MICS Cataract Surgery: Why is it the best option?

If you or your loved one has been told that cataract surgery is needed, I want to begin by saying, take a deep breath. I’ve been in your shoes, not as a patient, but as a son and a doctor. 

I’ve sat beside my own family members, explaining what this procedure means, and what life looks like after it.

That’s why, as an eye surgeon with over two decades of experience, including training under leading experts in England, I now offer Microincision Cataract Surgery (MICS) at our eye hospital here in Navi Mumbai

It’s a newer, gentler, stitchless approach to cataract surgery, and for most patients, the difference in comfort and recovery is significant.

Let me walk you through it, not as a medical brochure would, but as I would explain it to someone sitting across from me in the clinic.

What Exactly Is MICS Cataract Surgery?

MICS — or Microincision Cataract Surgery — is a highly refined form of cataract removal where we make a very small cut — 2.2 mm — to remove the cloudy lens and place a new one. The smaller the incision, the less trauma to the eye, and the faster the healing.

Think of it like entering through the width of a pinhole, rather than a keyhole. In most cases, the incision is so tiny that no stitches are needed. The eye seals itself naturally.

For patients, that means:

  • No hospital stay
  • No needles near your eye (we usually use drops to numb it)
  • A much smoother and faster recovery

Why I Recommend MICS to Most of My Patients

Not every cataract needs the most high-end technique, but here’s why I often recommend MICS, especially for patients who:

  • Are anxious about surgery
  • Are diabetic or have hypertension
  • Want faster visual recovery.
  • Prefer a “no-stitch, no-pad, walk-in walk-out” experience.
  • Have high visual demands (e.g. working professionals, drivers, avid readers)

In my hands, MICS has consistently delivered predictable and stable outcomes, with most patients reporting improved clarity within 24 to 48 hours.

Understanding the Options: MICS vs. Phaco vs. Laser

This is one question I get a lot, and understandably so — all these terms can sound confusing.

Let me simplify it:

Technique

Incision Size

Stitch Required?

How It’s Done

Phacoemulsification

~2.8 mm

No (self-healing)

Ultrasound probe emulsifies the lens

MICS

~1.8-2.2 mm

No

Same as Phaco, but through a micro cut

Laser-assisted

~2.2 mm

No

A femtosecond laser assists some steps

So technically, MICS is an advanced version of Phaco, just through a much smaller entry point. We still use phacoemulsification to break the lens,  just more delicately.

Laser-assisted cataract surgery is also an option; however, in most cases, MICS offers equally excellent results at a lower cost, which is important to many families.

Is It Safe? Especially For Elderly or Diabetic Patients?

Absolutely. In fact, MICS is one of the safest options for older patients or those with controlled diabetes, BP, or cardiac conditions. Since the procedure uses topical anaesthesia and involves minimal manipulation, the stress on the body is lower.

I’ve had 76-year-olds walk out of surgery smiling, asking when we’ll do the second eye.

Of course, every case is unique, and I thoroughly review your reports before making a recommendation. However, rest assured: your safety is always my top priority.

What Happens Before, During, and After Surgery?

Let me break it down for you, step by step:

Before Surgery

We perform a comprehensive eye exam, including painless scans, and take blood pressure/sugar checks. I’ll sit down with you to discuss which lens is best suited for your lifestyle: monofocal, multifocal, or toric (for astigmatism).

You’ll receive a list of dos and don’ts before surgery, so there will be no surprises.

During Surgery

The procedure takes about 10–15 minutes. You’ll be awake but won’t feel pain — only a little pressure or cool fluid around your eye. Most patients are surprised at how quick and smooth it is.

(Insert a patient video here saying: “I didn’t feel anything — it was over before I knew it!”)

After Surgery

You rest for about 30 minutes, then go home. You’ll wear dark glasses, get eye drops, and a small post-op kit. No bandage. No stitches. Many patients tell me:

“Doctor, I saw better the very next morning.”

Recovery Timeline: What You Can Expect

  • Day 1: Mild redness, some blurring — but vision begins clearing up
  • Day 2–3: 80–90% clarity returns
  • Week 1: Most activities can be resumed (TV, walking, light reading)
  • Week 2–3: Full healing; final refraction can be done
  • After 1 month: You can even go for spectacles or distance driving clearance, if needed.

I’ll be seeing you at regular follow-ups — you’re never left alone in the healing process.

Let’s Talk Cost — and Transparency

At my practice, I believe in clarity of vision and cost. Here’s a general idea:

  • Basic MICS ( Monofocal lens): ₹30,000 to ₹60,000 per eye

  • Premium lenses (Toric, Edof, Trifocal Lens ): ₹70,000 to ₹1,20,000 per eye

This includes surgeon fee, theatre charges, standard lens, disposables, and post-op visits.

We also help with:

  • Cashless insurance coordination

  • Printed receipts for reimbursement

No hidden charges. You’ll always know what you’re paying for.

Frequently Asked Questions

Not at all. I use eye drops to numb the surface — in most cases, no injections are near the eye. You may feel pressure, but no pain.

Laser surgery uses a machine to perform some initial steps. MICS uses manual tools but a smaller incision. Both offer great outcomes; MICS is more cost-effective.

MICS is a refined version of Phaco. The main difference is the size of the incision. We perform smaller incisions in MICS, which results in better healing.

Typically 1.8 mm to 2.2 mm. It’s so small that the wound seals on its own.

In many cases, the next day. Some patients regain up to 90% vision within 48 hours.

Yes — if your first eye heals well, I usually schedule the second eye in 3–7 days, depending on your comfort.

If you choose a monofocal lens, yes, likely for reading. But Trifocal lenses can reduce or even eliminate the need for glasses.

A Final Word — From My Desk

If you’re scared of cataract surgery, I understand. Many of my patients came in anxious and left saying,

“If I knew it was this simple, I wouldn’t have waited so long.”

At my eye hospital in Navi Mumbai, we combine global-standard techniques with personal care. You’re not just another file; you’re a person trusting me with your sight, and that’s something I don’t take lightly.

If you’d like to explore MICS cataract surgery for yourself or a loved one, come in for a consultation. Let’s have a real conversation;  no pressure, just clarity.

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