Complex Cataract Surgery
Specialist surgical management for challenging cataracts including dense or mature cataracts, previous eye surgery, small pupils, and weak zonules.
Overview
Not all cataracts are straightforward. Some patients present with surgical challenges that require specialist expertise—this is where Ms. Menassa's advanced training becomes invaluable.
Complex cataracts include those that are very dense or mature (brunescent cataracts), cases with weak or absent zonular support, patients with previous refractive surgery (LASIK, PRK), those with small pupils that don't dilate well, and eyes that have had previous vitrectomy surgery.
These cases require modified surgical techniques, specialised equipment, and extensive experience to achieve optimal outcomes. Ms. Menassa regularly manages the region's most challenging cataract cases at St Paul's Eye Unit, bringing this expertise to her private practice.
Additional interventions may include capsular tension rings or segments, iris expansion devices, and careful surgical planning to address each individual challenge.
What This Means for You
- Access to a surgeon experienced in challenging cases
- Specialised techniques and equipment for complex anatomy
- Clear pre-operative explanation of risks and expectations
- Continuity of care—Ms. Menassa manages all your appointments personally
Ms. Menassa's Approach
Ms. Menassa's role at the world-renowned St Paul's Eye Unit means she routinely handles the North West's most complex anterior segment cases. This experience translates directly to her private practice.
For complex cases, she takes additional time during consultation to explain the specific challenges, the modified surgical approach, and realistic outcome expectations. Honest, clear communication is fundamental to her practice.
Her corneal expertise is particularly valuable when cataract surgery involves additional corneal pathology—she can often address both issues in a staged or combined approach.
Is This Right for You?
- Patients with very dense or white (mature) cataracts
- Those with weak zonules or previous trauma to the eye
- Patients who have had previous refractive surgery (LASIK, PRK)
- Eyes with small pupils that do not dilate adequately
- Those referred from other surgeons for specialist management
Frequently Asked Questions
Certain factors make cataract surgery more technically demanding. This might include the density of your cataract, previous eye conditions or surgeries, anatomical variations, or other eye health issues. Ms. Menassa will explain your specific situation in detail.
Complex cases do carry a slightly higher risk profile than routine surgery, which is why specialist expertise matters. Ms. Menassa will discuss your individual risk factors honestly and explain the precautions she takes to optimise your outcome.
In some complex cases, premium lenses may still be an option; in others, a monofocal lens may be recommended to prioritise safety and visual quality. Ms. Menassa will advise what is most appropriate for your specific situation.
Quick Facts
Duration
20-40 minutes depending on complexity
Anaesthesia
Local anaesthesia—may be topical or with sedation depending on case
Recovery
May be slightly longer than routine surgery; typically 1-2 weeks
Pain Level
No pain
Guide Price
per eye, reflecting additional surgical complexity
A detailed quote will be provided following your consultation.
View All FeesReady to Learn More?
Take our quick suitability quiz or book a consultation to discuss your options with Ms. Menassa.
Understanding Your Condition
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