalmology Society Travel Award for the best Poster Presentation.
  • Midlands Roper Hall Prize “Runner up” for Oral Presentation.

Contact Rupal Morjaria.

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