Femtosecond Laser Cataract Surgery

performed by Dr Kaines

at Dalcross Hospital, Killara

New intra ocular lens (IOL)

replaced cludy lens

femto laser

Over 60% of people over the age of 60,

are affected by cataracts

- it is such a common condition

that most people

will develop it

Dr Andrew Kaines is an ophthalmic surgeon who specialises in refractive cataract surgery and medical retinal disorders.

Dr Andrew Kaines is an ophthalmologist who specialises in refractive cataract surgery and medical retinal disorders. He has spent several years in sought-after international Fellowship positions at London’s Moorfields Eye Hospital and the Jules Stein Institute, UCLA, California.

He is one of the most experienced laser cataract surgeons in Sydney and feels that Laser Cataract Surgery is both safer and more predictable. Dr Kaines performs more than 400 cataract surgeries per year. Further Dr Kaines believes laser cataract surgery should be affordable with out of pocket expenses of $400-$500 per eye in patients with health insurance. As a retina specialist he has a special interest in diseases of the macula including Macular Degeneration and Diabetic Retinopathy.

He is the Medical Director of Northern Beaches Retina | Cataract | Glaucoma at Brookvale. He also consults at Northbridge, Mona Vale, Hurstville and Metwest. Dr Kaines is a sought after speaker and teaches ophthalmology trainees as a VMO at Royal Prince Alfred Hospital. He is also an examiner for the Royal Australian and New Zealand College of Ophthalmology. Dr Kaines lives in Manly, NSW.

  • What is Cataract

    The lens of the eye is normally transparent. If a cloudy area develops in the lens, it is called a Cataract. This reduces the amount of light that passes through the lens resulting in vision that becomes increasingly poor. Removal of a cataract is one of the most common surgical procedures performed in Australia. It has a high rate of success due to the modern methods used.

  • Laser Cataract Surgery

    The Femtosecond Laser brings micron level accuracy, needle-free, blade-free surgery. It has the potential to carry out lens extraction or cataract surgery through a pin-prick incision superior to current cataract surgical techniques.

  • Age-Related Macula Degeneration

    It is a degenerative eye disease that can result in reduced central vision, but leaves peripheral or “side” vision in place. It usually affects people over the age of 50 years.

  • Diabetic Retinopathy

    It is damage to the retina caused by the complications of diabetes, which can eventually lead to blindness. Diabetic retinopathy may not be noticed straight away but over time can get worse and cause vision loss.

Dr Andrew Kaines consults at

Brookvale, Northbridge, Hurstville and Blacktown

Dr Kaines is answering your questions about Cataract

What is cataract?

How to treat cataract?

What are the risks?

Laser assisted surgery

Will I need glasses?

What is Macular Degeneration?

What you should know about:

Femtosecond Laser Cataract Surgery

The Femtosecond Laser brings a new level of precision to these surgical steps through a number of high-tech features. Once the patient is comfortable and settings have been confirmed, the surgeon depresses the foot pedal to initiate the laser procedure:

Capsulotomy: an accurately sized and centered capsulotomy is formed
Lens fragmentation: the lens is fragmented into the desired pattern
Incisions: primary and secondary incisions are created
Arcuate incisions: if arcuate incisions have been selected, these are created during this step Following the laser treatment, the surgeon proceeds to the actual removal of the fragmented cataractous lens with a traditional cataract removal system

By creating the incisions and fragmenting the lens with the LenSx® Laser, the surgeon is usually able to reduce intraocular procedure.

Useful links:

Wet Age-related Macula Degeneration

Age-related macular degeneration (AMD) is an eye condition that leads to the gradual loss of central vision that is used to see what is directly in front of you, during activities such as reading or watching television for example.

The central vision becomes increasingly blurred leading to symptoms including:

Difficulty reading printed or written text (because it appears blurry)
Colours appear less vibrant
Difficulty recognising people’s faces
AMD usually affects both eyes but the speed in which it progresses can vary from eye to eye.

Useful links: